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Sample Transport Optimization: Mali Pilot Study.

Hamadoun Kassambara1, Marjorie Larson Nana1, Famory Samassa1

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Utilizing Mali

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Area of Science:

  • Public Health
  • Laboratory Medicine
  • Logistics

Background:

  • Centralized laboratory testing for dangerous pathogens in Mali necessitates efficient specimen transport.
  • Current ad hoc transport systems risk specimen spoilage, delays, and biosafety breaches.
  • Ensuring specimen integrity and timely delivery is critical for accurate diagnostics.

Purpose of the Study:

  • To evaluate the effectiveness of a trained postal service for transporting diagnostic specimens from district to central laboratories in Mali.
  • To compare the postal service's performance against the existing public transport system regarding timeline, specimen quality, and cost.
  • To assess the feasibility of using the postal service for infectious disease sample transportation.

Main Methods:

  • A pilot study comparing specimen transport via public transportation versus a trained postal service in three districts over a one-year period.
  • Data collection focused on specimen receipt time, condition upon arrival, and associated costs.
  • Analysis included 41 specimens shipped via public transport and 51 via postal service, covering meningitis, measles, yellow fever, and polio samples.

Main Results:

  • The postal service delivered 71% of specimens within 72 hours, significantly faster than public transport at 46% (p < .05).
  • Specimen quality upon arrival was higher with the postal service (98%) compared to public transport (93%).
  • The postal service incurred an average cost 8 times higher per specimen, though direct cost comparison was challenging.

Conclusions:

  • The trained postal service is a feasible option for transporting diagnostic specimens in Mali, offering improved speed and specimen quality.
  • Faster transit times via postal service contribute to preserving specimen integrity for dangerous pathogens.
  • Further investigation into cost-effective mechanisms for postal specimen transport is recommended.