Survey of anatomic and clinical pathology services and infrastructure in Nigeria.

IF 2.3 4区 医学 Q2 PATHOLOGY
Jonathan Tucci, Jeremy W Jacobs, Zainab U Ibrahim, Aminu A Yusuf, Ali Bala Umar, Danny A Milner, Quentin Eichbaum
{"title":"Survey of anatomic and clinical pathology services and infrastructure in Nigeria.","authors":"Jonathan Tucci, Jeremy W Jacobs, Zainab U Ibrahim, Aminu A Yusuf, Ali Bala Umar, Danny A Milner, Quentin Eichbaum","doi":"10.1093/ajcp/aqae156","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The paucity of data regarding the availability and extent of diagnostic medical services across sub-Saharan Africa hinders appropriate allocation of resources to improve health care in these regions. We assessed anatomic pathology (AP) and clinical pathology (CP) services in Nigeria, one of the most populous and fastest-growing countries in the world.</p><p><strong>Methods: </strong>Two individual surveys (AP focused and CP focused) were developed by subject matter experts and administered to individuals involved in pathology and laboratory medicine diagnostic services at hospitals and laboratories across Nigeria between June and August 2022 using the American Society for Clinical Pathology email listserv.</p><p><strong>Results: </strong>A total of 75 responses (29 AP and 46 CP) were received from 48 unique laboratories. Twenty-four sites provided AP services and 35 provided CP services. Eleven respondents performed both AP and CP services. Among AP services, basic surgical and cytopathology capabilities were available at most sites; however, the availability of automated technologies (eg, automated sample processing and staining) was more variable. Advanced diagnostic techniques, (eg, immunohistochemistry, human papillomavirus testing, molecular diagnostics) were rarely performed. The most frequently available CP services included hematology, microbiology, and chemistry. Microbiology services appeared to be among the most robust laboratory medicine services, particularly parasitology and bacteriology testing. Similar to AP services, more advanced diagnostic assays, such as flow cytometry, cytogenetics, and molecular testing, were largely unavailable.</p><p><strong>Conclusions: </strong>These findings augment earlier studies and identify gaps that should be prioritized from a policy perspective to improve medical services and the overall health care infrastructure in Nigeria.</p>","PeriodicalId":7506,"journal":{"name":"American journal of clinical pathology","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of clinical pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ajcp/aqae156","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PATHOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objectives: The paucity of data regarding the availability and extent of diagnostic medical services across sub-Saharan Africa hinders appropriate allocation of resources to improve health care in these regions. We assessed anatomic pathology (AP) and clinical pathology (CP) services in Nigeria, one of the most populous and fastest-growing countries in the world.

Methods: Two individual surveys (AP focused and CP focused) were developed by subject matter experts and administered to individuals involved in pathology and laboratory medicine diagnostic services at hospitals and laboratories across Nigeria between June and August 2022 using the American Society for Clinical Pathology email listserv.

Results: A total of 75 responses (29 AP and 46 CP) were received from 48 unique laboratories. Twenty-four sites provided AP services and 35 provided CP services. Eleven respondents performed both AP and CP services. Among AP services, basic surgical and cytopathology capabilities were available at most sites; however, the availability of automated technologies (eg, automated sample processing and staining) was more variable. Advanced diagnostic techniques, (eg, immunohistochemistry, human papillomavirus testing, molecular diagnostics) were rarely performed. The most frequently available CP services included hematology, microbiology, and chemistry. Microbiology services appeared to be among the most robust laboratory medicine services, particularly parasitology and bacteriology testing. Similar to AP services, more advanced diagnostic assays, such as flow cytometry, cytogenetics, and molecular testing, were largely unavailable.

Conclusions: These findings augment earlier studies and identify gaps that should be prioritized from a policy perspective to improve medical services and the overall health care infrastructure in Nigeria.

尼日利亚解剖和临床病理服务和基础设施调查。
目标:关于整个撒哈拉以南非洲诊断性医疗服务的可得性和程度的数据缺乏,妨碍了为改善这些地区的保健而适当分配资源。我们评估了尼日利亚的解剖病理学(AP)和临床病理学(CP)服务,尼日利亚是世界上人口最多、发展最快的国家之一。方法:由主题专家制定了两项个人调查(以AP为重点和以CP为重点),并在2022年6月至8月期间使用美国临床病理学会电子邮件列表服务对尼日利亚各地医院和实验室参与病理和实验室医学诊断服务的个人进行了调查。结果:共收到来自48个独特实验室的75份应答(AP 29份,CP 46份)。24个站点提供AP服务,35个站点提供CP服务。11名受访者同时执行AP和CP服务。在AP服务中,大多数站点具有基本的外科和细胞病理学能力;然而,自动化技术(例如,自动样品处理和染色)的可用性变化较大。先进的诊断技术(如免疫组织化学、人乳头瘤病毒检测、分子诊断)很少使用。最常见的CP服务包括血液学、微生物学和化学。微生物学服务似乎是最强大的实验室医学服务之一,特别是寄生虫学和细菌学检测。与AP服务类似,更先进的诊断分析,如流式细胞术、细胞遗传学和分子检测,在很大程度上是不可用的。结论:这些发现加强了早期的研究,并从政策角度确定了应优先考虑的差距,以改善尼日利亚的医疗服务和整体卫生保健基础设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
7.70
自引率
2.90%
发文量
367
审稿时长
3-6 weeks
期刊介绍: The American Journal of Clinical Pathology (AJCP) is the official journal of the American Society for Clinical Pathology and the Academy of Clinical Laboratory Physicians and Scientists. It is a leading international journal for publication of articles concerning novel anatomic pathology and laboratory medicine observations on human disease. AJCP emphasizes articles that focus on the application of evolving technologies for the diagnosis and characterization of diseases and conditions, as well as those that have a direct link toward improving patient care.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信