EXTERNAL EVALUATION OF THE QUALITY OF RAPID TESTING OF HUMAN

IMMUNODEFICIENCY VIRUS IN MOZAMBIQUE, 2016 – 2017

GÉRCIO 1**
CUAMBA , EDSON 2
ZITA , 1
FLORA MULA , 1
IMELDA CHELENE ,
THEBORA 1
SULTANE , 1
LARA DIMANDE , PATRINA
2
CHONGO , ZAINABO LANGA1
1Serology Laboratory –Instituto Nacional de Saúde 2National Program for External Quality Assessment

Poster Number: PS-2.2-066

Introduction
Panel 1 Panel 2 Panel 3
In order to identify the main problems related to the testing of Human Immunodeficiency Virus (HIV), the Instituto Nacional de Saúde (INS) introduced Participants False- False- Final False- False- Final False- False- Final
the Quality Assurance Program for HIV Virus Screening in 2006 with approximately 25 participants, with more than 10 000 of them being 450, a rather
Positive Negati result Positive Negative result Positive Negative result
insignificant figure compared to the total number of providers in the country. In order to circumvent this scenario, the INS has designed the
decentralization strategy, which consists of the preparation of the panels in each of the provinces. This strategy not only ensures the expansion of the ve
participants, but also the rapid intervention for places with low performance. Clinical laboratory 1 2 2 4 6 8 2 12 12
Blood bank 0 0 1 1 1 2 1 5 6
Table 3. Distribution of error type per participant.
Health Counseling and Testing 2 2 5 3 8 11 5 8 12
Objective Vertical Transmission Prevention 8 2 8 3 8 5 2 11 10
Tuberculosis Control 1 2 1 3 3 5 2 4 3
To evaluate the performance of participants in HIV serology proficiency panels between 2016-2017. Consultation
Community Counseling and 2 1 2 1 0 2 0 4 5
Testing
Methods TOTAL 14 9 19 15 26 33 12 44 48

Performance Expiration date Algorithm Final result

Unacceptable: Out 100% 100%

Unacceptable: In < 80% 100% Table 1. Criteria for performance evaluation

of participants. Figure 1. Overall performance per panel.
Acceptable: In ≥ 80% 100%

Excellent: In 100% 100%

Results
In general, participants did not respond 100% to the panels, which may affect the identification of problems related to rapid HIV testing. Of the 225
participants (panel 1), 198 responded and 178 obtained acceptable results. Most of the services were from the Prevention of Vertical Transmission (62),
and these presented a higher frequency of error (18), where the most frequent error was the final result (19) and the performance was 89.9%. In panel
2, 221 participated and 220 responded, of which 161 had acceptable results. Most were from Counseling and Health Testing (61). The error in the final Conclusions
result was more frequent (33) and the performance was 80.5%. And panel 3 had 221 participants where 201 responded and of these, 165 had
acceptable results. Most of the participants (59) were from the Counseling and Health Testing Services, however, a higher frequency of errors was 1. In all three panels, both response rate and performance were below 100%.
found in clinical laboratories (28) and the performance was 82.1%. 2. The non-acceptable results were due to errors in the final result, false-positive and false-negative results.
3. And the participants with the highest frequency of errors were the Prevention and Vertical Transmission and Health Counseling and Testing services
Total number of participants Reply to panel Answer with Error
Participants P1 P2 P3 P1 P2 P3 P1 P2 P3
Clinical laboratory 57 56 59 48 51 56 2 9 13
Blood bank 21 21 23 20 19 22 1 2 6 Keywords
Health Counseling and Testing 48 68 63 42 61 59 5 12 13
External Quality Assessment, Serology, Human Immunodeficiency Virus, Mozambique
Vertical Transmission 68 47 46 62 42 39 8 9 11
Prevention
Tuberculosis Control 16 16 16 14 15 12 2 5 5 Table 2. Participant attendance by panel .
Consultation
Community Counseling and 15 13 14 12 12 13 2 2 5 References
Testing
TOTAL 225 221 221 198 200 201 20 39 39 • Bharat S. Parekh, et al (2010), Dried tube specimens: A simple and cost-effective method for preparation of HIV proficiency testing panels and quality
control materials for use in resource-limited settings, Journal of Virological Methods
• Programa Nacional de Avaliação Externa de Qualidade (2018), Brochura do Programa Nacional de Avaliação Externa de Qualidade, Volume 1, Edição 2,
Moçambique
Contact: gerciocuamba@gmail.com