Factors Influencing the Quality of Medical Laboratory Services  in Sawani bin Adam, Libya

Manal  Hussein Abu-Amaied; Emhamed اBoras; Omro A. Aburas; Mostafa MO Abdoarrahem

doi:10.36602/jsba.2026.21.72

Authors

Manal Hussein Abu-Amaied Department of Life Science, School of Basic Science, Libyan Academy, Tripoli. Libya
Emhamed اBoras Department of Life Science, School of Basic Science, Libyan Academy, Tripoli. Libya
Omro A. Aburas Higher Institute of Science and Medical Technology, Pharmacy Department, Tripoli
Mostafa MO Abdoarrahem Department of Life Science, School of Basic Science, Libyan Academy, Tripoli. Libya

DOI:

https://doi.org/10.36602/jsba.2026.21.72

Keywords:

Medical Laboratory Service, blood analysis, Swani bin Adam, Libya, Quality factors

Abstract

Quality medical laboratory services are very important for effective healthcare delivery, as medical decisions depend on the accuracy and reliability of laboratory test results. In many developing countries, including Libya, laboratory quality management systems remain limited due to the structural and organizational challenges. This study aimed to assess the factors influencing the quality of medical laboratory test results and to evaluate laboratory service quality in Sawani bin Adam, Libya. A cross-sectional study was conducted from January to June 2024 across 22 medical laboratories. Data were collected from 208 laboratory staff using a questionnaire to gather data and identify factors affecting service quality. 100 blood samples from 20 healthy volunteers were analyzed in four local laboratories and one reference laboratory (Abu Salim Trauma Hospital). The findings showed no significant differences in most test results among laboratories, except for White Blood Cell (WBC) count. Most participants 80.8% were aged between 20–30 years, 63% were laboratory technologists and 86.5% worked in public laboratories. Notably, 61.5% of respondents reported that external quality assessment programs were not implemented. About half of participants indicated inadequate service quality, while 58.2% agreed about the absence of customer service management, mainly due to limited resources and poor management. The study identified many factors affecting to quality laboratory, including the lack of standard operating procedures, limited professional development, insufficient supplies, weak quality assessment systems, and inadequate safety measures. The implementing of international laboratory quality standards as part of national policy is recommended to improve laboratory quality and performance in Libya.

References

1. World Health Organization. (1946). Constitution of the World Health Organization. Geneva: WHO.

2. Wenzel, R. P. (Ed.). (1992). Assessing quality health care: Perspectives for clinicians. Baltimore: Williams & Wilkins.

3. European Union, Ministry of Health, & World Health Organization. (2017). Service availability and readiness assessment (SARA) of public health facilities in Libya. Brussels, Libya, and Geneva.

4. Mallapaty, G. (1999). The role of total quality management in raising the service quality of public health laboratories in developing countries. MSc Thesis, University of Derby, UK.

5. Saliki, J. T. (2000). The role of diagnostic laboratories in disease control. Annals of the New York Academy of Sciences, 916(1), 134–138.

6. Neel, L.T., Truchaud, A., Cazaubiel, M., Malvaux, S., & Brochard, H. (1998). Technologies for implementation of quality assurance in the clinical laboratory. Clinica Chimica Acta, 278(2), 103–110.

7. World Health Organization. (2003). Quality assurance in health laboratory services: A status report. Geneva: WHO.

8. Donabedian, A. (1966). Evaluating the quality of medical care. The Milbank Memorial Fund Quarterly, 44(3), 166–206.

9. Schuster, M. A., McGlynn, E. A., & Brook, R. H. (1988). How good is the quality of health care in the United States? The Milbank Quarterly, 76, 517–564.

10. Rusanganwa, V. (2022). Quality of clinical laboratory services in Rwanda. PhD Dissertation, Umeå University, Sweden.

11. Registry Office. (2020). Population statistics of Sawani bin Adam municipality. Libya.

12. Petti, C. A., Polage, C. R., & Quinn, T. C. (2006). Laboratory medicine in Africa: A barrier to effective health care. Clinical Infectious Diseases, 42, 377–382.

13. Abuboker, A. (2014). Factors affecting quality of laboratory services at infectious diseases hospital, Kano, Nigeria. MPH-NFELTP/MED.

14. Plebani, M., Sciacovelli, L., Aita, A., & Chiozza, M. L. (2014). Harmonization of pre-analytical quality indicators. Biochemia Medica, 24(1), 105–113.

15. Lagrosen, Y., & Lagrosen, S. (2005). The effects of quality management: A survey of Swedish quality professionals. International Journal of Operations & Production Management, 25, 940–952.

16. Baidoun, S., & Zairi, M. A. (2003). Proposed model of TQM implementation in the Palestinian context. Total Quality Management and Business Excellence, 14(10), 1193–1211.

17. Zorgani,A.(2010). Implementation of an internationally recognized quality standard (ISO 15189) in Libya.

18. Lundberg, G. D. (1990). Critical values and the public. Journal of the American Medical Association, 263(6), 868.

19. International Organization for Standardization (ISO). (2012). ISO 15189: Medical laboratories – Requirements for quality and competence. Geneva: ISO.

20. Musuka, H., Mano, O., Iradukunda, P. G., Pierre, G., Munyonho, F. T., Moyo, E., & Dzinamarira,T.(2025). Global health development aid initiatives and the quality of medical laboratory services in sub-Saharan Africa: a narrative review. Global Health Journal, 9(2), 104-112.

21. Shedura, V. J., Malindisa, K. K., & Nanyanga, S. J. (2025). Implementation of laboratory quality management system: A cornerstone for enhanced patient safety and clinical outcomes in Tanzania. Journal of Interventional Epidemiology and Public Health, 8(4), 84.