It’s been almost two years I’ve been in Tanzania. Quite
unbelievable that amount of time has passed.
Before I left the UK during one of the pre-departure training courses
some ex-volunteers talked to our group.
I remember one of them saying that “your
worklife as a volunteer fluctuates –sometimes you are busy at work, sometimes
you have nothing to do, sometimes you will have success, sometimes failures and
sometimes it feels like you are not achieving anything, changing anything or
helping anyone! But in the last few
months of your placement things will finally start happening but time will also
speed up and you will feel that there is not enough time to do everything.. why
didn’t all this happen 2 years ago?!”
Well, they were right! I’ve had all of the above, and now with
only a few months to go before the end of my volunteer placement, work is super
busy, but things are finally falling into place! here’s a update on what I’ve
been doing.(I apologise if it’s a bit geeky and dull… but that’s my job!)
In November last year, our laboratory was accepted (after
some campaigning on my part) onto the SLMTA/SLIPTA programmes. SLMTA stands for
Strengthening Laboratory Management Towards Accreditation and SLIPTA stands for
Stepwise Quality Improvement Toward Laboratory Accreditation. The programmes are devised by the World
Health Organisation to improve the management and Quality Systems of
laboratories in developing countries and it has been used in many African
countries including Tanzania with good success.
The SLIPTA program aims to make laboratories compliant with
international standards for the management and running of the laboratory (the ISO
15189 Standards for Medical Laboratories - For geeks, this is like ISO 9001/2
but for laboratories instead of companies).
This is a big step, as even the UK laboratories are only just adopting
the ISO 15189 standards, so Nyangao hospital has a chance of being ahead of the
UK, and accredited to an international level!
The ISO standards cover all aspects of a laboratory such as
Management, Staffing, Equipment, Safety, Quality control, Documentation, Communication,
Auditing, Reporting etc, and the aim is to improve quality and make every
aspect of work and management traceable, justified and accountable.
So, for the past 12 months or so I have been working with
the laboratory management team to make sure we meet all these rigorous
standards. This has meant devising a
complete Quality Management System and document control system; writing or
updating over one hundred policies, procedures, forms and documents and
training staff in these new systems.
It’s been hard work getting everything written, and sometimes even
harder work getting the staff to adopt the new systems. ISO standards are a pretty dull subject, and
quite a foreign concept to many people, Tanzanians and Non-Tanzanians alike!
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And then James made a filing system.. and he was pleased. |
It may seem like just creating a lot of paperwork and a
little detached from actually helping patients, but when followed correctly, a
Quality Management System helps reduce and prevent laboratory errors, reduce
loss of service due to equipment failures or reagent stock outs, improve
quality control, improve staff training and overall improves the quality of the
laboratory so it can provide accurate, reliable and timely results for the
patients we serve.
The SLMTA program also gives training courses to the
laboratory management team as well as providing a mentor to come to the lab for
a fortnight, three times a year to assist with the introduction of the Quality
Management System. We have just recieved our mentor visit which has meant even more work in the last few weeks implementing her suggestions.
Inspections are
performed every four to six months, and the lab is rated on a 5 star system
according to how well we meet the ISO standards. Our first inspection scored us zero stars,
which was expected as it was the baseline assessment. We have done a huge amount of work since
then, and still have a huge amount to do before
the next inspection which will be in May, literally weeks before I am
due to leave! It will be rewarding for all of the laboratory staff to receive
at least one star, if not four or five!!
What was it the
ex-volunteer said?? …In the last few
months of your placement things will finally start happening but time will also
speed up and you will feel that there is not enough time to do everything.. why
didn’t all this happen 2 years ago?! …..
So true! And I just hope there is enough time left!
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my office ( I need a notice board) |
In other news…… finally, after 18 months of campaigning,
pestering and begging, we’ve had air conditioning fitted in the lab! My office is no longer like a sauna and I can
sit at my desk and not be in a puddle of my own sweat just from moving the
mouse.
Now, where did I put that piece of paper? What was the document number? What version is it??