Medical laboratories in sub-Saharan Africa that meet international quality standards

Lee F. Schroeder, Timothy Kien Amukele

Research output: Contribution to journalArticle

Abstract

Objectives: A recent survey of laboratories in Kampala, Uganda, demonstrated that only 0.3% of laboratories (3/954) met international quality standards. To benchmark laboratory quality throughout the rest of sub-Saharan Africa (SSA), we compiled a list of SSA laboratories meeting international quality standards. Methods: Accrediting bodies were queried via online registries or direct communication in May 2013. Results: There were 380 laboratories accredited to international standards in SSA. Ninety-one percent were in South Africa. Thirty-seven of 49 countries had no laboratories accredited to international quality standards. Accredited laboratory density (per million people) in South Africa, Namibia, and Botswana were similar to those in many European countries. Single variable linear regression showed a correlation between accredited laboratory density and health expenditures per person (adjusted R2 = 0.81, P <.001). Conclusions: Most SSA countries do not have an accredited clinical laboratory. For those that do, there is a strong correlation between country-specific accredited laboratory density and per-capita health expenditures.

Original languageEnglish (US)
Pages (from-to)791-795
Number of pages5
JournalAmerican Journal of Clinical Pathology
Volume141
Issue number6
DOIs
StatePublished - 2014

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Africa South of the Sahara
Health Expenditures
South Africa
Namibia
Botswana
Benchmarking
Uganda
Registries
Linear Models

Keywords

  • Accreditation
  • Africa
  • Global health
  • Laboratory
  • Quality

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

Medical laboratories in sub-Saharan Africa that meet international quality standards. / Schroeder, Lee F.; Amukele, Timothy Kien.

In: American Journal of Clinical Pathology, Vol. 141, No. 6, 2014, p. 791-795.

Research output: Contribution to journalArticle

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