title: Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia.
abstract: BACKGROUND
  Strengthening Laboratory Management Toward Accreditation (SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in Addis Ababa, Ethiopia.
  
  
  METHODS
  The study used an Institutional based cross sectional study design that employed a secondary and primary data collection approach on the participated institution of medical laboratory in SLMTA. The study was conducted in Addis Ababa city government and the data was collected from February 'April 2014 and data was entered in to EPI-data version 3.1 and was analyzed by SPSS version 20.
  
  
  RESULTS
  The assessment finding indicate that there was a significant improvement in average scores (141.4; range of 65-196, 95%CI=86.275-115.5, p=0.000) at final with 3 laboratories become 3 star, 6 laboratories were at 2 star, 11 were 1 star. Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it.
  
  
  CONCLUSIONS
  At the end of SLMTA implementation,3 laboratories score 3 star, 6 laboratories were at 2 star, 11 were at 1 star. The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.
authors.affiliation: Addis Ababa Health Research and Laboratory, Addis Ababa, Ethiopia.
authors.forename: Abay
authors.initials: A
authors.lastname: Sisay
authors.affiliation: Departement of medical Laboratory science, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
authors.forename: Tedla
authors.initials: T
authors.lastname: Mindaye
authors.affiliation: Addis Ababa Health Research and Laboratory, Addis Ababa, Ethiopia ; Addis Ababa University, College of Natural Science, Addis Ababa, Ethiopia.
authors.forename: Abrham
authors.initials: A
authors.lastname: Tesfaye
authors.affiliation: Quality Africa Network/GIZ, Addis Ababa, Ethiopia.
authors.forename: Eyob
authors.initials: E
authors.lastname: Abera
authors.affiliation: Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
authors.forename: Adino
authors.initials: A
authors.lastname: Desale
mesh_terms: D000068:Accreditation; D000328:Adult; D003430:Cross-Sectional Studies; D005002:Ethiopia; D005260:Female; D006801:Humans; D007753:Laboratories / Q000592:standards*; D059232:Laboratory Personnel / Q000193:education* / Q000592:standards; D009111:Local Government; D008297:Male; D011361:Professional Competence; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D011786:Quality Control; D012189:Retrospective Studies
keywords: SLMTA; WHO-AFRO; accreditation; mentorship