Assessment Of Histopathology Services In Ethiopia

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Background: The scarcity of having histopathology laboratory in the nation will cause therndifficulty to diagnose as well as follow up cancer diseases. Besides, the scarcity of professionalsrnalso contributes for the lack of the service in developing countries like Ethiopia. Laboratoryrnlaboratory personnel per year were 508 and 640. The lowest turnaround time (TAT) of 1 weekrnfor biopsy samples analysis was achieved by KGH and AFGH while three teaching hospitals hadrnlonger TAT of 30 days. (JUSH, HUH, ASUH)rnConclusion: There is a scarcity of a histopathology laboratory set up as well as of pathologistsrnand laboratory personnel. The available histopathology laboratories are not adequate and theirrndistribution is concerned in Addis Ababa and major cities: besides; there is no histopathologyrnlaboratory in two regions of the country (Afar and Somali regions).rnRecommendation: The Federal Ministry of Health (FMoH) must give attention to the regularrndistribution of histopathology laboratory service to avoid unnecessary traveling to find thernsimplest technique FNAC by the population. Moreover, establishing a sample referral networkrncould help address the unmet gap as cancer is on the rise. It also recommended the training ofrnpathologists as well as histotechnologists and establishment of new histopathology laboratoriesrnat non-available areas of the country.rnrntechnicians who do not have proper training and experience are active in the currentrnhistopathology laboratories in these countries.rnObjective: To assess the histopathology laboratory practices in Ethiopia.rnMethod: Cross sectional study-design, and convenient sampling method were used. Data wererncollected by using pretested observational checklist. The Principal Investigator (PI) collected therndata in April 2015 at all histopathology laboratories in Ethiopia, which practice investigation ofrnboth biopsy and cytology, Fine Needle Aspiration Cytology (FNAC) and have set up ofrnhistopathology laboratory. The number of histopathology specimen per year computed the datarnby the number of pathologists and laboratory personnel in that laboratory. Data was entered andrnanalyzed using Microsoft Excel 2010 software.rnResult: There were 11 histopathology laboratories who set up with equipment except Afar andrnSomali region where no histopathology laboratories were available. The available laboratoriesrnprocess and diagnose biopsy as well as FNAC. About 55% of laboratories in the country ownedrncryostat. All laboratories own microtome, 82% of the laboratories use automatic tissuernprocessing and embedding machine whereas the rest use manually. All facilities use manualrnmounting and staining method, and 36.4% owned automatic staining machine. Grossingrnequipment and slide warmer table or oven is available at all facilities, whereas slide and blockrnstorage cabinet is available in 54.5% of the laboratories.rnThe number of pathologists range between one and eight where AFGH, AGHMC, GGH havernone. AHRI, KGH, GUH, ASUH, HUH, and JUSH have two. EPHI /St. Paul have four, andrnTASH has eight pathologists: thus the highest number of biopsies per pathologist per year wasrnreceived by EPHI/St. Paul (1144), GGH (1008), and TASH (813). The highest FNAC perrnpathologist per year was practiced by GGH (4800), ASUH (1488), AFGH (1365), HUH (1200),rnand GUH (1196). The overall average numbers of biopsies and FNAC per pathologist per yearrnwere 715 and 901 respectively. Whereas the respective average numbers for histopathology

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Assessment Of Histopathology Services In Ethiopia

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