Evaluation of an external quality assessment program for HIV testing in Haiti, 2006-2011

Am J Clin Pathol. 2013 Dec;140(6):867-71. doi: 10.1309/AJCPYWX49IZSQKFS.

Abstract

Objectives: To evaluate an external quality assessment (EQA) program for human immunodeficiency virus (HIV) rapid diagnostics testing by the Haitian National Public Health Laboratory (French acronym: LNSP). Acceptable performance was defined as any proficiency testing (PT) score more than 80%.

Methods: The PT database was reviewed and analyzed to assess the testing performance of the participating laboratories and the impact of the program over time. A total of 242 laboratories participated in the EQA program from 2006 through 2011; participation increased from 70 laboratories in 2006 to 159 in 2011.

Results: In 2006, 49 (70%) laboratories had a PT score of 80% or above; by 2011, 145 (97.5%) laboratories were proficient (P < .05).

Conclusions: The EQA program for HIV testing ensures quality of testing and allowed the LNSP to document improvements in the quality of HIV rapid testing over time.

Keywords: External quality assessment; HIV rapid tests; Proficiency testing.

MeSH terms

  • HIV Infections / diagnosis*
  • Haiti
  • Humans
  • Laboratories, Hospital / standards*
  • Quality Assurance, Health Care*