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.

Ahmed suane 0

Leadership principles & strategic frameworks July 05, 2025

Karamara General Hospital Laboratory Assessment

Karamara General Hospital Lab earns 2-star SLIPTA rating (June 2025). Discover its strengths and areas for improvement in quality management.

Karamara General Hospital CEO receives 2-star SLIPTA rating from Mrs. Hawa, SRHB Deputy Bureau Head.

Karamara General Hospital Laboratory: A Shining Example on the Path to Accreditation

Jijiga, Somali, Ethiopia – June 09, 2025

In a significant stride towards enhancing healthcare quality, the Karamara General Hospital Laboratory recently underwent a comprehensive assessment using the SLIPTA (Stepwise Laboratory Improvement Process Towards Accreditation) Framework. The audit, conducted by Zekarias Dagne and Mahdi Ismael, revealed remarkable progress, positioning the laboratory as a leader in regional diagnostic services.

A Strong Achievement: Two Stars and Rising

The Karamara General Hospital Laboratory achieved an impressive overall score of 246 out of 367 possible points, which translates to 67.5% compliance. This outstanding performance places the laboratory at a 2 Stars rating according to the SLIPTA star rating criteria (Version 03), which recognizes compliance between 65-74% (241-277 pts). This is a strong foundational achievement, indicating excellent progress in their quality journey and a clear commitment to international standards.

Pillars of Excellence: Extensive Strengths Noted

The assessment highlighted an extensive list of areas where Karamara General Hospital Laboratory demonstrates exemplary adherence to quality management systems. Their commitment is evident across numerous critical domains:

Robust Management System & Documentation: The laboratory boasts a 100% compliance in its legal entity documentation, a current and well-communicated quality manual, comprehensive document and records control (especially for internal documents), and easily accessible quality documents. Policies and objectives are established, acknowledged, and implemented at all levels, with proper management of discontinued quality documents.
Exemplary Leadership & Personnel Management: The laboratory shines with 100% compliance in its organizational code of conduct, effective deputization processes, and a fully implemented personnel management procedure. A clear duty roster and an up-to-date organizational chart are in place. The laboratory is directed by qualified and competent personnel who are fully authorized for specific activities, including method selection and result release. Procedures for personnel training, competency assessment, and performance review are all rigorously defined and implemented, supported by regular personnel meetings and comprehensive personnel records.
Outstanding Customer Focus: Karamara's commitment to patient and user satisfaction is evident with 100% compliance in advisory services provided by qualified staff, robust procedures for handling complaints and feedback (with records of resolution), and established processes for treating patients' well-being and samples with due care and respect. Their service agreements (including POCT) are well-defined and implemented, and laboratory information for patients and users is readily available and understood. A strong communication policy on delays and effective utilization of customer feedback further underscore their patient-first approach.
Comprehensive Equipment Management: The laboratory demonstrates 100% compliance in all aspects of equipment management, including access to required equipment, adherence to proper protocol (installation, labeling), training, competency, and authorization of users. Their procedures for validation, verification, and calibration are fully implemented and documented, ensuring metrological traceability. Routine user and external service maintenance are consistently performed and recorded, and manufacturer's operator manuals are readily available. Precautions are in place to prevent unintended adjustments, and defective/obsolete equipment is properly managed.
Proactive Quality, Risk & Supply Chain Management: The laboratory excels in internal audits (100% compliant), risk management (100% compliant in identification, action plans, and evaluation), and the use of quality indicators across pre-examination, examination, and post-examination processes, with outcomes consistently used for improvement. Their externally provided products and services and purchasing and inventory control procedures are 100% compliant, with thorough inventory control records, management review of supply requests, and efficient inventory systems (including FEFO practice and proper disposal of expired products).
Rigorous Process Control & Information Management: Karamara shows 100% compliance in continuity and emergency preparedness planning (with implemented and tested plans), pre-examination processes (including test request and sample receipt/handling), and documentation of examination procedures. Reagents and consumables acceptance testing is thorough, and Internal Quality Control (IQC) is performed, monitored, and reviewed with corrective actions. Comparability of examination results and monitoring/reviewing environmental conditions are also 100% compliant. Their participation in External Quality Assessment (EQA) is comprehensive, and procedures for verification/validation of examination methods and measurement uncertainty (MU) are fully established and documented. Biological reference intervals are well-defined. The reporting and release of results are robust, with legible, verified reports identifying authorizing personnel and containing all required elements, traceable to equipment. Their Laboratory Information System (LIS) procedure is well-defined, with securely archived data, clear authorities/responsibilities, and consistent verification after upgrades and maintenance records.
Effective Nonconforming Event Management & Continual Improvement: The laboratory demonstrates 100% compliance in its procedures for handling nonconforming work and nonconformities, including thorough documentation, root cause analysis, and corrective actions. Resumption of testing is properly authorized. Their commitment to continual improvement is also 100% compliant, with identified activities and communicated outcomes.
Comprehensive Facilities & Safety: Karamara's dedication to a safe and functional environment is reflected in 100% compliance across all safety aspects. This includes a defined laboratory safety procedure, adequacy of size and layout, distinct patient care areas, excellent housekeeping, appropriate physical work environment (ventilation, climate, wiring, backup power, water, signage), secured laboratory access, adequate storage areas, well-maintained facilities, properly used and certified safety cabinets, a comprehensive safety program, proper waste disposal, safe hazardous chemical handling, robust fire safety measures, regular safety audits, readily available safety equipment and PPE, implemented personnel vaccinations and post-exposure prophylaxis, thorough management of adverse incidents/injuries, comprehensive safety training for all personnel, a designated safety officer, and implemented biosecurity policies.

Areas for Further Refinement: Building on Success

While the laboratory has achieved significant milestones, the assessment also identified a few areas of partial compliance that, with focused attention, can further elevate their quality management system:

Document Control Record (50%): At the time of audit, no documented revision history was stated for all quality documents. This is crucial for tracking changes and ensuring personnel are using the most current versions.
Data Files (50%): Archived documents are not labelled, indexed, and retention time was not specified, which can hinder easy and timely retrieval of records.
Archived Patient Results Accessibility (50%): The laboratory has no access to get laboratory-specific archived results from the LIS system, and only Genexpert patient results are archived, not easily retrievable. This impacts patient care and data management.
Budgetary Projections (50%): Approved budget projection is available but did not incorporate resources for IQC, training, calibration, and other quality costs. This indicates a gap in comprehensive financial planning for quality assurance.
Routine Review of Quality and Technical Records (33.33%): All technical and quality records are not monitored at the time of assessment. This is a significant finding as it means the laboratory cannot consistently identify and address recurrent problems or evaluate new activities.
Management Review Inputs (33.33%): While a management review was conducted, some inputs like Fulfillment of objectives, performance of external providers, and risk management were not well reviewed. This limits the effectiveness of the management review process.
Service Supplier Performance Review (50%): Performance monitoring of external suppliers (including referral laboratories, technical consultants, and EQA providers) is not consistently conducted. This means the laboratory may not be adequately ensuring the quality of externally provided services.
Purchasing Specifications (50%): The laboratory does not consistently provide specifications for their services, supplies, and consumables when placing requisitions. This can lead to procurement of incorrect or suboptimal items.

Moving Forward: A Commitment to Continuous Improvement

The "2 Stars" rating is a testament to Karamara General Hospital Laboratory's strong commitment to quality. By systematically addressing the identified areas of partial compliance, particularly those related to comprehensive documentation control, data accessibility, and the thoroughness of review processes, the laboratory is well-positioned to further strengthen its quality management system. This ongoing dedication will ensure even higher standards of diagnostic services, contributing significantly to improved health outcomes for the community it serves.

Ahmed suane 0

July 04, 2025

Health & Social Impact July 04, 2025

Somali Regional Lab: Journey to Enhanced Diagnostics

Discover how the Somali Regional Public Health Lab's Quality Case Team is enhancing diagnostics through EQA expansion and capacity building for TB and Malaria

Image illustration showing participants engaged in coloring remarks during EQA expansion training session, emphasizing interactive learning and quality improvement.

Image: Facilitators and participants collaboratively engage in closing remarks during the EQA expansion training—fostering clarity, shared understanding, and commitment to quality systems.

A Key Pillar of Quality: The Somali Regional Lab's Journey to Enhanced Diagnostics

Jijiga, Somali, Ethiopia

In a region where timely and accurate diagnostic services are paramount to public health, the Somali Regional Public Health Laboratory & Research Directorate has emerged as a true leader. At the heart of this transformation is its dedicated Quality Case Team, whose relentless efforts in External Quality Assessment (EQA) expansion and capacity development are setting new benchmarks for laboratory excellence.

For years, ensuring consistent, high-quality laboratory services across the vast and often remote areas of the Somali region presented a significant challenge. Diagnoses for critical diseases like Tuberculosis (TB) and Malaria rely heavily on accurate smear microscopy. Recognizing this, the Quality Case Team embarked on an ambitious plan to strengthen the region's diagnostic backbone.

Driving Excellence Through Strategic Expansion

The team's vision was clear: to not only maintain but elevate the reliability of laboratory results. A cornerstone of their strategy was the expansion of blinded rechecking, a highly effective EQA method that reveals the true daily performance of laboratories. Traditionally centralized, the team courageously initiated the decentralization of this crucial rechecking role to capable hospitals within the region. This strategic move brought quality assurance closer to the point of care, fostering a culture of continuous improvement at the grassroots level.

Empowering Professionals: The Heart of Capacity Building

Understanding that quality is built on competence, the Quality Case Team placed immense emphasis on capacity development. Through meticulously planned face-to-face training workshops, they empowered 37 laboratory professionals – supervisors, controllers, and technicians – with the latest knowledge and skills in EQA methods for AFB and Malaria Smear Microscopy. These sessions weren't just about theory; they focused on practical application, from rechecking procedures and managing discordant slides to interpreting results and providing constructive feedback.

Furthermore, the team established three robust Technical Working Groups (TWGs), comprising 37 newly trained lab professionals. These groups serve as vital hubs for coordination, problem-solving, and ongoing skill enhancement, ensuring that the momentum of quality improvement is sustained from within.

Reaching the Unreached: A Commitment to Equity

A distinguishing feature of the Quality Case Team's approach is their unwavering commitment to equity. Special attention has been paid to staff in remote areas, ensuring that hard-to-reach communities gain access to the quality diagnostics they deserve. By strengthening peripheral sites and decentralizing rechecking, the team is actively bridging geographical gaps in healthcare access.

A Foundation of Data and Continuous Improvement

The team understands that progress must be measurable. They have championed the implementation of rigorous documentation, including guidelines for quality control and comprehensive quarterly and annual performance reports. This data-driven approach allows for evidence-based decision-making, ensuring that the EQA program remains responsive and effective.

The EQA Expansion and Capacity Development Plan is not a static document; it's a "living" testament to their adaptive spirit. Reviewed and revised annually, it reflects the team's dedication to learning from achievements and challenges, constantly refining their strategies for an even greater impact.

A Future Built on Quality

Thanks to the visionary leadership and tireless dedication of the Somali Regional Public Health Laboratory & Research Directorate's Quality Case Team, the region's diagnostic services are stronger, more reliable, and more accessible than ever before. Their work is a powerful reminder that investing in quality and capacity building directly translates into improved health outcomes for communities, laying a solid foundation for a healthier future in the Somali region.

Ahmed suane 0

July 03, 2025

Leadership principles & strategic frameworks July 03, 2025

Yusuf Abdullahi Primary Hospital Laboratory Assessment

Yusuf Abdullahi Primary Hospital CEO receiving 1-star SLIPTA assessment rating

Yusuf Abdullahi Primary Hospital Laboratory Assessment

Yusuf Abdullahi Primary Hospital Laboratory: Taking Steps to Improve Quality

Jijiga, Ethiopia – June 07, 2025

The Yusuf Abdullahi Primary Hospital Laboratory recently underwent a thorough assessment based on the SLIPTA (Stepwise Laboratory Quality Improvement Process Towards Accreditation) Framework. This crucial audit, conducted by Mr. Niman Tayib, Kadar Muse, and Ahmed Suane, offers a clear snapshot of the laboratory's current operational strengths and pinpoints significant opportunities for further enhancement in its pursuit of excellence.

Current Status: A Foundation for Progress

The Yusuf Abdullahi Primary Hospital Laboratory achieved an impressive overall score of 226 out of 367 possible points, which translates to a solid 61.5% compliance. According to the SLIPTA star rating criteria (Version 03), this places the laboratory at a 1 Star rating (206-240 pts or 55-64% compliance). This rating signifies a strong commitment to quality and sets a promising stage for continued advancements.

Noteworthy Strengths: Pillars of Performance

The assessment highlighted numerous areas where the Yusuf Abdullahi Primary Hospital Laboratory demonstrates robust practices and adherence to quality standards. Key strengths include:

Strong Foundational Documentation: The laboratory maintains clear documentation of its legal identity and has a well-defined organizational code of conduct with good adherence to principles like impartiality and confidentiality.
Effective Personnel Structuring: A comprehensive duty roster covering normal and after-hours is in place, alongside an up-to-date organizational chart. The laboratory is commendably directed by qualified personnel with specified authority and competency in leadership, budgeting, and stakeholder communication.
Structured Personnel Management: Procedures for authorization, training, and competency assessment are well-defined and actively implemented for newly hired and assigned staff, with records properly retained.
Patient-Centric Services: Procedures for providing advisory services to patients and users are established, as are clear processes for handling and resolving complaints and feedback.
Diligent Equipment and Inventory Control: The laboratory adheres to proper equipment protocol, including unique labeling, and has defined procedures for validation, verification, and calibration of equipment. Routine user preventive maintenance is performed and recorded, and manufacturer’s operator manuals are readily available. Effective inventory control is demonstrated through comprehensive records, min/max level monitoring, and adherence to FEFO (First-Expiration-First-Out) practices.
Proactive Quality and Risk Management: Defined procedures exist for internal audits and risk management, along with robust processes for externally provided products and services and purchasing and inventory control.
Robust Process Management: The laboratory has defined procedures for continuity and emergency preparedness planning, pre-examination processes (including sample handling and test requests), documentation of examination procedures, and Internal Quality Control (IQC). Environmental conditions are diligently monitored and recorded daily. Procedures for External Quality Assessment (EQA), verification/validation of examination methods, and Measurement Uncertainty (MU) are also well-defined.
Reliable Information and Safety Protocols: Clear procedures are in place for biological reference intervals and reporting and release of results, including a defined LIS procedure. Personnel vaccination and post-exposure prophylaxis policies are implemented, and a trained safety officer is designated.

These strengths underscore the laboratory's commitment to maintaining foundational elements of a strong quality management system.

Areas for Improvement: Opportunities for Advancement

While significant strengths were identified, the assessment also highlighted critical areas that require immediate and sustained attention to further elevate the laboratory's services and achieve higher SLIPTA ratings. These include:

Enhancing Documentation and Leadership Oversight: There's a crucial need to fully develop and conspicuously post laboratory objectives, strengthen the master list for document control, and improve archiving of all patient, quality, and technical records for timely retrieval. Critically, routine documented review of quality and technical records by the Quality Officer is lacking, and management review meetings need to consistently cover all required inputs and outputs, with findings and actions clearly recorded, communicated, and followed up.
Strengthening Personnel Management Implementation: Critical gaps exist in consistently documenting personnel authorization (e.g., signed job descriptions). A comprehensive program for training, continuing education, and professional development needs to be established and recorded. The absence of a documented procedure for personnel performance review is a key deficiency, and personnel meetings need to be regular with recorded progress.
Deepening Customer Focus: While procedures exist, consistent implementation of advisory services by qualified personnel is needed. Critically, a formal process for the treatment of patients' well-being, samples, and remains with due care and respect is missing. Official service agreements require more consistent implementation, and laboratory handbooks/information for clients need to be more widely available. Communication policies for notifying patients about delays must be strengthened, and customer feedback utilization needs to be systematized.
Improving Equipment Verification and Maintenance Records: Critical non-conformities include the inconsistent recording and archiving of equipment verification (for new, repaired, and maintained equipment) and the inconsistent scheduling, recording, and archiving of calibration for measuring equipment. Routine service maintenance by qualified external engineers is also not consistently documented or archived.
Addressing Assessment and Risk Management Deficiencies: Internal auditing is not consistently completed annually with documented findings and follow-up. A significant weakness lies in the implementation of risk management and assessment tools, with action plans for identified risks not consistently developed, implemented, or monitored for effectiveness. Quality indicator outcomes are also not consistently used to improve processes.
Rectifying Extensive Process Management Gaps: The continuity and emergency preparedness plan requires full implementation, review, and communication. Critically, records for patient sample collection activities (identity verification, pre-examination requirements, labeling) are largely missing, as is the consistent recording of timeframe and temperature for transported samples. A formal procedure and process for referral laboratories and technical consultants is missing, along with systems to ensure their competence. Consistent verification of new reagent preparations and lots is needed. Internal Quality Control (IQC) performance monitoring (biases, trends, Levy-Jennings charts) is critically inconsistent, as is comparability of examination results with different methods/equipment. Validation of examination methods (especially non-standard or in-house) is also not consistently performed or documented. Crucially, Measurement Uncertainty (MU) is not consistently performed or documented for quantitative tests.
Strengthening Information Management and Data Integrity: While LIS procedures exist, consistent verification and confirmation of test results against patient identity is needed. Ensuring authorized lab personnel consistently release results with signatures and that the laboratory report log/book fulfills all required items is also vital. Consistent traceability of sample results and secure retention and access control for archived patient data are areas for improvement. Critically, verification of the LIS system after upgrades and comprehensive records of LIS maintenance, failures, and security measures are largely missing.
Enhancing Nonconforming Event Management and Continual Improvement: Full capture of identification and management records for nonconforming work is needed, along with consistent documentation for authorization to resume testing. Corrective actions need to be consistently effective. The implementation of continual improvement activities is inconsistent, with outcomes not regularly communicated.
Addressing Major Facilities and Safety Deficiencies: This section reveals critical gaps. A documented procedure for overall laboratory safety is missing. The adequacy of the physical work environment needs significant improvement (clutter, ventilation, climate control, wiring, backup power, space, signage). Critical needs include the installation and regular verification of emergency showers and fire alarms, and the purchase and proper management of biosafety cabinets. The overall safety program needs to be fully defined and implemented across all elements (hazardous chemicals, fire safety, inspections, safety equipment, adverse incident management, personnel training). Critically, biosecurity policies, processes, and procedures are not implemented.

Looking Ahead: A Path to Higher Standards

The SLIPTA assessment provides the Yusuf Abdullahi Primary Hospital Laboratory with a detailed roadmap for strategic improvements. By diligently addressing these identified areas, especially the critical non-conformities, the laboratory can significantly enhance its quality management system, improve operational efficiency, and ultimately deliver even higher quality and safer healthcare services to the community. This commitment to continuous improvement is crucial for the laboratory's journey towards achieving higher SLIPTA star ratings.

Ahmed suane 0

July 01, 2025

Leadership principles & strategic frameworks July 01, 2025

Kabridahar General Hospital Laboratory Assessment

Discover the findings of the SLIPTA assessment at Kabridahar General Hospital Laboratory (June 2025). Learn about its 1-star rating, key strengths, and critical areas for improvement to enhance healthcare quality in somali region, Ethiopia.

Kabridahar General Hospital Laboratory: A Stepping Stone to Enhanced Healthcare Quality

Jijiga, Ethiopia – june 06, 2025

The Kabridahar General Hospital Laboratory recently underwent a comprehensive assessment using the SLIPTA (Stepwise Laboratory Quality Improvement Process Towards accreditation) , a vital tool for evaluating laboratory quality management systems. The audit, conducted by Mr. Niman Tayib, Kadar Muse, and Ahmed Suane, provided valuable insights into the laboratory's current operational strengths and identified key areas for advancement.

Current Standing: A Foundation for Growth

The Kabridahar General Hospital Laboratory achieved an overall score of 206 out of 367 possible points, translating to 56% compliance. This score, according to the SLIPTA star rating criteria (Version 03), places the laboratory at a 1 Star rating (206-240 pts or 55-64% compliance). This indicates a solid foundation and a clear path for further development.

Commendable Strengths: Building on Success

The assessment highlighted numerous areas where the Kabridahar General Hospital Laboratory excels, demonstrating a commitment to structured processes and quality. Key strengths include:

Robust Management Systems: Well-defined procedures are in place for organizational code of conduct, deputization, budgetary projections, management reviews, and personnel management. This shows a strong administrative backbone.
Comprehensive Personnel Practices: The laboratory boasts effective procedures for personnel training, competency assessment, and performance reviews, ensuring a skilled workforce.
Patient-Centric Approaches: Procedures for advisory services and handling complaints and feedback are well-established, indicating a focus on patient and user satisfaction.
Efficient Equipment and Inventory Management: Strong protocols are noted for equipment management, calibration, preventive maintenance, and inventory control, including the effective use of FEFO (First-Expiration-First-Out) practices to minimize waste.
Preparedness and Safety: A defined procedure for continuity and emergency preparedness planning is in place, alongside a readily available laboratory safety manual and proper waste disposal practices.
Quality Control in Testing: The laboratory demonstrates proficiency in pre-examination processes, monitoring environmental conditions, and having procedures for External Quality Assessment (EQA) and verification/validation of examination methods.

These strengths serve as a testament to the dedication of the laboratory staff and management in upholding essential quality standards.

Areas for Enhancement: Paving the Way for Excellence

While many positives were observed, the assessment also pinpointed crucial areas requiring immediate attention to elevate the laboratory's services and achieve higher SLIPTA ratings. These include:

Strengthening Documentation and Consistency: A recurring theme across various sections is the need for more consistent recording, archiving, and implementation of established procedures, particularly regarding quality and technical records, and management review outcomes.
Enhanced Personnel Development: There's a clear need for a more comprehensive and consistently implemented program for training, continuing education, and competency assessment, especially for new and reassigned personnel. Ensuring all personnel sign job descriptions is also critical.
Improving Customer Focus Implementation: While procedures exist, their consistent implementation in areas like providing advisory services to patients and conducting satisfaction surveys needs bolstering. Establishing a process for the treatment of patients' well-being and samples with due care and respect is also a key recommendation.
Optimizing Equipment Practices: Critical gaps were identified in the consistent documentation of equipment verification, calibration scheduling and recording, and routine service maintenance by qualified engineers. Ensuring all operators have assigned authorization and recorded training is also vital.
Deepening Assessment and Risk Management: The report highlights a significant need for consistent internal auditing, overall risk management tool development and implementation, and the use of quality indicators to drive continuous improvement.
Refining Process Management: Critical areas include the consistent implementation of the continuity and emergency preparedness plan, meticulous recording of patient sample collection activities, and a formal procedure for referral laboratories. More robust Internal Quality Control (IQC) and Measurement Uncertainty (MU) practices are also essential.
strengthening Information Management and Nonconformance Handling: Ensuring authorized personnel consistently release results with signatures, maintaining comprehensive laboratory report logs, and improving LIS system verification and maintenance records are crucial. Furthermore, the identification and management of nonconforming work require more thorough documentation and root cause analysis.
Prioritizing Facilities and Safety: This emerged as a critical area for improvement, with a strong emphasis on establishing a documented procedure for overall laboratory safety. Significant enhancements are needed in the physical work environment, installation and verification of emergency showers and fire alarms, and the purchase and proper management of biosafety cabinets. A fully defined and implemented overall safety program encompassing hazardous materials, fire safety, and regular safety inspections is paramount. Biosecurity policies also need to be implemented.

Moving Forward: A Commitment to Quality

The Kabridahar General Hospital Laboratory's SLIPTA assessment provides a clear roadmap for advancing its quality management system. By diligently addressing the identified areas for improvement, particularly those flagged as "critical," the laboratory can significantly enhance its operational efficiency, accuracy, and overall service delivery. This commitment to continuous improvement is vital for providing the highest standard of healthcare to the community it serves and progressing towards a higher SLIPTA star rating.

What are your thoughts on how vital laboratory assessments are for improving healthcare services? Share your insights below!

Image showing Kabridahar General Hospital's CEO accepting the 1-star SLIPTA assessment rating from regional health bureau representatives

Ahmed suane 0

June 21, 2025

Leadership principles & strategic frameworks June 21, 2025

Seven Years of Transformative progress

Discover the Somali Region's remarkable transformation! Learn about rapid growth in economy, free trade, healthcare, and water access initiatives

Mustafa M. Omar – SRS President

Somali Region Highlights Significant Development Achievements and Future Vision

Recent statements from President Mustafa M. Omar, supported by insights from key cabinet members, underscore a period of remarkable progress and transformative development across crucial sectors in the Somali region. These advancements, detailed in a recent public overview, represent significant strides in the region's commitment to improving the lives of its citizens and fostering sustainable growth. The President particularly highlighted the region's significant economic transformation, emphasizing the profound impact of a new free trade system that has reshaped the regional economy.

Among the improvements implemented after the change that significantly contributed to the economic growth and job creation in the region is Commerce. This followed the establishment of a free trade system, eliminating the monopolization of trade by specific individuals. This encouraged many people to join the business sector. Before the change, the region had approximately 26,000 licensed businesses, while in the last six years, an additional 61,000 new businesses have emerged. Free trade fosters healthy competition and service innovation that benefits the public. For example, before the change, there were no modern public transportation companies serving the region. Today, there are 14 such companies providing modern services (both long and short-distance travel) to the community. Six years ago, the number of legally operating vehicles in the region was 1,980, and now it stands at 37,000.
This increase in transportation services, coupled with the positive progress in road construction, has enabled an annual movement of 3.2 million people between the region's provinces and cities, compared to 1.2 million annually before the change. Bearing this in mind, the government will focus on supporting businesses and reducing the challenges they face.
Mustafa M Omar-SRS President

Statement by Dayib Ahmed Nur

Statement on Regional Budget

Dayib Ahmed Nur Finance and Economic Development Bureau Head

We increased the regional budget from 15 billion to 41 billion. 43% of this budget comes from domestic revenue collected by the region, whereas before the change, this revenue was only 15%.

60% of the regional budget is used for poverty reduction, including agriculture, job creation, and so on. The remaining 40% is used for security, strengthening government capacity, and so on.

Delivering on the Promise of Health Equity in Somali Region

Seven Years of Transformative Investment and Measurable Growth

Mr.Mahamoud mohamed

The healthcare sector has also seen dramatic transformation. Deputy Bureau Head Mr. Mahmoud Mohamed Abdi reported that healthcare development in the past seven years has surpassed the cumulative progress of the previous three decades. Key areas of this rapid advancement include

Hospital Expansion: From just 9 operational hospitals before the reform to 18 fully functional hospitals today—a 100% increase—with 13 additional facilities under construction, signaling a total infrastructure expansion of 144%.

Primary Healthcare Access: An additional 56 new health centers have been established to close the accessibility gap, particularly in rural and underserved communities.

These milestones reflect a strategic commitment to health system strengthening, service decentralization, and inclusive growth. The Regional Health Bureau remains dedicated to accelerating progress and enhancing service delivery across all woredas.

Expanding Water Access: A Key Pillar of Regional Development

At an inauguration ceremony in Dhagaxbur, President Mustafa M. Omar highlighted significant improvements in urban and rural water access, a fundamental aspect of regional development.

Access Coverage Expansion:

Urban water access has remarkably risen from 20% to 51%.

Rural water access improved from 18% to 46.6%.

Infrastructure Highlights:

17 urban water projects completed.

46 rural supply initiatives launched.

340 deep boreholes have been developed, providing crucial access to groundwater.

15 dams (small to medium scale) have been constructed, contributing to sustainable water management.

Ahmed suane 0

June 20, 2025

Health & Social Impact June 20, 2025

Comprehensive SLIPTA Framework Assessment: Somali Region Hospital Laboratories

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

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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Pillars of Excellence: Extensive Strengths Noted

Areas for Further Refinement: Building on Success

Moving Forward: A Commitment to Continuous Improvement

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Noteworthy Strengths: Pillars of Performance

Areas for Improvement: Opportunities for Advancement

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July 01, 2025

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Moving Forward: A Commitment to Quality

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Understanding the SLIPTA Framework

What is SLIPTA?

Why it Matters:

Your Journey on the SLIPTA Star Scale

A Tiered Approach to Quality Recognition:

Jig Jiga Primary Hospital: Assessment Overview

Key Strengths (Very Strong Compliance):

Key Areas for Improvement (Minor Adjustments for Excellence):

Karamara General Hospital: Assessment Overview

Key Strengths (Excellent Compliance):

Key Areas for Improvement (Refinement for Higher Stars):

Yusuf Abdullahi Primary Hospital: Assessment Overview

Key Strengths:

Key Areas for Improvement:

Kabridahar General Hospital: Assessment Overview

Key Strengths:

Key Areas for Improvement:

Fik Primary Hospital: Assessment Overview

Key Strengths (Foundational):

Key Areas for Improvement (Widespread & Urgent):

Shinille Primary Hospital: Assessment Overview

Key Strengths (Foundation for Growth):

Key Areas for Improvement (Widespread & Urgent):

Sitti General Hospital: Assessment Overview

Key Strengths (Foundational Elements):

Key Areas for Improvement (Focus for Progress):

Somali Region Hospitals: Overall SLIPTA Performance

Key Observations:

Key Takeaways from the Assessment:

Cross-Cutting Challenges: Areas for Regional Intervention

Consistent Areas for Improvement Across Many Hospitals:

Key Needs in "No Stars" / "1 Star" Hospitals:

Recommendations & Next Steps: A Strategic Path Towards Higher Stars

For "No Stars" Hospitals (Fik, Shinille):

For "1 Star" Hospitals (Yusuf Abdullahi, Kabridahar, Sitti):

For "2 Stars" Hospitals (Karamara, Jig Jiga):

Our Collective Commitment to Continual Improvement

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