DIAGNOSTICS

Diagnostic has a program area was created in 2013 after the emerging of laboratory, Radiography and Sonography departments as collection in the hospital.

Our goal: To offer affordable, sustainable, and high quality laboratory, radiology and imaging services for better patient management.

Laboratory

Bwindi community hospital laboratory is one of the best performing laboratories in the whole of south western Uganda as ranked by Star-South West; an NGO fighting HIV in South Western Uganda.

 

The laboratory has rapidly developed for the past ten years and has expanded to six full time staff comprised of four technical and two support staff from one staff when the hospital was still a small Health Centre in 2004. Currently, the lab carries out averagely 2,510 test per day; and run daily Quality Control on all our tests. We also participate in national Quality Assurance schemes although currently not enrolled in any international Quality assurance schemes. As we continue to develop our testing capacity and patient services our aim is to offer affordable, sustainable, and high quality laboratory services in the region.

Services and sections

We offer our services to two categories of patients; Out Patients, In Patients services and also participates in all community outreaches, medical camps, Voluntary Counseling and Testing (VCT) outreaches.
Out patients department services from 8:00am-5:00pm Monday to Saturday and 2:00pm-5:00pm on Sunday Inpatients department services are open 24 hrs /7 days a week.

Tests and investigations

Currently, the lab carries out the following tests on a routine basis with others being referrals.


Main Laboratory
1. Biochemistry

Blood sugar (RBS, FBS, and OGTTS), Renal Function Tests, Liver

Function Tests, A few Electrolytes (Sodium, potassium, Chloride), blood smear for microscopy for microfilaria


2. Heamatology/Blood transfusion

Hemoglobin levels, Hemogram CBC/FBC, Malaria smear, ESR, Blood Grouping and Cross match, sickling test


3. Microbiology

Sputum analysis, urinalysis, stool analysis, pus swab analysis including high vaginal swab and urethral discharges, semen analysis,BAT for Brucellosis, CD4 for HIV clients, HIV testing, RPR test for syphilis, cerebrospinal fluid analysis, analysis of body fluids and aspirates including lymph node,pleural effusions, peritoneal fluids,HCG, among others


4. Histopathology

All samples are currently being referred

Out sourced tests/ sample referrals:

All histopathology samples, DBS, viral loads, sputum for cultures are processed and arranged for referral. Because of our stringent quality control policy, we were ranked the best by Star South West and the Uganda Protestant Medical Bureau. Our biggest objective is accreditation to internationalstandard some time to come.

Quality control policy and sample referral

Though we are crippling with a number of challenges, we are able to maintain quality work in the lab and restore confidence in our clients, a reason we have become a referral centre in the area for sample investigations. The lab intensively participates in both internal and external quality control at least on a weekly basis; refer some samples including DBS, viral loads, sputum for culture and sensitivity. Because of our stringent quality control policy, we were ranked the best by Star South West and the Uganda Protestant Medical Bureau. Our biggest objective is accreditation to international standard in the next two years.

Challenges

Much as the lab has achieved a lot during this period, a lot still has to be done to meet the increasing demand from the catchment area and improving on the quality of our services. Challenges include;

  • We are unable to meet increasing needs for more specialized tests: microbiological (bacteriology), Biochemistry (Lipid and Cardiac profiles) investigations. This has led to blind treatment by some clinicians which can easily lead to drug resistance, miss out information on some patients.
  • Lack of modern laboratory equipment still affects the turnaround time of some tests: currently we run manual CBC, semi-automated RFTS/LFTS, use calorimeter HB estimation, and lack of proper functioning freezer and an incubator:this leaves the staffs fully exhausted at the end of the day, delaying patients coupled with increased patients waiting time. These needs automation.
  • Lack of enough funds for expansion space for operation: the laboratory needs expansion to be able to accommodate all the departmental work activities.
  • Lack of biosafety carbinate/hood places personnel to risk of acquiring dangerous infections like TB while carrying out laboratory investigations.

Case Scenario

Professor Kristine, a German professor of microbiology has for long wanted to see microfilaria. On her tour to the hospital, she suggested spending some minutes in the lab and fortunately we had kept this slide. It was one of her rare days to see this interesting protozoon and suggested carrying the slide to Germany.

 

Below are the names of the diagnostics laboratory staff members

          • SSEDYABANE FRANK, MLSO, HEAD OF DIAGNOSTICS
          • ISABIRYE GIDEON, LABORATORY TECHNICIAN
          • MWOROZI JOSEPH, LABORATORY ASSISTANT
          • MUTABAZI JOYCE, LABORATORY ASSISTANT
          • NATUKUNDA VICTOR, CLINICAL SUPPORT WORKER