Figure 1.
Study Sites: A wide network of FHI360 supported laboratories in Nigeria.
Figure 2.
Summary of laboratory integration assessment report format for training.
Scoring is based on the % of staff trained in each training element. 5 if ≥80%; 4 if between 60% and 79%; 3 if between 40% and 59%; 2 if between 20% and 39% and 0 if less <20%. Total Training grade should be filled from the training checklist portion. The total score obtained is added up across all training elements. The percentage score is got from the sum of scores obtained across all training elements expressed as a percentage of the total obtainable score of 40. This information is then captured in the Laboratory integration assessment report (figure 3) in the training row as follows; Rate as FULL (value 2) if ≥80%; Rate as Partial (value 1) if between 25% and 79%; and NO (value 0) if less <25%.
Figure 3.
Summary of laboratory integration assessment report format.
A Yes/No response was used to represent absence or presence of structural integration. Each virtual integration domain/service package rated as FULL receive a score of 2, PARTIAL receive a score of 1 while NO receive a score of 0 for that particular element. The percentage score is got from the sum of scores obtained in the various domains expressed as a percentage of the total obtainable score of 14. Following a defined composite score grading, ≥80% is considered as the facility having achieved FULL integration, and ≥25% to ≤79% is considered as the facility having achieved PARTIAL integration and while <25% is considered to be NO integration # noted gaps, recommendations and action plan. Note: Physical/structural domain is not included in the total integration score.
Table 1.
Guidelines for scoring at assessment.
Table 2.
Comparison of levels of laboratory service integration across domains at baseline and three months follow up.