The operation, quality and costs of a district hospital laboratory service in Malawi

Transactions of the Royal Society of Tropical Medicine and Hygiene

Volumn 97, Issue 4, 2003, Pages 403-408

  Mundy, C J F ^a,c   Bates, Imelda ^a,c   Nkhomal, W ^b,c,d   Floyd, K ^a,c,e   Kadewele, G ^b,c   Ngwira, M ^b,c,f   Khuwi, A ^b,c   Squire, S B ^a,c   Gilks, C F ^a,c,e  

^a LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

^b MINISTRY OF HEALTH   (Malawi)

^c Malawi Essen Med Lab Serv Proj   (Malawi)

^d WHO Regional Office for Africa   (Zimbabwe)

^e WORLD HEALTH ORGANIZATION   (Switzerland)

^f Embangweni Mission Hospital   (Malawi)

Author keywords

Cost; Diagnosis; Laboratory services; Malawi; Microscopy

Indexed keywords

HEMOGLOBIN;

ARTICLE; BLOOD TRANSFUSION; CALCULATION; CONTROLLED STUDY; DEVELOPING COUNTRY; DIAGNOSTIC PROCEDURE; HEALTH CARE QUALITY; HEALTH ECONOMICS; HEMOGLOBIN DETERMINATION; HOSPITAL COST; HOSPITAL LABORATORY; HOSPITAL MANAGEMENT; HUMAN; INCOME; LABORATORY PERSONNEL; LABORATORY TEST; MALARIA; MALAWI; MICROSCOPY; MONITORING; QUALITY CONTROL; RESOURCE MANAGEMENT; SAFETY; TUBERCULOSIS; WORKING TIME; WORKLOAD;

HEALTH SERVICES RESEARCH; HOSPITAL COSTS; HOSPITALS, DISTRICT; HUMANS; LABORATORIES, HOSPITAL; MALARIA; MALAWI; QUALITY OF HEALTH CARE; TUBERCULOSIS; WORKLOAD;

EID: 19244365104     PISSN: 00359203     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0035-9203(03)90070-8     Document Type: Article

References (21)

1. Barat L. Chipipa J. Kilczak M. & Sukwa T. Does the availability of blood slide microscopy for malaria at health centres improve the management of persons with fever in Zambia? American Journal of Tropical Medicine and Hygiene 60 1999 1024-1030
2. Barbara J.A. Microbiological screening of blood donations: cost versus effectiveness Medical Laboratory Sciences 46 1989 250-254
3. Bates I. Mundy C. Pendame R. Kadewele G. Gilks C. & Squire S. Use of clinical judgement to guide administration of blood transfusions in Malawi Transactions of the Royal Society of Tropical Medicine and Hygiene 95 2001 510-512
4. Bennett C.H.N. Welcan UK: its development and future Journal of Clinical Pathology 44 1991 617-620
5. Eddy D.M. Clinical Decision-making: From Theory to Practice 1996 Jones & BartlettSudbury, MA
6. EHP Working Group Malawi Essential Health Package, Contents and Preliminary Costs 2001 Ministry of Health and PopulationLilongwe 1st draft
7. Foster S. & Buve A. Benefits of HIV screening of blood transfusions in Zambia Lancet 346 1995 225-227
8. Government of Malawi Global Fund Application: an Integrated National Response to HIV/AIDS and Malaria 2002 Government of MalawiLilongwe
9. Lewis F. & Foreman J. Low-cost diagnostic technologies and clinical outcomes: the impact of inappropriate utilisation International Journal of Technology Assessment in Health Care 13 1997 510-511
10. Jonkman A. Chibwe R.A. Khoromana C.O. Liabunya U.L. Chaponda M.E. Kandiero G.E. Molyneux M.E. & Taylor T.E. Cost-saving through microscopy-based versus presumptive diagnosis of malaria in adult outpatients in Malawi Bulletin of the World Health Organization 73 1995 223-227
11. Ministry of Health and Population, MalawiMalawi's Fourth National Health Plan, 1999-2004 1999 Ministry of Health and PopulationLilongwe
12. Moore R.A. Current perspectives in evidence-based laboratory medicine British Journal of Biomedical Science 56 1999 226-233
13. Mundy C.J.F. Harries A.D. Banerjee A. Salaniponi F.M. Gilks C.F. & Squire S.B. Quality assessment of sputum transportation, smear preparation and AFB microscopy in a rural district in Malawi International Journal of Tuberculosis and Lung Disease 6 2002 47-54
14. Rieder H.L. Chonde M.L. Myking H. Urbanczik R. Laszlo A. Kim S.J. Van Deun A. & Trébucq A. The Public Health Service National Tuberculosis Reference Laboratory and the National Laboratory Network. Minimum Requirements, Role and Operation in a Low-income Country 1998 41-53 IUATLDParis
15. Schapira A. Chloroquine resistant malaria in Africa: the challenge to health services Health Policy and Planning 4 1989 17-28
16. Shaffer N. Hedberg K. Davaichi F. Lyamba B. Brennan J.G. Masisa O.S. Hightower A. & Nguyen-Dihn P. Trends and risk factors for HIV-1 seropositivity among outpatient children, Kinshasa, Zaire AIDS 4 1990 1231-1236
17. Welcan UK Workload Measurement System for Pathology. Manual with Schedule of Unit Values 1990 Great Britain, Welsh OfficeCardiff
18. WHO Methods Recommended for Essential Clinical Chemical and Haematological Tests for Intermediate Hospital Laboratories 1986 World Health Organization Geneva WHO/LAB/86.3
19. WHO Safety in Health-care Laboratories 1997 World Health Organization Geneva WHO/LAB/97.1
20. WHO World Health Report 2000 World Health Organization Geneva
21. Wu A.H. Reducing the inappropriate utilisation of clinical laboratory tests Connecticut Medicine 61 1997 15-21