Dissatisfaction with the laboratory services in conducting HIV related testing among public and private medical personnel in Tanzania

BMC Health Serv Res. 2008 Aug 11:8:171. doi: 10.1186/1472-6963-8-171.

Abstract

Background: A comprehensive care and treatment program requires a well functioning laboratory services. We assessed satisfaction of medical personnel to the laboratory services to guide process of quality improvement of the services.

Methodology: A cross-sectional survey in 24 randomly selected health facilities in Mainland Tanzania was conducted to assess the satisfaction of the medical personnel with the laboratory services.

Results: Of 235 medical personnel interviewed, 196 were valid for analysis and about one quarter were dissatisfied with the laboratory services. Personnel dissatisfied with the services were 38.3% in timely test result, 24.5% in correct and accurate results and 22.4% in clear complete results. The personnel in public laboratories were more dissatisfied with timely test results (OR = 3.6, 95% CI 1.8, 7.3), correct results (OR = 4.1, 95% CI 1.6, 10.8) and clear complete results (OR = 5.0 95% CI 1.6, 15.2). Personnel dissatisfied with the services in 15 laboratories sending specimens to referral laboratories, varied from 13% in availability of equipment to 57% in timely results feedback from the referral laboratories. Personnel dissatisfied with the services in 14 referral laboratories, varied from 28.6% in properly identified specimen to 42.9% in clear, accurate test request and communication.

Conclusion: About one quarter of medical personnel in sending or receiving laboratories were dissatisfied with the services. Comparing the personnel in public and private, the personnel in public laboratories were 4 times more dissatisfied with the timely test and correct results; and 5 times more dissatisfied with clear and complete test results.

Publication types

  • Comparative Study

MeSH terms

  • AIDS Serodiagnosis / standards
  • Adult
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / diagnosis*
  • Health Personnel / psychology*
  • Health Personnel / statistics & numerical data
  • Hospitals, Private
  • Hospitals, Public
  • Humans
  • Laboratories, Hospital / standards*
  • Logistic Models
  • Male
  • Middle Aged
  • Specimen Handling
  • Surveys and Questionnaires
  • Tanzania
  • Time Factors