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Multicenter Study
. 2017 Dec 21;10(1):764.
doi: 10.1186/s13104-017-3080-0.

External quality assessment of malaria microscopy diagnosis among public health facilities in West Amhara Region, Ethiopia

Hiwot Amare Hailu  1 , Melashu Balew Shiferaw  2 , Leykun Demeke  3 , Mulatu Melese Derebe  2 , Zelalem Dessie Gelaw  2 , Manamnot Agegne Emiru  2 , Mastewal Worku Lake  2
Affiliations
Multicenter Study

External quality assessment of malaria microscopy diagnosis among public health facilities in West Amhara Region, Ethiopia

Hiwot Amare Hailu et al. BMC Res Notes. .

Abstract

Objective: To evaluate the importance of external quality assessment program on malaria microscopic diagnosis.

Results: A total of 3148 slides were collected in 4 consecutive external quality assessment rounds and blindly rechecked at Amhara Public Health Institute. The average agreement between health facility and APHI slide readers was 96.6%. The percent agreement for parasite detection and species identification for P. falciparum became improved in four consecutive EQA rounds from 93.88 to 99.24% and 92.67 to 97.35% respectively. The rates of false positive and false negative were also dramatically decreased in each round from 10.5 to 0.79% and 2.14 to 0.74% respectively. Therefore, we recommend that malaria EQA program should maintain and expand in all malaria diagnostic health facilities in the region to provide accurate and reliable malaria microscopic service.

Keywords: Amhara Public Health Research Institute; External quality assessment; Malaria.

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References

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    1. Federal Democratic Republic of Ethiopia Minister of Health. National malaria strategic plan 2014–2020. Addis Ababa: 2014.
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    1. World Health Organization. Malaria microscopy quality assurance manual. Version 1. World Health Organization; 2009.

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