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Inconsistent availability of laboratory services weakened the facility's diagnostic capacity.
The data collectors interviewed the heads of district health offices or persons in charge at health facilities for information about health facility type, year of establishment, ownership, and availability of TB control services (availability of laboratory services, reagents, drugs, and treatment facilities).
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All 10 of the assessment tools evaluated the availability of some form of laboratory services, while only 7 assessed the availability of diagnostic imaging.
The UCBHFA annual report of 2007 points out that there has been additional quality improvement to meet demands by members of the schemes; examples are a reduction in waiting times, introduction of laboratory services and availability of qualified staff to treat scheme members.
Overall availability of facilities was lowest in the domains of laboratory services and human resource.
All these act as barriers to uptake of laboratory services.
Diagnosis of these cases owed more to the availability of appropriate laboratory services than to clinical recognition of WNV infection.
Furthermore, in rural HCs, the limited availability of laboratory and clinical services did not affect women's adherence to ARVs.
Hospital case management of seriously ill children is a challenge in middle and low income countries, mostly due to few resources for diagnosis and treatment, staff availability, and laboratory services [ 13, 15].
However, accurate laboratory tests require complex collection methods and a lack of availability of reliable point-of-care (POC) laboratory services makes these recommendations difficult to follow [ 2].
Non-compliance was therefore not caused by waiting for availability of laboratory results.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com