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Uganda Virus

UGANDA VIRUS RESERCH INSTITUTE Research Institute


NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
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Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 21Q2


Delivery mode KABALE HUB Date of Dispatch 02-Jul-2021
Department MAIN LAB Date Received 16-Jul-2021
Ownership MoH/Govt Recieved by JUDE BUSINGYE
Sub county Date Reconstituted 16-Jul-2021
District Kabale Date Sample Tested 17-Jul-2021
Region Date Results Received at UVRI 28-Jul-2021

CONTACT DETAILS

Site Supervisor SATURDAY JAMES Testing Personnel BUSINGYE C. JUDE


Telephone Telephone 772344252

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL SYPHILIS RDT 27 A2001SY Jul-2021

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 19Q4-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 19Q4-2 Reactive Reactive Positive Positive PASS
UVRI SYP 19Q4-3 Reactive Reactive Positive Positive PASS
UVRI SYP 19Q4-4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 19Q4-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 19Q4-6 Non-Reactive Non-Reactive Negative Negative PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Jethro Eliezer Tibiita Sign: Date: 14-Sep-2021


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
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Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 20Q2


Delivery mode KABALE HUB Date of Dispatch 20-Jul-2021
Department MAIN LAB Date Received 31-Jul-2020
Ownership MoH/Govt Recieved by RWANDE PASCAL
Sub county Date Reconstituted 03-Aug-2020
District Kabale Date Sample Tested 04-Aug-2020
Region Date Results Received at UVRI 21-Aug-2020

CONTACT DETAILS

Site Supervisor BUSINGYE JUDE Testing Personnel RWANDE PASCHAL


Telephone Telephone 782411567

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL SYPHILIS RDT 21 A18095Y Sep-2020

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 20Q1-1 Reactive Reactive Positive Positive PASS
UVRI SYP 20Q1-2 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q1-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q1-4 Reactive Reactive Positive Positive PASS
UVRI SYP 20Q1-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q1-6 Non-Reactive Non-Reactive Negative Negative PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Julia Ejang Sign: Date: 14-Sep-2020


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site Sample ID UVRI-SYP QA


Delivery mode Date of Dispatch 01-Jan-1970
Department Date Received 01-Jan-1970
Ownership Recieved by
Sub county Date Reconstituted 01-Jan-1970
District Date Sample Tested 01-Jan-1970
Region Date Results Received at UVRI 01-Jan-1970

CONTACT DETAILS

Site Supervisor Testing Personnel


Telephone Telephone

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit 01-Jan-1970

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP -1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP -2 Reactive Reactive Positive Positive PASS
UVRI SYP -3 Reactive Reactive Positive Positive PASS
UVRI SYP -4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP -5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP -6 Reactive Reactive Positive Positive PASS

Your Percentage Score % Overall Status


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Sign: Date: 01-Jan-1970


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 20Q3


Delivery mode KABALE HUB Date of Dispatch 30-Oct-2020
Department MAIN LAB Date Received 24-Nov-2020
Ownership MoH/Govt Recieved by MBONYE ANDREW
Sub county Date Reconstituted 24-Nov-2020
District Kabale Date Sample Tested 25-Nov-2020
Region Date Results Received at UVRI 09-Dec-2020

CONTACT DETAILS

Site Supervisor DR. NANASOPO Testing Personnel MBONYE ANDREW


Telephone Telephone 703872551/772160824

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL SYPHILIS RDT 23 A1901SY 01-Feb-2021

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 20Q3-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-2 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-6 Non-Reactive Non-Reactive Negative Negative PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Denis Olara Sign: Date: 05-Feb-2021


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 20Q3


Delivery mode KABALE HUB Date of Dispatch 30-Oct-2020
Department MAIN LAB Date Received 30-Nov-2020
Ownership MoH/Govt Recieved by AHIMBISIBWE ALEX
Sub county Date Reconstituted 30-Nov-2020
District Kabale Date Sample Tested 01-Dec-2020
Region Date Results Received at UVRI 09-Dec-2020

CONTACT DETAILS

Site Supervisor MBONYE Testing Personnel AHIMBISIBWE ALEXANDER


Telephone Telephone 754824930/782824930

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL SYPHILIS RDT 23 A1901SY 01-Feb-2021

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 20Q3-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-2 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q3-6 Non-Reactive Non-Reactive Negative Negative PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Denis Olara Sign: Date: 05-Feb-2021


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 20Q4


Delivery mode KABALE HUB Date of Dispatch 29-Jan-2021
Department MAIN LAB Date Received
Ownership MoH/Govt Recieved by
Sub county Date Reconstituted
District Kabale Date Sample Tested
Region Date Results Received at UVRI 17-Mar-2021

CONTACT DETAILS

Site Supervisor Mbonye A. Testing Personnel RWANDE PASCHAL


Telephone Telephone 782411567

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL 24 A1901SY 28-Feb-2021

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 20Q4-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-2 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-6 Reactive Reactive Positive Positive PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended
Incomplete form filling observed
FOR PROJECT COORDINATOR

Name: Jurua Felix Sign: Date: 23-Apr-2021


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site OUR LADY OF GOOD HEALTH Sample ID UVRI-SYP QA 20Q4


RUSHOROZA HOSPITAL
Date of Dispatch 29-Jan-2021
Delivery KABALE HUB
mode Date Received 11-Feb-2021

Department MAIN LAB Recieved by Twebaze Alex

Ownership PNFP Date Reconstituted 11-Feb-2021

Sub county KARUBANDA Date Sample Tested 12-Feb-2021

District Kabale Date Results Received at UVRI 26-Feb-2021

Region

CONTACT DETAILS

Site Supervisor Testing Personnel TWEBAZE ALEX


Telephone Telephone 779212900

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit HIV/SYPHILIS DUO 24 06ADF017A 10-Jun-2022

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 20Q4-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-2 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-4 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 20Q4-6 Reactive Reactive Positive Positive PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: B Kalema James Sign: Date: 08-Apr-2021


Uganda Virus
UGANDA VIRUS RESERCH INSTITUTE Research Institute
NATIONAL SYPHILIS SEROLOGY QA/QC QA/QC PROJECT
SYPHILIS PROFICIENCY TESTING PROGRAM UVRI Toll Free:
0800100410
��� ������ ������
Uganda National Health
Research Organisation

FEED BACK REPORT

TESTING SITE DETAILS SAMPLE SPECIFICATIONS

Testing Site KABALE R R HOSPITAL Sample ID UVRI-SYP QA 21Q1


Delivery mode KABALE HUB Date of Dispatch 07-Apr-2021
Department ACUTE CARE UNIT Date Received 19-Apr-2021
Ownership MoH/Govt Recieved by Mbonye Andrew
Sub county Date Reconstituted 19-Apr-2021
District Kabale Date Sample Tested 20-Apr-2021
Region Date Results Received at UVRI 04-May-2021

CONTACT DETAILS

Site Supervisor Mbonye Andrew Testing Personnel RWANDE PASCHAL


Telephone Telephone 782411567

KIT DETAILS

Name of Test Kit Batch # Lot # Expiry Date


SYPHILIS Kit ASTEL 25 A2001SY 30-Jul-2022

RESULTS

Test Result Expected Result Final Result Expected Final Result Grading
UVRI SYP 21Q1-1 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 21Q1-2 Reactive Reactive Positive Positive PASS
UVRI SYP 21Q1-3 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 21Q1-4 Reactive Reactive Positive Positive PASS
UVRI SYP 21Q1-5 Non-Reactive Non-Reactive Negative Negative PASS
UVRI SYP 21Q1-6 Non-Reactive Non-Reactive Negative Negative PASS

Your Percentage Score 100% Overall Status PASS


Final Comments/Corrective Action Recommended

FOR PROJECT COORDINATOR

Name: Jurua Felix Sign: Date: 23-Jun-2021

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