LAB MANIFEST IMPLEMENTATION Hub Facility data Lab manifests in Draft- Lab manifests Submitted- Lab manifest Incomplete- Lab manifest Complete- Do you document in a tracking log? Do you keep a copy of Lab manifest in a file for samples referred? – Do you have a tablet? – Challenges
QUALITY INDICATORS TRACKED- Q1 (October-Dec 2024) REJECTIONS. TURN AROUND TIME TESTS REJECTIONS REEJECTION RATE No. RECOLLECT VIRAL LOAD EID CD4 GENEXPERT TB LAM RECENCY Reasons for rejection; TESTS SAMPLES REFERRED RESULTS RECEIVED AVERAGE TAT. VIRAL LOAD EID CD4 GENEXPERT TB LAM RECENCY
QUALITY ASSURANCE INTERNAL QUALITY ASSURANCE AFB MICROSCOPY- Is it documented in the TB register? Routine HIV Monthly IQC- Do you distribute the IQC material to your spokes and follow up for testing? CD4 Genexpert Batch to Batch Recency- EXTERNAL QUALITY ASSURANCE HIV PT(R 01 2023)- All Enrolled and PT results downloaded? AFB Microscopy EQA- Q4 2023 available. CD4 EQA- Genexpert EQA- Inter Lab comparison. Recency -
RTCQI & RECENCY RTCQI No. of SDPs enrolled in RTCQI. Latest Follow up of assessment done – e.g Follow up 6,7,8 etc Average performance of your hub- RECENCY Recency data Cascade (Hub) Tested positive > 15 yrs - # Enrolled into Recency - # Done RTRI - # RTRI Recent – # RTRI Neg - # VL done - # RITA recent – # Entered into ODK- Data Source; Monthly summary forms, RTRI RS log.
COMMODITY MANAGEMENT HUB DATA RTKs balances BALANCES Determine FR HIVST HIV DUO PPT tubes Asante kits for Recency Gene Xpert cartridges Balances Cartridges EID commodities balances: Filter Papers POC EID: 1. Cartridges 2. Microtainers EDTA tubes CD4 cartridges balances: BALANCES CD4 PIMA Platform Other CD4 platforms- FacsPresto CD4 FascCalibur Reagents TB LAM balances: TB LAM test kits TB LAMP
GOOD PRACTICES & CHALLENGES
GOOD PRACTICES & CHALLENGES GOOD PRACTICES CHALLENGES & WAY FORWARD
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