IJCA - Volume 3 - Flipbook - Page 29
2024 | Volume 3, Issue 1
27
Table 4: Impact of laboratory personnel, management, competency, training, and regulatory follow-up practices
on accreditation utilization in accredited healthcare laboratories, Addis Ababa, Ethiopia, 2021
INDEPENDENT
VARIABLES
ACCREDITATION UTILIZATION
UTILIZED NOT UTILIZED
95% CI
COR
P-VALUE
95% CI
AOR
P-VALUE
Competency
V.S.E
52
4
0.26(0.08-0.86)
0.03*
0.4(0.003-0.56)
(0.041)*
Assessment
S.E
43
15
1.18(0.5-2.78)
0.70
4.2(0.64-26.5)
0.133
M.E
89
16
0.6(0.27-1.38)
0.233
0.78(0.13-4.5)
0.78
L.E
4
13
√
Management
V.S.E
15
2
0.38(0.08-2.1)
0.25
0.03(0.001-1.2)
0.06
Commitment
S.E
76
16
0.55(0.58-1.75)
0.31
0.23(0.001-1.2)
0.230
M.E
62
12
0.5(0.15-1.67)
0.26
0.22(0.01-3.85)
0.302
L.E
62
13
0.55(0.17-1.8)
0.32
0.07(0.6-1.1)
0.059
V.L.E
13
5
√
QM
appointment
L.E
138
15
0.3(0.12-0.57)
0.000*
0.13(0.3-0.595)
0.008*
V.L.E
90
33
√
Budget for
Accreditation
V.S.E
49
1
√
S.E
41
12
0.10(0.013-0.8)
0.03*
0.336(0.01-8.7)
0.51
M.E
77
23
1.49(0.61-3.6)
0.383
2.52(0.33-19.1)
0.37
L.E
61
12
1.52(0.7-3.3)
0.29
1.02(0.176-5.97)
0.797
53
2
√
27
10
0.14(0.03-0.61)
(0.036) *
0.014(0.0-0.47)
0.017*
L.E
76
16
1.33(0.55-3.2)
0.521
2.6(0.35-19.6)
0.349
V.L.E
72
20
0.76(0.36-1.58)
0.458
0.412(0.08-2.1)
0.282
Evaluated by
S.E
Regulatory body
M.E
Key: * Shows signi昀椀cant association at α=0.05 √ shows reference category, V.S.E=very small extent, S.E=small extent,
M.E= moderate extent, L.E=Large extent, V.L.E=very large extent
Based on the results, the null hypothesis for
competency assessment (p-value=0.04), budget
for accreditation (p-value= 0.03), and regulatory
follow-up (p-value= 0.017) were rejected, indicating
signi昀椀cant statistical differences in the accreditation
services utilization. The regression analysis also
showed that provision of comprehensive basic
laboratory test training, management commitment,
availability of mentors, and awareness of ISO 15189
had no signi昀椀cant association with healthcare
facility laboratory accreditation utilization. Table 4
summarizes the crude odds ratio, adjusted odds ratio,
and p-value on the impact of laboratory personnel
competency, accreditation budget allocation,
appointment of quality managers, training on QMS,
and regulatory follow-up practices.
Discussion
This research aimed to assess the utilization rate
of accreditation and identify the factors hindering
accredited healthcare facility laboratories. Nearly half
of the respondents had received basic training helpful
for ISO 15189 accreditation and utilization. In 2019,
the health facility laboratory accreditation utilization
rate increased by 10 (24%), with around 38 accredited
CABs four withdrawals, and three suspensions.
The majority of respondents (26, 9.4%) indicated that
management does not facilitate the accreditation
process by providing training or incentives for
accreditation awards, leading to staff attrition.
This 昀椀nding aligns with studies by Ng G., Leung
et al., in Hong Kong Medical Journal (Xiangtan yi
xue za zhi), and El-Jardali, F. et al., which identi昀椀ed
