Challenges facing the implementation of quality control by radiographers in Tanzania

Wilson Maliyatabu Ngoye; Jenny Motto; Wilbroad Edward Muhogora

doi:10.15392/bjrs.v7i1.752

Autores

Wilson Maliyatabu Ngoye Tanzania Atomic Energy Commission(TAEC)
Jenny Motto University of Johannesburg
Wilbroad Edward Muhogora Tanzania Atomic Energy Commission

DOI:

https://doi.org/10.15392/bjrs.v7i1.752

Palavras-chave:

radiographers, challenges, optimization, quality services

Resumo

Quality control (QC) programme is vital for quality radiological services at low radiation dose and costs. However, the QC implementation by radiographers in Tanzania is inadequate. This study aimed at investigating the challenges facing the implementation of the QC programme by radiographers in diagnostic radiography units in Tanzania and recommend strategies to mitigate the challenges. The study was conducted on a sample of 84 radiographers who have been trained on the QC programme, and who were practicing in 54 hospitals within Tanzania. Majority of respondents agreed that the lack of standardized test tools (98.8%) and lack of managerial support (51.8%) were hindering the QC programme. Also, the lack of care of equipment by radiographers and lack of motivation were identified. The strategies suggested to improve the programme include more enforcement (63.9%), assistance by the government (44.6%), motivation (33.7%) and improvement of the QC training (32.5%). Also, professional development activities and QC awareness to hospital management teams were suggested. It is crucial that the barriers to the QC programme are addressed and the strategies identified are considered if comprehensive implementation of the QC programme is to be realized.

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Biografia do Autor

Wilson Maliyatabu Ngoye, Tanzania Atomic Energy Commission(TAEC)

Radiation Health Physics Research Officer
TAEC - DAR ES SALAAM OFFICE
Jenny Motto, University of Johannesburg

Assistant Dean
Faculty of Health Sciences
Doornfontein Campus
Johannesburg
Wilbroad Edward Muhogora, Tanzania Atomic Energy Commission

Principle Radiation Health Physics Research Officer
Directorate of Nuclear Technology
TAEC - ARUSHA HQ OFFICE

Referências

REFERENCE

FARZANEH, K. J. M.; SHANDIZ, S. M.; VARDIAN, M.; DEEVBAND, M. R.; KARDAN, M. R. The quality control of diagnostic radiology devices in hospitals of Sistan and Baluchestan, Iran. Indian Journal of Science and Technology, v.4(11), p.1458-1459, 2011.

NGOYE, W.; MUHOGORA, W.; MOTTO, J. Quality Control Measures in Tanzania, Is it done?. Journal of Medical Imaging and Radiation Sciences, v.46, p.23-30, 2015.

SUNGITA,Y. Y.; S. L. MDOE, S. L.; MSAKI, P. Diagnostic X-ray facilities as per quality control performances in Tanzania. Journal of Applied Clinical Medical Physics, v.7, p.66-73, 2006.

KORIR, G. K.; WAMBANI, J.S.; OCHIENG, B. O. Optimization of the Radiologi-cal Protection of Patients in Diagnostic Radiology Department at Kenyatta National Hospital in Kenya, Phase 1. THE SECOND ALL AFRICAN IRPA REGIONAL RADIATION CONGRESS, 2007, Ismailia, Egypt, p.161-171, 2007.

OZSUNAR, Y.; CETIN, M.; TASKIN, F.; YUCEL, A, CAN, S.; ARGIN, M.; ARKUN, R. The level of quality radiology services in Turkey: a sampling analysis, Diagnostic and Interventional Radiology, v.12, p.166-170, 2006.

HUTCHINSON, D. C.; COBB, B. J.; JACOB, C. S. A compliance testing for dia-gnostic x-ray equipment, Journal of Applied Radiation and Isotopes, p.237-245, 1999.

PAPP, J. Quality Management in Imaging Science, 4th Ed. St. Louis: Mosby Elsevier, 2011.

RAMANANDRAIBE, M. J.; ANDRIAMBOLOLONA, R.; RAKOTOSON, E.C.; TSAPAKI, V.; GFIRTNER, H. Survey of Image quality and Patient Dose in Simple Radiographic Examinations in Madagascar: Initial results. HEP-MAD 09, Antanana-rivo, Madagascar. 2009. Available at: <http://www.slac.stanford.edu/econf/C0908211/pdf/027.pdf>. Last accessed: 10 Nov. 2017.

United Republic of Tanzania. Atomic Energy Act, No. 7. Dar es Salaam: Govern ment Printer, 2003.

Tanzania Atomic Energy Commission. Atomic Energy (Protection from Ionizing Radiation) Regulations 2004, Arusha: TAEC, 2004.

CHOUGULE, A. Quality Assurance Survey of X-ray Installations in Southern Ra jasthan, Journal of Medical Physics, v.29, p.80-83, 2004.

NIXON, S. Professionalism in radiography, Radiography, v.7, p.31-35, 2001.

HENWOOD, S. Managing quality in Diagnostic Imaging Departments, Radiogra phy, v.2, p.111-117, 1996.

GONZALEZ, J. P. O. Establishing Priorities in Radiological Protection, Radiologi-cal Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Me-dicine and Radiotherapy, PROCEEDINGS OF AN INTERNATIONAL CON-FERENCE HELD IN MALAGA, SPAIN, 26-30 MARCH, 2001. Vienna: IAEA, 2001. p.426-431.

LLOYD, P. Quality Assurance Workbook for Radiographers & Radiological Technologists, Geneva: WHO, 2001.

WHO - World Health Organisation. Global Initiative on Radiation Safety Health Care Settings. Technical Meeting Report, Geneva: WHO, 2008.

MUHOGORA, W. E.; AHMED, N. A.; ALMOSABIHI, A.; ALSUWAIDI, S. J.; BEGANOVIC, A.; CIRAJ-BJELAC, O.; KABUYA, K. F.; KRISANACHINDA, A.; MILAKOVIC, M.; MUKWADA, G.; RAMANANDRAIBE, M.; REHANI, M. M.; ROUZITALAB, J.; SHANDORF, C. Patient Doses in Radiographic Exami-nations in 12 Countries in Asia, Africa, and Eastern Europe: Initial Results from IAEA Projects, American Journal of Radiology, v.190, p.1453-1461, 2008.

SAIA, D. A. Radiography, 2nd ed. London: Prentince Hall, 1999.

BURT, G. X-ray equipment QC-The Radiographer can do it, The Radiographer, v.45, p.35-36, 1998.

CHINAMALE, M, H. An Investigation into the Status of Quality Assurance and Quality Control Measures in Diagnostic X-ray Departments in Malawi, A dis-sertation submitted in fulfilment of the requirements of the Masters Degree in Radiography (Diagnostics), Department of Radiography, Faculty of Health Sciences: University of Johannesburgy, 2010. Available at: http://ujdigispace.uj.ac.za/handle/10210/2589/search. Last accessed: 14 Jan.2018.

INYANG, S. O.; EGBE, N. O.; INYANG, I. S.; OSHI, D. O. Baseline survey of level of quality control in medical radiology in Cross River State, Nigeria, Polish Journal of Medical Physics Engineerin, v.2, p.97-106, 2010.

PERIARD, M. A.; CHARLONER, P. Diagnostic X-ray Imaging Quality Assu-rance: An overview, The Canadian Journal of Medical Radiation Technology, v.4, p.171-177, 1996. Available at: www.hc-sc.gc.ca/ewh-semt/alt_formats/hecs_sesc/pdf/pubs/radiation/quality-assurance-art-qualite/assurance-eng.pdf. Last accessed: 21 Dec. 2017.

HENWOOD, S. Managing quality in Diagnostic Imaging Departments, Radio-graphy, v.2, p.111-117, 1996.

MIHIC, S.; MESTROVIC, T.; PRLIC, I; SURIC, D. Importance of Quality Assu-rance Programme implementation in Conventional Diagnostic Radiology, Coll. An-tropol, v.32(2), p.181-184, 2008.

OLUWAFISOYE, P. A.; OLOWOOKERE, C. J.; OBED, R. I.; EFUNWOLE, H; AKINPELU, J. A. Environmental Survey and Quality Control Tests of X-ray Diagnostic Facility of a Large Nigerian Hospital, International Journal of Research and Reviews in Applied Sciences, v.1(2), p.157-162, 2009.

LIPOTI, J. A. Exposure reduction through quality assurance for diagnostic x-ray procedures, Medical Physics, v.5, p.577-585, 2008.

REHANI, M. M. Protection of Patients in General Radiography. Radiological Pro-tection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy, PROCEEDINGS OF AN INTERNATIONAL CONFE-RENCE ON HELD IN MALAGA, SPAIN, 26-30 MARCH, 2001. Vienna: IAEA, 2001.

Department of Health. Requirements for License Holders with Respect to Quality Control Tests for Diagnostic X-ray Imaging Systems, Code: Diagnostic QC 2009-1 Version 6, Directorate: Radiation Control. Republic of South Africa, 2009. Available at: http://www.doh.gov.za/department/radiation/01.html. Last accessed : 14 Jan.2018.

ABORISADE, R.; OBIOHA, E. The Role of Motivation in Enhancing Job Commitment in Nigeria Industries: A Case Study of Energy Foods Company Limi-ted, Ibadan. Journal of Social Science, v.19(2), p.149-154, 2009.