[Analysis of capabilities of microscopic examinations of in Dongxihu District, Wuhan City].

OBJECTIVE

To investigate and analyze the capabilities of microscopic examinations in medical and health organizations in Dongxihu District, Wuhan City, so as to provide evidences for achieving the standard of malaria elimination and malaria control in the future.

METHODS

The basic information of the laboratorians and the hardware facilities in 15 microscopic examination stations of were collected and analyzed from 2010 to 2015. Meanwhile, the quality of making, dyeing, cleanliness of all the negatives blood smears were evaluated, and all the positive smears were re-checked in the district during the period above mentioned.

RESULTS

Totally, there were 28 laboratorians and 9 qualified microscopes in 15 microscopy stations in Dongxihu District. The age of the laboratorians in the first-level and third-level organizations was mainly from 40 to 50 years old, but the age of those in the second-level organizations was from 20 to 30 years old. The years for microscopic examination working of most of the laboratorians in the first-level and third-level organizations were more than 15 years, while the working years of those in the second-level organizations were mainly less than 10 years. The education level of the laboratorians in the first-level organization was mainly (50.00%) junior college, while the education levels of those in the second and third organizations were mainly bachelor. From 2010 to 2015, 8 561 blood smears were produced and 539 of them were reviewed, the coincidence rates of review were all 100%, and the average qualified rates of making, dyeing, and cleanliness of the negative blood smears were 82.08%, 79.92% and 83.33%, respectively. All the rates mentioned above in 2015 were higher than those in 2010 ( = 26.45, 16.85, 13.93, all ＜ 0.01).

CONCLUSIONS

The capability of microscopic examinations of has improved obviously in Dongxihu District, but the human resources construction and hardware input in this district should be improved, meanwhile, the check on the quality control of microscopic examinations of should be continued, so as to guarantee the sustainable and healthy development of malaria control work in this district.