BD/PEPFAR Laboratory Strengthening Program IOM MEETING 13 APRIL 2010 PRETORIA SOUTH AFRICA DANNI RAMDUTH
Background Global CD4 GLP (Good Laboratory Practices) Training Volunteer Service Trip Program Public Private-sector Partnership with PEPFAR BD Associate Volunteers, Worldwide Support 8 African countries through collaborations with incountry partners 5-year Program valued at up to $18M Non-commercial financial commitment by BD Personnel time and contributions valued at $9M
Uganda Laboratory Quality Management Training Co-taught with 4 other local partners 96 laboratory workers (81 CD4 test sites) trained Training-of-trainers 35% 88% Workshop-in-a-Box EQA now passing TB Specimen Referral Program Phase 1 Training Specimens from non-responding patients need to be referred. Response: Over 900 specimens have been referred properly. Phase 2 Ongoing Site Assessment (GPS/GIS) The quality of culture laboratories and results need to be checked. Response: 600 sites have been mapped. A GIS QA database is being developed Phase 3 - Laboratory Networking / Data Reporting Data needs to be collected, stored and transmitted, electronically to physicians Developing: IT/LIS solutions in the context of TB specimen referral and results to physicians Roles: CD4 Trainer QC Trainer Logistical Coordinator Mycobacteriologist (TB) IT Engineer
MDR TB
African Centre for Integrated Laboratory Training (ACILT) With Implementation Partners ASM; FIND; CDC; NICD; Institute d Pasteur South Africa (x4) Cote d Ivoire (x1) Roles: Mycobacteriologist (TB) Anglophone Francophone Laboratory Training to Detect and Identify Mycobacterium Tuberculosis 10 Day Course
Mozambique Phlebotomy and Specimen Management Completed Operational QA Planning meeting Completed Quality Mentorship and Lab Assessments Ongoing Roles: Quality Assurance Manager
Ethiopia Needs Assessment towards a Specimen Referral Network to Design and Implement a Specimen Referral Linkage System using Map referring sites using GPS / GIS technology Roles: Flora Bii Curriculum Developers Quality Assurance Manager IT or other technical expertise
Cote d Ivoire Completed: TB Culture Workshop March 2010 Roles: Assistance provided through partnership with ASM, Institute d Pasteur Upcoming: Specimen Referral Program assessment and Training
Fundamental Building Blocks for a Successful Lab Strengthening Program Improve Infrastructure & Maintain it Build Alliances to Develop Local Capacity & Ownership Plan Strategically Develop Human resources Develop Leaders Network Laboratories Introduce New Technology Ensure Quality
Summary BD, in a non-commercial capacity, is working with NGOs and governments to strengthen laboratories as an implementing partner with PEPFAR. Over 183 healthcare workers from 10 African countries have benefited from this program since the agreement was signed. BD is publishing with CDC/PEPFAR on the PPP and Uganda LQM Program to create more awareness. Internally, we conduct strategic planning with PEPFAR to improve efficiencies and capabilities. Metrics-based results with positive feedback from US State Dept and CDC has prompted a Best Practices case study to be published. Ours is a model partnership.
Summary BD/PEPFAR is Strengthening Laboratory Systems in unique ways Defining new volunteer roles and opportunities with partners Assisting with EQA capabilities in country Identifying Sustainability Models with new partners Improving BD associate capability and recognition Helping All People Live Healthy Lives