Evaluation of Thailand national external quality assessment on HIV testing.

Purpose – The Thailand National Institute of Health (NIH) established an external quality assessment (EQA) scheme on HIV serology testing since 1994 for many public health laboratories. For the past six years, the NIH has evaluated the activities of 226 laboratories.Design/methodology/approach – Approximately 40,000 tests using 16 trial samples of external quality assessment panel performed at 226 laboratories during 2000‐2006. The methods performed were classified into five assays; machine‐based enzyme immunoassay (MBA), microplate‐based enzyme immunoassay (EIA), simple/rapid test and antigen assay only performed at blood screening laboratory centers. A few laboratories performed confirmation method by western blot (WB). Most participating laboratories performed at least two methods.Findings – The evaluation showed that, during the six‐year period, the program had an increasing response rate among all groups of laboratories: government hospital laboratories, private hospital and clinic laboratories and b...