July 31, 2025

Leadership principles & strategic frameworks July 31, 2025

Somali Regional Public Health Laboratory Launches Quality Assurance Initiative

A comprehensive initiative by the Somali Regional Public Health Laboratory and Research Center to improve TB and Malaria diagnostics across 25 health facilities.

A laboratory professional meticulously examining a sample under a microscope in a well-equipped lab, symbolizing precision in public health diagnostics.

The new program aims to strengthen diagnostic accuracy for TB and Malaria across the Somali region.

Jijiga, Ethiopia – The Somali Regional Public Health Laboratory and Research Center's Quality Assurance and Capacity Building case team has launched a comprehensive initiative to significantly improve the quality and reliability of laboratory services across the region. This multi-faceted program focuses on enhancing diagnostic accuracy for Tuberculosis (TB) and Malaria, two of the most prevalent diseases affecting the community.

The initiative, which is a testament to the Center's commitment to quality improvement, is built on four core pillars:

Four Core Pillars of the Initiative

Onsite Support Supervision and EQA Slide Collection

The team is conducting onsite support supervision at 25 health facilities across five zones. This involves direct observation of laboratory practices, providing real-time feedback, and collecting External Quality Assurance (EQA) slides for rechecking by expert microscopists. This hands-on approach ensures that support is practical, relevant, and directly addresses the needs of each facility.

EQA Slide Readings

A crucial component of the program is the systematic re-reading of all EQA slides collected. By having experienced professionals perform a blinded re-check, the team can accurately verify the initial diagnoses, identify discordant results, and quantify the performance of each facility. This data-driven process provides a clear picture of diagnostic strengths and weaknesses.

Discordant Management and Corrective Actions

The findings from the EQA slide readings are not just for evaluation—they are for action. The case team is implementing a program to address all discordant results. This includes detailed root cause analysis and the development of targeted, hands-on training sessions to correct identified errors and refine the skills of the affected laboratory personnel.

On-site Training and Mentorship at Key EQA Centres

A pivotal part of the initiative is the capacity building program at six key EQA centres: Gode, Kabridahara, Dhagaxbur, Biki, Wardher, and Karamara General Hospitals. At each of these centres, a team of five members—including the laboratory head, quality and safety officers, and slide recheckers—is receiving intensive, on-site training and mentorship. This training focuses on integrated TB and Malaria EQA processes, as well as the preparation and distribution of high-quality reagents to their catchment health facilities.

The emphasis on on-site training and mentorship is a cornerstone of this initiative. This approach allows for direct application of learned skills in a real-world setting, immediate feedback from mentors, and the development of sustainable, in-house expertise. It builds a cadre of skilled professionals at the EQA centres who can, in turn, provide ongoing quality assurance support to their surrounding health facilities.

By investing in these comprehensive quality assurance measures, the Somali Regional Public Health Laboratory and Research Center is not only improving laboratory performance but is also strengthening the entire diagnostic network. The ultimate goal is to ensure every patient receives an accurate and timely diagnosis, leading to better treatment outcomes and a healthier community. ...

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Ahmed suane 0

July 29, 2025

Leadership principles & strategic frameworks July 29, 2025

Wardher General Hospital: Unveiling SLIPTA Baseline Results & Forging a Path to Laboratory Excellence

Detailed SLIPTA baseline assessment results for Wardher General Hospital, outlining key strengths, critical improvement areas, and the strategic roadmap for enhancing laboratory quality and patient care.

Wardher General Hospital SLIPTA assessment results showing strengths and areas for improvement

The recent SLIPTA baseline assessment at Wardher General Hospital provides a clear roadmap for quality enhancement.

The SLIPTA (Stepwise Laboratory Improvement Process Towards Accreditation) baseline assessment for Wardher General Hospital has been successfully completed, providing a critical snapshot of its current Laboratory Quality Management System (LQMS). Conducted by assessors Niman Abdi and Abdi Haybe from July 20th to 23rd, 2025, this evaluation serves as a foundational step in the hospital's journey towards achieving higher standards of laboratory quality.

Wardher General Hospital SLIPTA Score

49.86%

❌ No Stars ❌

This score indicates significant foundational gaps requiring urgent and comprehensive interventions.

Understanding the "No Stars" Rating: A Call to Action

A "No Stars" rating signifies that the laboratory is currently operating below the minimum acceptable threshold for quality management systems as defined by the SLIPTA framework (less than 55% compliance). This outcome is a clear call to action, underscoring the urgent need for focused and comprehensive efforts to establish fundamental quality practices across all laboratory operations.

Foundational Strengths: Building Blocks for Progress

Despite the overall score, the assessment identified several commendable areas where Wardher General Hospital demonstrates foundational strengths. These existing practices will serve as crucial building blocks for future quality improvements:

Nonconforming Events (Section 10 - 76.9%): A strong capability in identifying and managing nonconforming work, which is vital for learning and preventing recurrence.
Supplier and Inventory Management (Section 7 - 70.4%): Effective practices in managing laboratory supplies, ensuring availability and proper storage.
Facilities and Safety (Section 12 - 56.1%): Commendable efforts in maintaining a safe working environment and suitable facilities.
Process Management (Section 8 - 56.3%): Presence of some established procedures for laboratory processes, providing a basis for further standardization.
Documents and Records (Section 1 - 54.5%): Moderate adherence to documentation control, indicating potential for quick improvement in this area.
Equipment Management (Section 5 - 52.6%): Existing foundational practices in equipment upkeep and maintenance.
Information Management (Section 9 - 50.0%): A good starting point in managing laboratory information, including result reporting.

Critical Areas for Targeted Intervention: The Road Ahead

The assessment clearly highlighted several critical areas where Wardher General Hospital requires urgent and comprehensive intervention to establish a robust LQMS. Addressing these deficiencies is fundamental to ensuring reliable and safe laboratory services:

1. Assessment Processes (Section 6: 20.8%)

Key Issue: Major deficiencies in internal audit procedures, conduct, and follow-up.
Key Issue: Insufficient utilization of risk management tools and processes.
Key Issue: Partial monitoring of quality indicators and inadequate use of their outcomes for improvement.

2. Continual Improvement (Section 11: 28.6%)

Key Issue: Severe lack of systematic processes for ongoing quality enhancement.
Key Issue: Absence of formal procedures for identifying, planning, implementing, and evaluating improvements.

3. Organization and Leadership (Section 2: 30.8%)

Key Issue: Weaknesses in management commitment and communication of quality policy.
Key Issue: Lack of clear organizational structure, roles, and responsibilities.
Key Issue: Inconsistent conduct of management review meetings with required inputs and follow-up.

4. Personnel Management (Section 3: 38.2%)

Key Issue: Gaps in staff competency assessment, formal training programs, and performance evaluation.
Key Issue: Absence of comprehensive procedures for overall personnel management.

5. Customer Focus (Section 4: 41.7%)

Key Issue: Insufficient mechanisms for addressing customer needs and feedback.
Key Issue: Lack of defined procedures for advisory services and systematic complaint handling.
Key Issue: Inadequate communication regarding service delays or changes to users.

The Path Forward: A Collaborative Commitment to Quality

The comprehensive results of this baseline assessment provide a clear and actionable roadmap for Wardher General Hospital. The Somali Regional Public Health Laboratory and Research Center, in close collaboration with EPHI and other partners, is fully committed to supporting Wardher General Hospital in addressing these identified gaps. A tailored action plan will be developed, prioritizing interventions to establish and strengthen fundamental LQMS elements.

This detailed understanding of the hospital's current status is a critical first step. Through dedicated mentorship, targeted training, and consistent follow-up, Wardher General Hospital will embark on a structured journey towards achieving higher SLIPTA star ratings. This endeavor is not merely about compliance; it is about ensuring the delivery of high-quality, reliable laboratory services that are vital for enhanced patient well-being and robust public health in the Somali Region. We look forward to celebrating their progress.

Ahmed suane 0

July 22, 2025

Leadership principles & strategic frameworks July 22, 2025

Raaso Primary Hospital SLIPTA Baseline Assessment Results: A Call to Action for Quality Improvement

Raaso Primary Hospital SLIPTA Baseline Assessment Results: A Call to Action for Laboratory Quality Improvement

Raaso Primary Hospital SLIPTA Baseline Assessment Results: A Call to Action for Quality Improvement

Published: July 22, 2025 | Somali Regional Public Health Laboratory and Research Center

Laboratory assessment checklist with a 'No Stars' rating at Raaso Primary Hospital.

The recent SLIPTA baseline assessment at Raaso Primary Hospital.

The SLIPTA (Stepwise Laboratory Improvement Process Towards Accreditation) baseline assessment for Raaso Primary Hospital has concluded, providing a comprehensive overview of its current Laboratory Quality Management System (LQMS) status. The assessment, conducted by the Somali Regional Public Health Laboratory and Research Center, revealed a "No Stars" rating with a compliance score of 37.6%.

Raaso Primary Hospital SLIPTA Score

37.6%

❌ No Stars ❌

This score indicates foundational gaps requiring urgent and comprehensive interventions.

Understanding the "No Stars" Rating

A "No Stars" rating signifies that the laboratory is operating below the minimum acceptable threshold for quality management systems as defined by the SLIPTA framework (less than 55% compliance). This outcome underscores the critical need for immediate and focused efforts to establish fundamental quality practices across various laboratory operations.

Key Strengths: Building Blocks for Future Progress

Despite the overall score, the assessment identified several areas where Raaso Primary Hospital demonstrates foundational strengths, which can serve as building blocks for future improvements:

Quality Document Accessibility (Section 1): Quality documents are accessible, indicating a potential for better document control implementation.
Organizational Chart & Laboratory Management (Section 3): The hospital has an organizational chart and a defined laboratory management structure, providing a framework for clear reporting lines and leadership.
Equipment Records & Maintenance (Section 5): Equipment inventory data is available, and some aspects of preventive and service maintenance are performed and documented. Obsolete equipment is appropriately handled.
Risk Management & EQA Participation (Section 6 & 8): The laboratory has a risk management program in place and actively participates in External Quality Assessment (EQA), demonstrating an awareness of external quality assurance.
Information Management (Section 9): Procedures for reporting and release of results, test result reporting system, and identification of testing personnel are largely in place, indicating a good starting point for data management.
Nonconforming Event Management (Section 10): Identification and management of nonconforming work is present, and resumption of testing is documented when halted.
Facilities & Safety (Section 12): Housekeeping, physical work environment, laboratory access, storage areas, laboratory safety manual, and handling of hazardous chemicals show good compliance, indicating a relatively safe working environment.

Critical Areas for Improvement: A Targeted Approach

The assessment highlighted several critical areas where Raaso Primary Hospital needs urgent and comprehensive intervention to establish a robust LQMS. These gaps are fundamental to ensuring reliable and safe laboratory services:

1. Documentation and Record Control (Section 1: 7/22)

Legal Entity & Policies: Lack of documentation for legal identity and fully communicated/understood management system policies.
Document Control System: Insufficient implementation of a comprehensive document control system, including tracking editions, distribution, and discontinuation of documents.
Data Archiving: Absence of systematic archiving for test results, technical, and quality records, hindering easy and timely retrieval.

2. Organization and Leadership (Section 2: 9/26)

Code of Conduct: No defined procedure or implementation records for organizational code of conduct.
Management Reviews: Lack of routine documented review of quality/technical records and formal management review meetings with required inputs and follow-up on action items.
Deputation: No process to ensure continuity of the QMS during key personnel absence.

3. Personnel Management (Section 3: 12/34)

Personnel Procedures: Absence of defined procedures for overall personnel management, authorization, training, competency assessment, performance review, and regular personnel meetings.
Training & Development: No formal program for continuous education and professional development.

4. Customer Focus (Section 4: 4/24)

Advisory Services & Complaints: No defined procedures for advisory services or systematic handling/resolution of complaints and feedback.
Patient Requirements: Lack of established process for treating patients' well-being and samples with due care and respect.
Service Agreements: No defined procedures or implementation records for service agreements.
Communication: Inadequate timely notification to users regarding service delays or changes.

5. Equipment Management (Section 5: 16/44)

Comprehensive Management: No defined procedure for overall equipment management (determining need, selection, procurement, acceptance, installation).
Validation & Verification: Absence of procedures and documentation for validation and verification of equipment after installation or repair.
Calibration: No defined procedure or implementation for equipment calibration and metrological traceability.
Adverse Incident Reporting: No process for reporting equipment adverse incidents.

6. Assessments (Section 6: 8/24)

Internal Audits: Lack of defined procedures, conduct, and follow-up for internal audits.
Risk Management: Absence of a defined procedure for overall risk management, and no use of evaluation tools to identify risks.
Quality Indicators: Monitoring of quality indicators is partial, and their outcomes are not fully utilized for process improvement.

7. Supplier and Inventory Management (Section 7: 17/27)

Supplier Management: No defined procedures for externally provided products/services or purchasing/inventory control.
Performance Review: Lack of monitoring for external supplier performance.
Management Review: No review and approval of laboratory requirements for externally provided products/services by management.

8. Process Management (Section 8: 15/71)

Contingency Planning: Absence of continuity and emergency preparedness planning.
Sample Handling: Inconsistent implementation of sample receipt procedures, and lack of defined process for referral laboratories.
IQC & EQA: No defined procedure for Internal Quality Control (IQC) or External Quality Assessment (EQA), despite EQA participation. Monitoring of QC performance is lacking.
Method Verification/Validation: No defined procedures or records for verification and validation of examination methods.
Measurement Uncertainty: No defined procedure or documented estimates for Measurement Uncertainty (MU).
Environmental Conditions: Environmental conditions are not consistently monitored or reviewed.

9. Continual Improvement (Section 11: 2/7)

Formal Procedure: No defined procedure for continual improvement activities.
Communication: Outcomes of continual improvement activities are not communicated to relevant stakeholders.

10. Facilities and Safety (Section 12: 28/54)

Safety Procedures: No defined procedure for overall laboratory safety.
Environmental Conditions: No defined procedure for facilities and environmental conditions.
Adequacy of Layout: No documented evaluation of laboratory size and layout for optimal workflow and risk reduction.
Fire Safety & Safety Audits: Lack of fire safety measures and regular, documented safety inspections/audits.
Personnel Vaccinations & Post-Exposure Prophylaxis: No program for personnel vaccinations or management of adverse incidents/injuries.
Biosecurity: Biosecurity policies and procedures are not implemented.

The Path Forward: A Commitment to Quality

The results of this baseline assessment provide a clear roadmap for Raaso Primary Hospital. The Somali Regional Public Health Laboratory and Research Center, in collaboration with EPHI, is committed to supporting Raaso Primary Hospital in addressing these identified gaps. A tailored action plan will be developed, prioritizing interventions to establish fundamental LQMS elements.

This comprehensive understanding of the hospital's current status is a critical first step. Through dedicated mentorship, targeted training, and consistent follow-up, Raaso Primary Hospital will embark on a structured journey towards achieving higher SLIPTA star ratings, ultimately ensuring the delivery of high-quality, reliable laboratory services vital for patient well-being and public health in the region.

Ahmed suane 0

July 19, 2025

Leadership principles & strategic frameworks July 19, 2025

Raaso Primary Hospital Begins Foundational SLIPTA Assessment

Unity and transparency are the foundation of healthcare progress

Raaso Primary Hospital Embarks on Landmark Quality Journey with SLIPTA Baseline Assessment

A foundational step towards enhancing diagnostic services and achieving international standards.

Raaso, Somali State, Ethiopia – July 19, 2025 – In a significant move to bolster public health infrastructure, Raaso Primary Hospital has officially commenced its first-ever SLIPTA (Stepwise Laboratory Improvement Process Towards Accreditation) baseline assessment on July 16, 2025. This crucial initiative marks the hospital's formal entry into the Somali Region's expanding Laboratory Quality Management System (LQMS) program, a strategic effort to elevate the quality and reliability of diagnostic services across the region.

The assessment at Raaso Primary Hospital is a key part of a broader regional quality improvement initiative.

A Strategic Expansion for a Healthier Region

The assessment at Raaso is part of a wider, data-driven strategy to bring more facilities into the regional quality network. Following the successful evaluation of seven other hospitals, the Somali Regional Public Health Laboratory and Research Center, in collaboration with its partners, identified the need to establish a quality baseline for four additional key hospitals: Wardher General Hospital, Hargeele General Hospital, Gashamo Primary Hospital, and Raaso Primary Hospital.

This expansion is built on the understanding that a structured, tiered approach to support is most effective. Without foundational baseline data from a SLIPTA assessment, any assistance provided risks being untargeted and inefficient. This initiative ensures that Raaso Primary Hospital will receive customized support tailored to its specific needs, setting it on a clear path towards improved patient care and potential accreditation.

Objectives of the Baseline Assessment

The primary goal of this activity is to establish a comprehensive, data-driven baseline of the Laboratory Quality Management System (LQMS) at Raaso Primary Hospital. The key objectives are to:

Conduct a Comprehensive Assessment: Utilize the official WHO-AFRO SLIPTA checklist to perform a thorough on-site evaluation of the laboratory's current practices.
Assign a Star-Level Rating: Objectively score the laboratory to provide a clear benchmark of its performance against international quality standards.
Identify Strengths and Deficiencies: Meticulously document specific strengths and critical gaps across all 12 Quality System Elements (QSEs).
Develop a Tailored Improvement Plan: Create a customized, actionable roadmap that strategically prioritizes interventions based on the assessment findings.
Integrate into the Regional Network: Use the data and insights gained to seamlessly integrate the hospital into the regional mentorship, training, and support network.

Methodology and Expected Outcomes

The assessment is being conducted by a highly skilled team of certified SLIPTA auditors from the Somali Regional Public Health Laboratory and Research Center. The multi-phase process includes meticulous preparation, comprehensive on-site evaluation, rigorous data analysis, and collaborative planning.

Upon completion, this initiative will provide a definitive understanding of Raaso Primary Hospital's current LQMS status. This will lead to a unique, prioritized action plan to guide its quality improvement efforts. Most importantly, it will establish a solid foundation for objectively measuring future progress, demonstrating the tangible impact of quality interventions on patient care and public health in the region.

Image illustration of regional SLIPTA auditors at Raaso Primary Hospital

Regional SLIPTA Auditors & Raaso Primary Hospital unite to tailor key lab documents for compliance, clarity, and continuous improvement.

Ahmed suane 0

July 14, 2025

Leadership principles & strategic frameworks July 14, 2025

Sensitization Workshop: Accelerating Laboratory Quality Improvement in the Somali Region

Report on the Sensitization Workshop (June 25, 2025) for Somali Region hospital labs, focusing on SLIPTA quality improvement. Includes opening remarks, objectives, and hospital assessment findings.

Sensitization Workshop Report: Accelerating Laboratory Quality Improvement in the Somali Regional Public Health Laboratories

Advancing Diagnostic Excellence

Organized by: Somali State Regional Health Bureau

Date: June 25, 2025

Venue: SRHB meeting hall

Duration: One Day

Participants: Hospital Managers, Laboratory Heads, Quality Officers, Regional Health Officials

Facilitator: Somali Regional Public Health Laboratory and Research Center

1. Opening Remarks by Deputy Bureau Head Mrs. Xaawo Suleebaan

Mrs. Xaawo Suleebaan, Deputy Head of Somali State Regional Health Bureau, delivering opening remarks.

Mrs. Xaawo Suleebaan, Deputy Head of the Somali State Regional Health Bureau, officially opened the workshop with a compelling message on the transformative power of laboratory quality. She emphasized that:

“Laboratory data management is not just a technical function—it is a public health responsibility. Our communities depend on reliable diagnostics, and it is our duty to ensure that every hospital laboratory in the Somali Region meets the standards of safety, accuracy, and accountability.”

She commended Jigjiga Primary Hospital and Karamara General Hospital for achieving Two-Star SLIPTA ratings, calling them “beacons of excellence” and encouraging other facilities to follow their lead. Mrs. Xaawo urged hospital leadership to take ownership of quality improvement, stressing that:

“Improving laboratory services is not optional—it is essential. It is the foundation of trust between our health system and the people we serve.”

Her remarks set a tone of urgency, collaboration, and pride, reinforcing the workshop’s purpose and inspiring participants to commit to measurable progress.

2. Welcome Speech by the Regional Public Health Laboratory and Research Center Director

Regional Public Health Laboratory and Research Center Director delivering welcome speech — The Director of the Regional Public Health Laboratory and Research Center addressing workshop participants.

Following the Deputy Bureau Head's inspiring words, the Director of the Somali Regional Public Health Laboratory and Research Center took the stage to extend a warm welcome and provide an overview of the workshop's significance. The Director highlighted the pivotal role of quality laboratory services in the region's health landscape:

"Welcome, esteemed colleagues and partners. This workshop represents a crucial step in our collective journey towards strengthening laboratory quality across the Somali Region. Our aim is not just to meet standards, but to exceed them, ensuring that every diagnostic test performed contributes reliably to patient care and public health decision-making. Your active participation and commitment are vital as we work together to build a robust and resilient laboratory system for our communities."

The Director's speech underscored the technical and strategic importance of the workshop, setting a collaborative tone for the day's activities.

3. Workshop Objectives

Raise awareness of SLIPTA standards and assessment outcomes
Celebrate achievements by high-performing facilities
Analyze gaps and challenges in laboratory quality systems
Clarify roles and responsibilities of hospital teams
Draft short-term action plans for quality improvement

4. Participating Facilities & SLIPTA Assessment Overview

Hospital	SLIPTA Score	Star Rating
Jigjiga Primary Hospital	73%	⭐⭐ Two Stars
Karamara General Hospital	67.5%	⭐⭐ Two Stars
Yusuf Abdullahi Primary Hospital	61.3%	⭐ One Star
Sitti General Hospital	59.7%	⭐ One Star
Kabridahar General Hospital	58.3%	⭐ One Star
Shinille Primary Hospital	50.1%	❌ No Stars
Fik Primary Hospital	47.4%	❌ No Stars

Individual Hospital Highlights:

Jigjiga Primary Hospital

Score: 73% (2 Stars ⭐⭐)

A leading facility, commended for its robust quality management system and high compliance across various Quality System Essentials (QSEs).

Jigjiga Primary Hospital CEO receiving 2-star rating — Jigjiga Primary Hospital CEO receiving the 2-star SLIPTA rating.

Karamara General Hospital

Score: 67.5% (2 Stars ⭐⭐)

Another high-performing institution, demonstrating strong commitment and excellent progress in its quality journey.

Karamara General Hospital CEO receiving 2-star rating — Karamara General Hospital CEO receiving the 2-star SLIPTA rating.

Yusuf Abdullahi Primary Hospital

Score: 61.3% (1 Star ⭐)

Shows foundational quality management systems in place, with good compliance in personnel and inventory management.

Sitti General Hospital

Score: 59.7% (1 Star ⭐)

Demonstrates foundational elements, particularly in documents, personnel, equipment, IQC, and EQA procedures.

Kabridahar General Hospital

Score: 58.3% (1 Star ⭐)

Has solid foundational procedures for personnel, equipment, and inventory control, with good initial documentation.

Shinille Primary Hospital

Score: 50.1% (No Stars ❌)

Requires significant foundational quality system interventions, particularly in organization, assessments, and information management.

Fik Primary Hospital

Score: 47.4% (No Stars ❌)

Identified with foundational gaps needing urgent attention, especially in leadership, process management, and facilities/safety.

Conclusion & Next Steps

This sensitization workshop served as a critical platform to align leadership and laboratory teams on the importance of laboratory quality and the path towards SLIPTA accreditation. The recognition of high-performing facilities provides a tangible benchmark, while the clear identification of gaps offers a roadmap for targeted interventions.

The Somali State Regional Health Bureau, in collaboration with the Regional Public Health Laboratory and Research Center, will continue to provide support and monitoring to all facilities as they implement their action plans. This collective commitment is vital for strengthening the diagnostic backbone of the Somali Region and ultimately, improving public health outcomes.

Ahmed suane 0

July 10, 2025

Leadership principles & strategic frameworks July 10, 2025

SRHB's Commitment to TB & Malaria Diagnostics

SRHB launches vital TB & Malaria microscopy and EQA training (July 8-11, 2025) for peripheral labs, enhancing diagnostic quality in Somali Region.

SRHB Drives Quality: Training for TB & Malaria Diagnostics in Somali Region

Jijiga, Somali, Ethiopia

The Somali Regional Health Bureau (SRHB), through its Public Health Laboratory and Research Center, recently conducted a crucial training program focused on Tuberculosis (TB) and Malaria Microscopy, alongside External Quality Assessment (EQA) practices. Held from July 8-11, 2025, this intensive training was specifically designed for our dedicated peripheral laboratory staff, marking a significant step forward in the SRHB's collective commitment to public health.

During the opening remarks, the Director of the Somali Regional Public Health Laboratory and Research Center shared a powerful message, emphasizing the pivotal role of accurate diagnostics in safeguarding community health.

Key Message from the Directorate Director:

Dr. Abdifatah Osman, SRPHL Directorate Director

"Dear esteemed laboratory professionals, colleagues, and partners,

It is with immense pride and a deep sense of responsibility that I welcome you all to this vital training program on TB and Malaria Microscopy and External Quality Assessment. Your presence here today underscores your commitment to excellence, and for that, we are truly grateful.

In the Somali region, TB and Malaria continue to pose significant public health challenges. The first line of defense against these diseases lies squarely within our laboratories, and specifically, with the accurate and timely diagnosis you provide. Microscopy remains the cornerstone of this effort, a fundamental tool that directly impacts patient care and public health interventions.

This training is not merely about refining technical skills; it is about strengthening our entire diagnostic ecosystem. The principles of External Quality Assessment, particularly Random Blinded Rechecking (RBR), are not just guidelines – they are our assurance of quality, our mechanism for continuous improvement, and our promise to the communities we serve. By embracing robust EQA practices, we ensure that every slide examined, every result reported, contributes to a reliable and trustworthy healthcare system.

Your role as frontline laboratory personnel is indispensable. Your daily dedication ensures that patients receive accurate diagnoses, leading to effective treatment and, ultimately, healthier lives.. This training is an investment in your capabilities, equipping you with the latest knowledge and techniques to uphold the highest standards of accuracy and reliability.

The Somali Regional Public Health Laboratory and Research Center is fully committed to supporting your efforts. We stand ready to provide the necessary resources, guidance, and continuous mentorship to ensure that every peripheral laboratory in our region operates at its optimal capacity.

Let us seize this opportunity to learn, to collaborate, and to reinforce our shared vision: a Somali region where every TB and malaria diagnosis is precise, timely, and contributes directly to ending these diseases. Your commitment today will translate into countless lives saved and a healthier future for all."

Two participants, one man and one woman, in white lab coats and face masks, intently examining samples through microscopes during a practical training session for TB and Malaria microscopy in Jijiga, Somali, Ethiopia.

A group of diverse participants, wearing white lab coats and face masks, focused on their microscopes during a practical session of the TB and Malaria Microscopy and EQA training program in Jijiga, Somali, Ethiopia.

Image: Participants engaged in the TB and Malaria Microscopy and EQA training program from July 8-11, 2025.

A Step Towards Enhanced Diagnostic Excellence

This training initiative reflects the Somali Regional Public Health Laboratory and Research Center Directorate's unwavering dedication to elevating diagnostic standards across the region. By empowering peripheral laboratories with enhanced microscopy skills and a deeper understanding of EQA protocols, the program aims to significantly improve the accuracy of TB and malaria diagnoses, ultimately leading to better patient outcomes and stronger public health surveillance. The emphasis on RBR ensures a systematic approach to quality verification, fostering a culture of continuous improvement in every laboratory.

July 05, 2025

Leadership principles & strategic frameworks July 05, 2025

Jig Jiga Primary Hospital Laboratory Assessment

Jig Jiga Primary Hospital Lab achieved a 2-star SLIPTA rating (June 2025). Discover its extensive strengths and minor areas for further quality improvement

Jig Jiga Primary Hospital Laboratory: A Model of Quality in Diagnostics

Jijiga, Somali, Ethiopia – June 05, 2025

The JigJiga Primary Hospital Laboratory recently underwent a rigorous assessment using the SLIPTA (Stepwise Laboratory Improvement Process Towards Accreditation) Framework. This comprehensive audit, conducted by Zekarias Dagne and Mahdi Ismael, highlights the laboratory's exceptional commitment to quality and its significant achievements in diagnostic services.

Strong Performance: A 2-Star Achievement

The Jig Jiga Primary Hospital Laboratory achieved an impressive overall score of 260 out of 367 possible points, translating to a remarkable 73% compliance (calculated as 260/356*100=73%, noting the denominator adjusted due to N/A points). According to the SLIPTA star rating criteria (Version 03), this score firmly places the laboratory at a 2 Stars rating (241-277 pts or 65-74% compliance). This is a strong achievement, indicating excellent progress in their quality management system implementation and a solid foundation for future growth.

Pillars of Excellence: Extensive Strengths Noted

The assessment indicates strong performance across a wide range of Quality System Essentials (QSEs), demonstrating a well-established quality management system in many areas. Some notable strengths include:

Comprehensive Documentation & Management: Achieved 100% compliance in legal entity, quality manual, documentation control, quality document accessibility, and management of discontinued documents.
Robust Leadership & Personnel Practices: Demonstrated 100% compliance in organizational code of conduct, deputization, budgetary projections, management review procedures (including conduct), personnel management procedures, duty rosters, organizational charts, laboratory management qualifications, compliance with the management system, authorization procedures (including personnel authorization), personnel training, competency assessment (including implementation), personnel performance review, personnel meetings, and personnel records.
Strong Customer Focus: Achieved 100% compliance in advisory services (including advice by qualified personnel), handling complaints and feedback (including receipt and resolution), patient requirements, service agreements (including implementation), laboratory information for patients, communication policy on delays, and utilization of customer feedback.
Exemplary Equipment Management: Demonstrated 100% compliance across all aspects of equipment management, including access to required equipment, adherence to proper protocol, training/competency/authorization of users, validation/verification procedures (including documentation), equipment records, management of defective/obsolete equipment, calibration procedures (including metrological traceability), preventive and service maintenance, manufacturer's operator manuals, and safe use of equipment.
Proactive Quality & Risk Management: Achieved 100% compliance in internal audits (including audit recommendations and follow-up), risk management (including assessment), quality indicators (including monitoring), and procedures for externally provided products/services.
Efficient Supply Chain Management: Demonstrated 100% compliance in purchasing/inventory control procedures, inventory records, management review of supply requests, inventory systems, storage area management, FEFO practice, product expiration, and disposal of expired products.
Rigorous Process Control: Achieved 100% compliance in continuity/emergency preparedness planning (including implementation), pre-examination processes (including collection instructions, test request, sample receipt, handling/processing/storage, and transportation), referral laboratories/technical consultants (including procedures and selection), documentation of examination procedures (including location), reagents/consumables acceptance testing, internal quality control (including performance monitoring), comparability of examination results, environmental conditions monitoring/review, external quality assessment (including participation), verification/validation of examination methods (including records), measurement uncertainty (including documentation), and biological reference intervals.
Advanced Information Management: Demonstrated 100% compliance in reporting/release of results (including test result reporting system, testing personnel identification, report requirements, and analytic system tracing), LIS procedures, archived data storage, authorities/responsibilities for information management, verification of LIS, and records of LIS maintenance.
Effective Nonconforming Event Management & Continual Improvement: Achieved 100% compliance in handling nonconforming work/nonconformities (including identification, management, records, resumption of testing, and corrective action), and continual improvement (including implementation and communication of activities).
Comprehensive Facilities & Safety: Demonstrated 100% compliance across all safety aspects, including laboratory safety procedures, adequacy of size/layout, patient care areas, housekeeping, physical work environment, laboratory access, storage areas, facilities maintenance, safety cabinets, safety program, waste disposal, hazardous chemicals, fire safety, safety audits, safety equipment, PPE, personnel vaccinations, post-exposure prophylaxis, management of adverse incidents/injury, safety training, laboratory safety officer, and biosecurity.

Areas for Further Refinement: Minor Gaps to Address

Given the exceptionally high level of compliance and the 2-star rating, the areas for improvement at Jig Jiga Primary Hospital Laboratory are few and represent minor gaps rather than critical deficiencies. Addressing these will further solidify their quality management system:

Document and Information Control System (50%): While internal documents are well-controlled, some external documents (e.g., equipment operator manuals) are not consistently brought under document control. This needs to be standardized.
Document Control Record (33.33%): A documented revision history for all quality documents was not consistently found at the time of the audit. Implementing this is crucial for clear traceability of document changes.
Data Files (50%): Archived documents are not consistently labeled, indexed, or assigned specific retention times. This can hinder efficient retrieval of historical records.
Archived Patient Results Accessibility (50%): There is no comprehensive system for archiving patient results beyond a few hematology results, and these are not easily retrievable. Improving this is a significant concern for patient care continuity and historical data access.
Management Review Inputs (33.33%): While management reviews are conducted, some critical inputs (e.g., fulfillment of objectives, performance of external providers, risk management) are not consistently well-reviewed. Ensuring all required inputs are thoroughly covered will enhance the effectiveness of the management review process.

Moving Forward: A Commitment to Continuous Excellence

The 2-star rating achieved by Jig Jiga Primary Hospital Laboratory is a testament to its robust quality management system. By focusing on these few, specific areas for improvement—primarily related to comprehensive documentation control, archiving practices, and ensuring all required inputs are thoroughly addressed in management reviews—the laboratory will further solidify its position as a model of quality diagnostic services. This ongoing dedication to excellence will undoubtedly contribute to even better health outcomes for the community it serves.

Jigjiga primary Hospital receiving 2-star from Mrs Hawa SRHB Deputy Bureau Head

Image:jigjiga primary Hospital CEO receiving 2-star rating from Mrs Hawa SRHB Deputy Bureau Head

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July 31, 2025

Four Core Pillars of the Initiative

Onsite Support Supervision and EQA Slide Collection

EQA Slide Readings

Discordant Management and Corrective Actions

On-site Training and Mentorship at Key EQA Centres

July 29, 2025

Understanding the "No Stars" Rating: A Call to Action

Foundational Strengths: Building Blocks for Progress

Critical Areas for Targeted Intervention: The Road Ahead

1. Assessment Processes (Section 6: 20.8%)

2. Continual Improvement (Section 11: 28.6%)

3. Organization and Leadership (Section 2: 30.8%)

4. Personnel Management (Section 3: 38.2%)

5. Customer Focus (Section 4: 41.7%)

The Path Forward: A Collaborative Commitment to Quality

July 22, 2025

Raaso Primary Hospital SLIPTA Baseline Assessment Results: A Call to Action for Quality Improvement

Understanding the "No Stars" Rating

Key Strengths: Building Blocks for Future Progress

Critical Areas for Improvement: A Targeted Approach

1. Documentation and Record Control (Section 1: 7/22)

2. Organization and Leadership (Section 2: 9/26)

3. Personnel Management (Section 3: 12/34)

4. Customer Focus (Section 4: 4/24)

5. Equipment Management (Section 5: 16/44)

6. Assessments (Section 6: 8/24)

7. Supplier and Inventory Management (Section 7: 17/27)

8. Process Management (Section 8: 15/71)

9. Continual Improvement (Section 11: 2/7)

10. Facilities and Safety (Section 12: 28/54)

The Path Forward: A Commitment to Quality

July 19, 2025

A Strategic Expansion for a Healthier Region

Objectives of the Baseline Assessment

Methodology and Expected Outcomes

July 14, 2025

1. Opening Remarks by Deputy Bureau Head Mrs. Xaawo Suleebaan

2. Welcome Speech by the Regional Public Health Laboratory and Research Center Director

3. Workshop Objectives

4. Participating Facilities & SLIPTA Assessment Overview

Individual Hospital Highlights:

Jigjiga Primary Hospital

Karamara General Hospital

Yusuf Abdullahi Primary Hospital

Sitti General Hospital

Kabridahar General Hospital

Shinille Primary Hospital

Fik Primary Hospital

Conclusion & Next Steps

July 10, 2025

Key Message from the Directorate Director:

A Step Towards Enhanced Diagnostic Excellence

Read More About Our Quality Journey:

July 05, 2025

Strong Performance: A 2-Star Achievement

Pillars of Excellence: Extensive Strengths Noted

Areas for Further Refinement: Minor Gaps to Address

Moving Forward: A Commitment to Continuous Excellence

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