Abstract:

Approximately 70% of medical decisions require a confirmatory laboratory test. This reliance highlights the critical role of laboratory medicine in enhancing healthcare outcomes and the need for appropriately trained and skilled laboratorians. To assess levels, types, composition and training of laboratory professionals in response to the changing needs in Africa,  we surveyed medical laboratory professionals in Africa on their demographics and challenges encountered during training and what would be consider as a minimum course content for a medical laboratory training program. Of the 285 professionals from 30 countries surveyed, 88% were working within their countries of birth and 82% trained at public institutions. 89.5% were employed and 151 (53%) had a bachelor’s degree as their primary laboratory qualification. 63% expressed satisfaction with their career growth. Courses recommended into the primary laboratory qualification were microbiology, biosafety, biosecurity, hematology, chemistry, blood transfusion, immunology, laboratory management, attachment, molecular biology, research methods, histology and cytology. Challenges faced during training were lack of resources and equipment, limited clinical exposure, insufficient curriculum coverage and inadequate faculty staff. 30.9% of the professionals had at least one additional medical qualification. Employment status was significantly associated with satisfaction with one’s career growth (p=004). A 4-year bachelor’s degree with 12 months of internship is recommended for Laboratory training with microbiology, biosafety and biosecurity, hematology, chemistry, blood transfusion, immunology, laboratory management, internship, molecular biology, research methods, histology and cytology as minimum content. More laboratory-specific disciplines for post-graduate training up to PhD level, associated with defined career paths adequately compensated are recommended.

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