IMPLEMENTATION OF EXTERNAL QUALITY ASSURANCE SCHEME (EQAS)-IMPACT ON RELIABILITY AND REPRODUCIBILITY IN PHC LABORATORY SERVICES

Abstract


BACKGROUND: Assessment is a critical aspect of laboratory quality management, and it can be conducted in several ways. EQA is defined as a system for objectively checking the laboratory’s performance using an external agency or facility. Directorate of Public Health and Preventive Medicine, Tamil Nadu has registered all its 2127 Primary Health Centre Laboratories to participate in the CMC-Biochemistry-External Quality Assurance Scheme (EQAS) from 2021 to ensure reliable and reproducible results.

AIM : To assess the impact of participation in Proficiency Testing (PT) to deliver quality laboratory services in a primary health care setting.

OBJECTIVES : To analyse the consistency in participation by PHC laboratories and the performance of laboratory investigations for Glucose Analyte from Jan – Sep 2022

ETHODOLOGY : All the 2127 PHC laboratories in Tamil Nadu were registered under CMC-Biochemistry EQAS Program for the Year 2022 followed by adequate Quality Management Training to the Laboratory Technicians of PHCs by the State Public Health Laboratory and also through the District Public Health Laboratories. A Dashboard was created to analyse the participation and performance analytics of all the 2127 PHC labs individually and district wise.

RESULTS : In 2020, a total of 876 labs (41.2%) only were participated consistently. The participation has gradually increased to a total of 1398 labs (65.7%) in 2021 followed by1637 labs (77%) in 2022. Excellent score was obtained by 1655 labs (77.8%) in 2021 followed by 1640 labs (77.1%) in 2022.

CONCLUSION : Quality of laboratory investigations are paramount important to deliver reliable and reproducible test results in the primary health care centres to serve the rural community. Participation in EQAS will ensure and assure the

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