Improving Laboratory and Clinical Hematology Services in Resource Limited Settings

doi:10.1016/j.hoc.2015.11.012

Review

. 2016 Apr;30(2):497-512.

doi: 10.1016/j.hoc.2015.11.012. Epub 2016 Feb 2.

Improving Laboratory and Clinical Hematology Services in Resource Limited Settings

Angela Allen¹, Stephen Allen², Nancy Olivieri³

Affiliations

¹ Molecular Haematology, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford, UK; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. Electronic address: aallengm@yahoo.co.uk.
² Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK.
³ Pediatrics, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Medicine, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Public Health Sciences, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Hemoglobal(®), 75 Indian Grove, Toronto, Ontario M6R 2Y5, Canada.

PMID: 27040967
DOI: 10.1016/j.hoc.2015.11.012

Review

Improving Laboratory and Clinical Hematology Services in Resource Limited Settings

Angela Allen et al. Hematol Oncol Clin North Am. 2016 Apr.

. 2016 Apr;30(2):497-512.

doi: 10.1016/j.hoc.2015.11.012. Epub 2016 Feb 2.

Authors

Angela Allen¹, Stephen Allen², Nancy Olivieri³

Affiliations

¹ Molecular Haematology, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford, UK; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. Electronic address: aallengm@yahoo.co.uk.
² Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK.
³ Pediatrics, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Medicine, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Public Health Sciences, Toronto General Hospital, University of Toronto, 200 Elizabeth Street, Eaton Wing North, EN12-238, Toronto, Ontario M5G 2C4, Canada; Hemoglobal(®), 75 Indian Grove, Toronto, Ontario M6R 2Y5, Canada.

PMID: 27040967
DOI: 10.1016/j.hoc.2015.11.012

Abstract

The difficulties in establishing and delivering reliable clinical hematology and laboratory services in resource-limited settings are well recognized. However, much can be achieved by better use of existing resources through a concerted quality improvement approach. The recommendations of this article are based in part upon work in the thalassemias, inherited disorders of hemoglobin that are widely prevalent in Asia, which may serve as a model that is applicable to other common, chronic disorders in resource-poor settings. Available resources are highlighted and recommendations made regarding approaches to improving services. Over the last few years, a number of low and middle-income countries, obtaining support from appropriate governmental sources, have identified and overcome difficulties and significantly improved clinical services for patients with thalassemia.

Keywords: Clinical hematology; Laboratory hematology; Quality improvement; Resource limited; Thalassemia.

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Cited by

Global Globin Network Consensus Paper: Classification and Stratified Roadmaps for Improved Thalassaemia Care and Prevention in 32 Countries.
Halim-Fikri BH, Lederer CW, Baig AA, Mat-Ghani SNA, Syed-Hassan SR, Yusof W, Abdul Rashid D, Azman NF, Fucharoen S, Panigoro R, Silao CLT, Viprakasit V, Jalil N, Mohd Yasin N, Bahar R, Selvaratnam V, Mohamad N, Nik Hassan NN, Esa E, Krause A, Robinson H, Hasler J, Stephanou C, Raja-Sabudin RZ, Elion J, El-Kamah G, Coviello D, Yusoff N, Abdul Latiff Z, Arnold C, Burn J, Kountouris P, Kleanthous M, Ramesar R, Zilfalil BA, On Behalf Of The Global Globin Network Ggn. Halim-Fikri BH, et al. J Pers Med. 2022 Mar 31;12(4):552. doi: 10.3390/jpm12040552. J Pers Med. 2022. PMID: 35455667 Free PMC article.
A nationwide survey of hospital-based thalassemia patients and standards of care and a preliminary assessment of the national prevention program in Sri Lanka.
Premawardhana AP, Mudiyanse R, De Silva ST, Jiffry N, Nelumdeniya U, de Silva U, Lamabadusuriya SP, Pushpakumara K, Dissanayaka R, Jansz M, Rifaya I, Navarathne U, Thirukumaran V, Arambepola M, Dayanada Bandara W, Vaidyanatha U, Mendis D, Weerasekara K, De Silva N, Shantha Kumara DK, Amarasena SD, Hemantha KK, Refai MACM, Silva I, Hameed N, Rajiyah F, Mettananda S, Allen A, Weatherall DJ, Oliveri NF. Premawardhana AP, et al. PLoS One. 2019 Aug 16;14(8):e0220852. doi: 10.1371/journal.pone.0220852. eCollection 2019. PLoS One. 2019. PMID: 31419232 Free PMC article.

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Improving Laboratory and Clinical Hematology Services in Resource Limited Settings

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Improving Laboratory and Clinical Hematology Services in Resource Limited Settings

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