Assessing the Sample Management Practices for Cholera Cases Moving from Chipinge District to Victoria Chitepo Provincial Hospital from 2023-2024.

Abstract

Cholera remains a significant public health concern in Zimbabwe, particularly in resource-limited settings. This study assessed sample management practices for cholera cases transported from Chipinge District to Victoria Chitepo Provincial Hospital from 2023 to 2024. Utilizing a retrospective cross-sectional design, data from 196 out of the 3,057 cholera cases were analyzed, focusing on turnaround times (TAT) for sample transportation, methods and challenges encountered, and sample integrity upon arrival. Results indicated that the average TAT for sample transportation was 2 days, with longer distances correlating to increased transport times. The predominant mode of transportation was bikes (90%), with cars utilized in only 60% of cases. The study identified significant challenges, including poor road conditions and fuel shortages, which impeded timely sample delivery. Despite these barriers, 64% of samples passed visual inspections, and 73% met temperature control standards, suggesting reasonable adherence to quality protocols. The findings highlight that logistical challenges, particularly in transportation and infrastructure, significantly impact cholera sample management. Recommendations include enhancing transportation resources, improving road conditions, and equipping district laboratories with culture facilities to facilitate timely cholera diagnosis and control measures. These interventions are crucial in strengthening the overall cholera response and ultimately reducing morbidity and mortality associated with outbreaks in Zimbabwe.