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Background: Neonatal hyperbilirubinemia is a widespread and significant clinical problem among neonates worldwide. Globally, every year about 1.1 million babies develop it and the vast majority reside in South Asia and sub-Saharan Africa. Studies on magnitude and factors associated with neonatal hyperbilirubinemia are limited in Ethiopia. So this study was aimed at assessing the prevalence and associated factors of neonatal hyperbilirubinemia among hospitalized neonates in the neonatal intensive care unit of Jimma Medical Center (JMC), Jimma, South West Ethiopia. Methods: Hospital-based cross-sectional study was conducted at JMC from July 24 to October 19, 2020. A total of two hundred twenty-two neonates with their mothers were included and conveniently selected. Data was collected by interviewing mothers through structured questionnaires and reviewing neonates' medical records using a checklist. Multivariable binary logistic regression analyses were employed to identify factors associated with neonatal hyperbilirubinemia. Results: from a total of neo-maternal pairs included in the studies; the proportion of Neonatal hyperbilirubinemia was found to be 94(42.3%). Neo-maternal ABO incompatibility 33 (35.1%), prematurity41 (43.6%), sepsis 35 (37.2%), Neonatal birth asphyxia 20 (21.2%), and Rh isoimmunization 10 (10.6%) was significantly associated with neonatal hyperbilirubinemia.Conclusion and Recommendations: The prevalence of neonatal hyperbilirubinemia in the study setting was high. Antenatal care (including both mother and fetus detail examination and follow-ups) as well cautions during labor need to focus since Neonatal hyperbilirubinemia-associated factors were maternal and neonatal. Hence, further assessment, early intervention, and timely treatment are important to mitigate the burdens in neonates due to hyperbilirubinemia.

Background: The international consensus group suggested criteria for action following automated complete blood count and white blood cell differential analysis. These criteria were set based on data from laboratories of developed countries. It is highly important to validate the criteria in developing countries where infectious diseases are still rampant that can affect blood cell count and morphology. Thus, this study was aimed to validate the consensus group criteria for slide review at Jimma Medical Center, Ethiopia from February 1 to May 30, 2020. Method: The study comprised a total of 1685 patient samples from the daily laboratory workload of CBC analysis. The samples were collected in K2-EDTA tubes (Becton Dickinson) and analyzed using Coulter DxH 800 and Sysmex XT-1880 hematology analyzers. Slide review was done on two Wright-stained slides for each sample. All statistical analysis were performed using SPSS version 20 software. Result: There were 39.8% positive findings, majority of which were related to red blood cells. The false negative and false positive rates for Sysmex and Coulter analyzer were 2.4% vs. 4.8%; and 4.6% vs. 4.7%, respectively. The false negative rate was unacceptably higher when we used physicians’ triggered slide review, which was 17.3% and 17.9% for Sysmex and Coulter analyzer, respectively. Conclusion: Generally, the consensus group rules are suitable to use in our setting. However, we might still need to modify the rules, particularly to reduce the review rates. It is also necessary to confirm the rules with case mixes proportionally derived from the source population.

Background: Healthcare providers are vital clients of the clinical laboratory. Problems in laboratory services have a significant impact on healthcare providers diagnosis, intervention, or prevention strategies during patient healthcare. Healthcare providers satisfaction was not assessed in the study area. So, the study aimed to evaluate their satisfaction, which helps improve laboratory services and serves as a prerequisite for accreditation. The study aims to assess healthcare providers satisfaction associated factors with laboratory services among all government hospitals in the southwest Shewa zone, Oromia, Central Ethiopia 2022. Methods: A cross-sectional study was conducted on 314 healthcare providers from June to July 2022. Healthcare providers who met the eligibility criteria and volunteers were included. Before being exported to SPSS version 25, the data were coded and entered into Epi Data version 3.1 for completeness checks. After descriptive statistics were performed, variables were subjected to bivariate and multivariable logistic regression analysis to identify associated variables and variables with a p-value < 0.05 were considered statistically significant. Finally, the results were shown in the text and table. Results: According to the study, 54% of healthcare providers were satisfied with laboratory services. The assistance of the lab. Handbook (AOR=1.676, 95% CI=1.002, 2.801), notification of the change in services (AOR=1.735, 95% CI=1.029, 2.925), getting urgent test results in time (AOR=2.349, 95% CI=1.39, 3.68), courtesy of laboratory Staff (AOR=1.924, 95% CI=1.115, 3.321), reliable or quality of lab. result (AOR=3.69, 95% CI= 2.083, 6.538), and consistency of laboratory quality services (AOR=1.706, 95% CI=1.012, 2.875) were factors significantly related to satisfaction. Conclusion: About half of the healthcare providers were dissatisfied with laboratory services. Therefore, to increase the satisfaction of healthcare providers hospital administrative and laboratory staff, they should work together on the identified factors. In order to determine overall clients satisfaction with laboratory services, an assessment of patient satisfaction will be required

Background The international consensus group suggested criteria for action following automated complete blood count and white blood cell differential analysis. These criteria were set based on data from laboratories of developed countries. It is highly important to validate the criteria in developing countries where infectious diseases are still rampant that can affect blood cell count and morphology. Thus, this study aimed to validate the consensus group criteria for slide review at Jimma Medical Center, Ethiopia from November 1, 2020 to February 30, 2021. Methods The study comprised a total of 1685 patient samples from the daily laboratory workload of CBC analysis. The samples were collected in K2-EDTA tubes (Becton Dickinson) and analyzed using Coulter DxH 800 and Sysmex XT-1880 hematology analyzers. A slide review was done on two Wright-stained slides for each sample. All statistical analyses were performed using SPSS version 20 software. Results There were 39.8% positive findings, the majority of which were related to red blood cells. The false negative and false positive rates for Sysmex and Coulter analyzer were 2.4% vs 4.8%; and 4.6% vs 4.7%, respectively. The false negative rate was unacceptably higher when we used physicians’ triggered slide review, which was 17.3% and 17.9% for Sysmex and Coulter analyzers, respectively. Conclusion Generally, the consensus group rules are suitable to use in our setting. However, we might still need to modify the rules, particularly to reduce the review rates. It is also necessary to confirm the rules with case mixes proportionally derived from the source population.