Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities

Abstract Background The COVID-19 pandemic reaffirmed the importance of high-quality laboratory services in the face of elevated demand for timely COVID-19 laboratory diagnosis. We explored the scale-up experience of the laboratory system in Armenia as well as the successes and challenges it brought...

Full description

Saved in:
Bibliographic Details
Main Authors: Zaruhi Grigoryan, Varduhi Hayrumyan, Serine Sahakyan, Varduhi Petrosyan, Arusyak Harutyunyan
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-21776-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850024965132255232
author Zaruhi Grigoryan
Varduhi Hayrumyan
Serine Sahakyan
Varduhi Petrosyan
Arusyak Harutyunyan
author_facet Zaruhi Grigoryan
Varduhi Hayrumyan
Serine Sahakyan
Varduhi Petrosyan
Arusyak Harutyunyan
author_sort Zaruhi Grigoryan
collection DOAJ
description Abstract Background The COVID-19 pandemic reaffirmed the importance of high-quality laboratory services in the face of elevated demand for timely COVID-19 laboratory diagnosis. We explored the scale-up experience of the laboratory system in Armenia as well as the successes and challenges it brought to the overall laboratory system with the aim to identify lessons that can serve as opportunities for improvement. Methods We conducted a qualitative study to explore the experiences concerning the process of scale-up of the COVID-19 testing network through in-depth interviews with policymakers/experts (n = 6), heads (n = 6) and physicians (n = 3) of private and public laboratories conducting COVID-19 testing. Eight domains of the WHO Laboratory Assessment Tool System (S-LAT) questionnaire guided the study and directed the content analysis. Results According to the findings, within the COVID-19 testing network, numerous advancements were documented across all essential elements of the S-LAT as a result of the COVID-19 response. The most vivid improvements were related to the newly established network of public and private laboratories for COVID-19 testing and related coordination mechanisms, new laboratory information management practices, improved compliance with biosafety measures, novel quality assurance mechanisms as well as improved technical and human resources. However, suboptimal coordination of the COVID-19 testing network and the whole laboratory system, the gap between existing and proper biosafety management and quality control practices, and insufficient training of laboratory professionals were mentioned as potential challenges for the laboratory system in the future. Conclusion The assessment revealed challenges and achievements of the laboratory system during the COVID-19 response. Enhancement of coordination and cooperation mechanisms within and beyond the COVID-19 testing network, continuous improvement of human resources as well as quality and biosafety control practices throughout the whole system are crucial for sustaining the achievements and for strengthening future preparedness of the laboratory system to infectious disease outbreaks.
format Article
id doaj-art-72e14d8cc91d497ea867bf2270d36db7
institution DOAJ
issn 1471-2458
language English
publishDate 2025-02-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-72e14d8cc91d497ea867bf2270d36db72025-08-20T03:00:58ZengBMCBMC Public Health1471-24582025-02-0125111110.1186/s12889-025-21776-7Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunitiesZaruhi Grigoryan0Varduhi Hayrumyan1Serine Sahakyan2Varduhi Petrosyan3Arusyak Harutyunyan4Turpanjian College of Health Sciences, American University of ArmeniaTurpanjian College of Health Sciences, American University of ArmeniaTurpanjian College of Health Sciences, American University of ArmeniaTurpanjian College of Health Sciences, American University of ArmeniaTurpanjian College of Health Sciences, American University of ArmeniaAbstract Background The COVID-19 pandemic reaffirmed the importance of high-quality laboratory services in the face of elevated demand for timely COVID-19 laboratory diagnosis. We explored the scale-up experience of the laboratory system in Armenia as well as the successes and challenges it brought to the overall laboratory system with the aim to identify lessons that can serve as opportunities for improvement. Methods We conducted a qualitative study to explore the experiences concerning the process of scale-up of the COVID-19 testing network through in-depth interviews with policymakers/experts (n = 6), heads (n = 6) and physicians (n = 3) of private and public laboratories conducting COVID-19 testing. Eight domains of the WHO Laboratory Assessment Tool System (S-LAT) questionnaire guided the study and directed the content analysis. Results According to the findings, within the COVID-19 testing network, numerous advancements were documented across all essential elements of the S-LAT as a result of the COVID-19 response. The most vivid improvements were related to the newly established network of public and private laboratories for COVID-19 testing and related coordination mechanisms, new laboratory information management practices, improved compliance with biosafety measures, novel quality assurance mechanisms as well as improved technical and human resources. However, suboptimal coordination of the COVID-19 testing network and the whole laboratory system, the gap between existing and proper biosafety management and quality control practices, and insufficient training of laboratory professionals were mentioned as potential challenges for the laboratory system in the future. Conclusion The assessment revealed challenges and achievements of the laboratory system during the COVID-19 response. Enhancement of coordination and cooperation mechanisms within and beyond the COVID-19 testing network, continuous improvement of human resources as well as quality and biosafety control practices throughout the whole system are crucial for sustaining the achievements and for strengthening future preparedness of the laboratory system to infectious disease outbreaks.https://doi.org/10.1186/s12889-025-21776-7Laboratory systemCOVID-19 responseLaboratory preparednessS-LAT
spellingShingle Zaruhi Grigoryan
Varduhi Hayrumyan
Serine Sahakyan
Varduhi Petrosyan
Arusyak Harutyunyan
Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
BMC Public Health
Laboratory system
COVID-19 response
Laboratory preparedness
S-LAT
title Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
title_full Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
title_fullStr Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
title_full_unstemmed Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
title_short Qualitative assessment of the scale-up of COVID-19 testing network in Armenia: turning adversities into opportunities
title_sort qualitative assessment of the scale up of covid 19 testing network in armenia turning adversities into opportunities
topic Laboratory system
COVID-19 response
Laboratory preparedness
S-LAT
url https://doi.org/10.1186/s12889-025-21776-7
work_keys_str_mv AT zaruhigrigoryan qualitativeassessmentofthescaleupofcovid19testingnetworkinarmeniaturningadversitiesintoopportunities
AT varduhihayrumyan qualitativeassessmentofthescaleupofcovid19testingnetworkinarmeniaturningadversitiesintoopportunities
AT serinesahakyan qualitativeassessmentofthescaleupofcovid19testingnetworkinarmeniaturningadversitiesintoopportunities
AT varduhipetrosyan qualitativeassessmentofthescaleupofcovid19testingnetworkinarmeniaturningadversitiesintoopportunities
AT arusyakharutyunyan qualitativeassessmentofthescaleupofcovid19testingnetworkinarmeniaturningadversitiesintoopportunities