Explore the latest SLIPTA assessment results for Somali Region hospital labs. Learn about quality management system strengths, challenges, and Strategic Path Towards Higher Stars
A Path Towards Quality and Accreditation
Assessed Hospitals:
- Jig Jiga Primary Hospital
- Karamara General Hospital
- Yusuf Abdullahi Primary Hospital
- Kabridahar General Hospital
- Fik Primary Hospital
- Shinille Primary Hospital
- Sitti General Hospital
Assessment Period: Recent Assessments (Varying dates: April - june 2025)
Assessors: Regional Public Health Laboratory and Research Center Quality Team
Assessed Hospitals:
- Jig Jiga Primary Hospital
- Karamara General Hospital
- Yusuf Abdullahi Primary Hospital
- Kabridahar General Hospital
- Fik Primary Hospital
- Shinille Primary Hospital
- Sitti General Hospital
Assessment Period: Recent Assessments (Varying dates: April - june 2025)
Assessors: Regional Public Health Laboratory and Research Center Quality Team
Understanding the SLIPTA Framework
What is SLIPTA?
- Stepwise Laboratory Improvement Process Towards Accreditation.
- A robust framework by WHO AFRO for improving the quality of medical laboratories in developing countries.
- Guides laboratories in establishing and monitoring management systems to meet ISO 15189:2022 international standards.
Why it Matters:
- Ensures the provision of accurate, reliable, and timely laboratory results.
- Critical for effective patient care, disease diagnosis, treatment monitoring, and informing public health interventions.
- Provides a clear pathway for continuous quality improvement and international recognition.
Your Journey on the SLIPTA Star Scale
A Tiered Approach to Quality Recognition:
Star Rating | Points | Compliance % | Significance |
---|---|---|---|
No Stars ❌ | 0 – 205 pts | < 55% | Foundational gaps, urgent attention needed. |
1 Star ⭐ | 206 – 240 pts | 55 – 64% | Basic quality management systems in place. |
2 Stars ⭐⭐ | 241 – 277 pts | 65 – 74% | Good progress, established systems. |
3 Stars ⭐⭐⭐ | 278 – 314 pts | 75 – 84% | Strong, well-implemented systems. |
4 Stars ⭐⭐⭐⭐ | 315 – 352 pts | 85 – 94% | Approaching excellence, highly compliant. |
5 Stars ⭐⭐⭐⭐⭐ | 353 – 367 pts | ≥95% | Achieved international standards. |
Jig Jiga Primary Hospital: Assessment Overview
Overall Score: 260 / 367 Points (73% Compliance)
SLIPTA Star Rating: 2 Stars ⭐⭐
Key Strengths (Very Strong Compliance):
- Highly compliant across almost all 12 QSEs, demonstrating a mature and well-implemented LQMS.
- Outstanding performance in Personnel, Customer Focus, Equipment, Assessments, Supplier & Inventory, Process, Information, Nonconforming Event, Continual Improvement, and Facilities & Safety.
Key Areas for Improvement (Minor Adjustments for Excellence):
- Document Control Record: Ensure full revision history documentation.
- Data Files: Improve labelling, indexing, and retention time for archives.
- Archived Patient Results Accessibility: Enhance systematic retrieval.
- Management Review Inputs: Ensure all required inputs are comprehensively covered.
Karamara General Hospital: Assessment Overview
Overall Score: 246 / 367 Points (67.5% Compliance)
SLIPTA Star Rating: 2 Stars ⭐⭐
Key Strengths (Excellent Compliance):
- Strong performance across Personnel, Equipment, Internal Audits, Risk Management, Supplier/Inventory, Process, EQA, LIS, Nonconforming Event, Continual Improvement, and Facilities & Safety procedures.
- Many QSEs are near or at 100% compliance.
Key Areas for Improvement (Refinement for Higher Stars):
- Document Control Record: Ensure full revision history documentation.
- Archived Patient Results Accessibility: Improve LIS access, labelling, retention.
- Budgetary Projections: Incorporate all quality costs.
- Management Review Inputs: Ensure all required inputs are covered.
- Service Supplier Performance Review: Consistency in monitoring.
- Purchasing Specifications: Consistent provision.
Yusuf Abdullahi Primary Hospital: Assessment Overview
Overall Score: 226 / 367 Points (61.5% Compliance)
SLIPTA Star Rating: 1 Star ⭐
Key Strengths:
- Good compliance in Personnel Management and Supplier & Inventory Management.
- Well-defined procedures in many Quality System Essentials (QSEs).
- Demonstrated commitment to initial quality steps.
Key Areas for Improvement:
- Organization and Leadership: Strengthen management review effectiveness.
- Process Management: Standardize core lab processes.
- Information Management: Improve archiving and retrieval systems.
- Assessments: Enhance internal audits and risk management plans.
- Facilities and Safety: Address critical infrastructure and safety protocols.
Kabridahar General Hospital: Assessment Overview
Overall Score: 206 / 367 Points (56% Compliance)
SLIPTA Star Rating: 1 Star ⭐
Key Strengths:
- Solid foundational procedures for personnel, equipment management, and inventory control.
- Good initial documentation of key QSEs.
Key Areas for Improvement:
- Organization and Leadership: Implement code of conduct, effective review.
- Assessments: Conduct robust internal audits and risk management.
- Nonconforming Event Management: Lack of effective identification/resolution processes.
- Continual Improvement: Absence of formalized improvement processes.
- Facilities and Safety: Major deficiencies in infrastructure and safety programs.
- Process Management: Widespread gaps in pre/post-analytical processes.
Fik Primary Hospital: Assessment Overview
Overall Score: 174 / 367 Points (47.4% Compliance)
SLIPTA Star Rating: No Stars ❌
Key Strengths (Foundational):
- Basic procedures defined for many QSEs.
- Legal entity and quality manual presence established.
Key Areas for Improvement (Widespread & Urgent):
- Organization and Leadership: Critically low performance in core leadership functions.
- Assessments: Major weaknesses in internal audits, risk management.
- Nonconforming Event Management: Significant gaps in handling deviations.
- Continual Improvement: Inconsistent implementation of improvement cycles.
- Information Management: Critical needs in data archiving, LIS functionality.
- Process Management: Extensive deficiencies across all lab processes.
- Equipment Management: Issues with verification, calibration, maintenance.
- Facilities and Safety: Major deficiencies in infrastructure, environment, and safety protocols.
Shinille Primary Hospital: Assessment Overview
Overall Score: 183 / 367 Points (50% Compliance)
SLIPTA Star Rating: No Stars ❌
Key Strengths (Foundation for Growth):
- Relatively strong in Documents and Records (17/22).
- Reasonable foundation in Equipment Management (25/38), with proper installation and handling of defective items.
- Defined procedures for many QSEs, including Personnel Management, Management Review, Internal Audits, Risk Management, and Supplier & Inventory.
- Basic safety elements like a safety manual and proper waste/chemical handling.
Key Areas for Improvement (Widespread & Urgent):
- Organization and Leadership: Significant gaps in implementation, communication, and monitoring of QMS.
- Assessments: Inconsistent internal audits, risk management, and quality indicator utilization.
- Information Management: Lacking defined procedures, consistent data archiving, and LIS verification.
- Continual Improvement: No defined procedure; activities not consistently identified or communicated.
- Facilities and Safety: Critical deficiencies in procedures, infrastructure adequacy, biosafety, and comprehensive safety program implementation.
- Process Management: Widespread gaps in pre-examination processes, QC, and method verification/validation.
Sitti General Hospital: Assessment Overview
Overall Score: 215 / 367 Points (59% Compliance)
SLIPTA Star Rating: 1 Star ⭐
Key Strengths (Foundational Elements):
- Good foundation in Documents and Records, including policies, objectives, and record details.
- Strong in Personnel Management with defined procedures for training, competency assessment, and basic records.
- Positive aspects in Equipment Management, with access to required equipment, proper installation, and maintenance.
- Established procedures for Internal Quality Control (IQC) and External Quality Assessment (EQA).
- Defined procedures for Nonconforming Event Management and Reporting/Release of Results.
Key Areas for Improvement (Focus for Progress):
- Legal Entity & Documentation Control: Gaps in consistent documentation and control of quality manual communication.
- Organization and Leadership: Needs significant improvement in management review inputs/outputs and communication of findings.
- Customer Focus: Gaps in providing laboratory information to users, communication on delays, and utilizing customer feedback.
- Equipment Management: Inconsistent calibration, preventive/service maintenance, and adverse incident reporting.
- Assessments: Lack of comprehensive risk management program, inconsistent internal audit implementation and follow-up.
- Supplier & Inventory: Needs systematic forecasting, complete inventory records, and proper storage area management.
- Process Management: Significant gaps in pre-examination processes (sample receipt, test request), referral lab procedures, and method verification/validation.
- Information Management: Critical needs in LIS procedure, responsibilities, verification, and maintenance records.
- Continual Improvement: No defined procedure or consistent implementation/communication of activities.
- Facilities and Safety: Widespread deficiencies in safety procedures, infrastructure adequacy, biosafety cabinets, safety program, and training.
Somali Region Hospitals: Overall SLIPTA Performance
Hospital | Overall Score | Overall % | Star Rating |
---|---|---|---|
Jig Jiga Primary | 260 / 367 | 73% | 2 Stars ⭐⭐ |
Karamara General | 246 / 367 | 67.5% | 2 Stars ⭐⭐ |
Yusuf Abdullahi Primary | 226 / 367 | 61.5% | 1 Star ⭐ |
Sitti General | 215 / 367 | 59% | 1 Star ⭐ |
Kabridahar General | 206 / 367 | 56% | 1 Star ⭐ |
Shinille Primary | 183 / 367 | 50% | No Stars ❌ |
Fik Primary | 174 / 367 | 47.4% | No Stars ❌ |
Key Observations:
- Significant variability in quality management system maturity across the region.
- Two hospitals have achieved a strong 2-Star rating, indicating robust systems.
- Three hospitals are at the 1-Star level, demonstrating foundational progress.
- Two hospitals are still at the "No Stars" level, requiring substantial initial support.
- Highlighting the need for targeted support tailored to each hospital's current status.
Key Takeaways from the Assessment:
- Leading Performers (2 Stars): Jig Jiga Primary & Karamara General, demonstrating robust QMS implementation.
- Developing Performers (1 Star): Yusuf Abdullahi Primary, Kabridahar General, & Sitti General, showing foundational progress with significant areas for targeted improvement.
- Foundational Stage (No Stars): Fik Primary & Shinille Primary, highlighting the need for immediate and comprehensive foundational quality system interventions.
- Common Challenges: "Continual Improvement" and "Assessments" are consistently low across most hospitals, emphasizing the need for standardized self-evaluation and sustained quality enhancement processes.
- Variability:"Facilities and Safety" and "Process Management" show wide performance gaps, indicating diverse operational environments and varying maturity in core lab procedures across the region.
This visualization underscores the importance of tailored support to elevate laboratory quality across the entire Somali Region.
Cross-Cutting Challenges: Areas for Regional Intervention
Consistent Areas for Improvement Across Many Hospitals:
- Continual Improvement (QSE 11): Consistently among the lowest scores; pervasive need for formalizing and effectively implementing processes for ongoing quality enhancement.
- Assessments (QSE 6): Gaps in consistent internal audits, effective follow-up, and comprehensive risk management.
- Information Management (QSE 9): Common issues with efficient and secure data handling, particularly archiving, LIS accessibility, and robust LIS verification/maintenance.
Key Needs in "No Stars" / "1 Star" Hospitals:
- Organization and Leadership (QSE 2): Foundational gaps in leadership, documented management reviews, and effective communication of quality findings.
- Facilities and Safety (QSE 12): Critical needs in physical infrastructure, environment control, safety equipment (e.g., biosafety cabinets), and formal safety programs.
- Process Management (QSE 8): Significant room for improvement in standardizing and consistently monitoring core laboratory pre-analytical, analytical, and post-analytical processes.
Recommendations & Next Steps: A Strategic Path Towards Higher Stars
For "No Stars" Hospitals (Fik, Shinille):
- Prioritize Foundational QSEs: Org & Leadership, Facilities & Safety, Basic Documents & Records.
- Establish Core Procedures.
- Ensure Basic Record-Keeping.
- Initial Training & Competency.
For "1 Star" Hospitals (Yusuf Abdullahi, Kabridahar, Sitti):
- Strengthen Implementation: Refine and consistently apply existing procedures.
- Enhance Internal Audits & Formalize Risk Management.
- Targeted QSE Improvements (Equipment, Information, Continual Improvement).
For "2 Stars" Hospitals (Karamara, Jig Jiga):
- Refine & Optimize QMS: Address minor non-conformities, granular document control.
- Data-Driven Decisions (use QI data proactively).
- Prepare for Formal External Accreditation.
Our Collective Commitment to Continual Improvement
- Unwavering Dedication: All hospitals in the Somali Region share a commitment to enhancing laboratory services.
- Collaborative Effort: Success relies on sustained partnership between hospitals, regional authorities, and supporting organizations.
- Profound Impact: Elevated laboratory quality directly translates to improved patient safety, more effective disease management, and stronger public health outcomes for the community.
- Forward Momentum: We will continue dedicated monitoring, targeted interventions, and fostering a culture of quality to achieve and surpass our SLIPTA objectives.
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