Skip to main content

Main menu

  • Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Info for
    • Authors
    • Reviewers
  • About Us
    • About Us
    • Conflict of Interest
    • Informed Consent
    • Human and Animal Rights
  • More
    • Alerts
    • Feedback
    • Folders
  • ascls.org
    • ascls.org

User menu

  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
American Society for Clinical Laboratory Science
  • ascls.org
    • ascls.org
  • My alerts
  • Log in
  • My Cart
American Society for Clinical Laboratory Science

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Info for
    • Authors
    • Reviewers
  • About Us
    • About Us
    • Conflict of Interest
    • Informed Consent
    • Human and Animal Rights
  • More
    • Alerts
    • Feedback
    • Folders
  • Follow ASCLS on Twitter
  • Visit ASCLS on Facebook
  • Follow ASCLS on Instagram
  • RSS Feed
Research ArticleResearch and Reports

Barriers to Implementation of Quality Management Systems in Laboratories: Lessons from the Southern Africa TB Health Systems Project

Talkmore Maruta, Martin Matu and Sikhulile Moyo
American Society for Clinical Laboratory Science April 2022, 35 (2) 14-19; DOI: https://doi.org/10.29074/ascls.2020002667
Talkmore Maruta
East Central and Southern Africa Health Community
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Martin Matu
East Central and Southern Africa Health Community
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sikhulile Moyo
Botswana-Harvard AIDS Institute Partnership
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1.

    Distribution of the participants rating of the key components of quality management in their laboratories.

  • Figure 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2.

    Distribution of the laboratories change of SLIPTA scores from 2017 to 2019.

  • Figure 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3.

    Barriers to LQMS implementation as identified by participants.

Tables

  • Figures
    • View popup
    Table 1.

    Summary of ratings on adequacy of the six variables

    RatingInterquartile Range
    VariableMeanSD
    Staff level6.42.85–9
    Financial resources5.42.73–8
    Laboratory staff commitment7.22.36–9
    Laboratory staff LQMS knowledge7.12.06–9
    Laboratory management LQMS knowledge7.62.06–10
    Hospital management LQMS knowledge5.82.54–8
    • View popup
    Table 2.

    Performance of project laboratories in WHO/AFRO SLIPTA audits 2017–2019

    YearMeanStandard
    Deviation
    MedianInterquartile Range
    ScoreStar Level
    2017 (n = 10)178.2240.9177.5143211
    2018 (n = 9)194.4232.9194.4172208
    2019 (n = 7)233.3420.5231202240
    • View popup
    Table 3.

    Summary of predictors of successful implementation of LQMS

    VariableOdds Ratio95% Confidence IntervalP value
    LQMS tool used0.400.12–1.41.15
    Staffing levels1.71.51–5.63.39
    Infrastructure5.190.35–76.3.23
    Commitment by staff0.340.75–1.81.22
    Laboratory staff knowledge of LQMS0.060.004–0.80.03*
    Laboratory management knowledge of LQMS0.220.06–0.80.022*
    Hospital management knowledge of LQMS0.410.16–1.02.056
    Workload3.611.41–9.22.007*

    *P < .05: a significant predictor for successful implementation of LQMS.

    PreviousNext
    Back to top

    In this issue

    American Society for Clinical Laboratory Science: 35 (2)
    American Society for Clinical Laboratory Science
    Vol. 35, Issue 2
    1 Apr 2022
    • Table of Contents
    • Index by author
    Print
    Download PDF
    Article Alerts
    Sign In to Email Alerts with your Email Address
    Email Article

    Thank you for your interest in spreading the word on American Society for Clinical Laboratory Science.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    Barriers to Implementation of Quality Management Systems in Laboratories: Lessons from the Southern Africa TB Health Systems Project
    (Your Name) has sent you a message from American Society for Clinical Laboratory Science
    (Your Name) thought you would like to see the American Society for Clinical Laboratory Science web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Citation Tools
    Barriers to Implementation of Quality Management Systems in Laboratories: Lessons from the Southern Africa TB Health Systems Project
    Talkmore Maruta, Martin Matu, Sikhulile Moyo
    American Society for Clinical Laboratory Science Apr 2022, 35 (2) 14-19; DOI: 10.29074/ascls.2020002667

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Request Permissions
    Share
    Barriers to Implementation of Quality Management Systems in Laboratories: Lessons from the Southern Africa TB Health Systems Project
    Talkmore Maruta, Martin Matu, Sikhulile Moyo
    American Society for Clinical Laboratory Science Apr 2022, 35 (2) 14-19; DOI: 10.29074/ascls.2020002667
    Twitter logo Facebook logo Mendeley logo
    • Tweet Widget
    • Facebook Like
    • Google Plus One

    Jump to section

    • Article
      • ABSTRACT
      • INTRODUCTION
      • METHODOLOGY
      • RESULTS
      • DISCUSSION
      • CONCLUSION
      • REFERENCES
    • Figures & Data
    • Info & Metrics
    • PDF

    Related Articles

    • No related articles found.
    • Google Scholar

    Cited By...

    • No citing articles found.
    • Google Scholar

    More in this TOC Section

    • Polyagglutination: Lectin Isolation for T-Activated Red Cells
    • Strength of Direct Antiglobulin Test as an Indicator of Disease Severity in Autoimmune Hemolytic Anemia
    Show more Research and Reports

    Similar Articles

    Keywords

    • AFRO - Regional Office for Africa
    • CI - confidence interval
    • ILAC - International Laboratory Accreditation Committee
    • IQR - interquartile range
    • ISO - International Organization for Standardization
    • LQMS - Laboratory Quality Management Systems
    • OR - odds ratio
    • SATBHSS - Southern Africa TB and Health Systems Strengthening
    • SD - standard deviation
    • SLIPTA - Strengthening Laboratory Quality Improvement Process Towards Accreditation
    • SLMTA - Strengthening Laboratory Management Towards Accreditation
    • TB - tuberculosis
    • WHO - World Health Organization
    • SLIPTA
    • accreditation
    • Laboratory Quality Management System
    • barriers

    © 2025 The American Society for Clinical Laboratory Science

    Powered by HighWire