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RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Malaria Surveillance and Laboratory Quality Assurance Project
(Regional Capacity Development Technical Assistant)
Presented by Soy Ty KheangURC-ADB Team Leader
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Background
‒ The Malaria Surveillance and Lab Quality Assurance (QA) Project is funded by the Asian Development Bank and implemented by University Research Co., LLC (URC)
‒ Time frame: 18 months, May, 2016 - December, 2017‒ Managed and implemented in collaboration and coordination with
the National Malaria Control Program (NMCP) and National Health Laboratory (NHL) at all levels and other relevant stakeholders
‒ Focus: Strengthening malaria diagnostic services, surveillance system and data use
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Project Target AreasState/
Region Townships Project Activities HFs/VMWs
Mon
Mawlamyine Lab QA+ surveillance‣ VMW: 120‣ SC: 126‣ RHC: 39‣ Hospital: 5
Belin Lab QA+ surveillance
Kyaikto Lab QA/QCPaung Lab QA/QC
Sub-total 893,304
Sagaing
Monywa Lab QA + surveillance‣ VMW: 136‣ SC: 186‣ RHC: 46‣ SH: 12‣ Hospital: 12
Hkamti Lab QA+ surveillance
Phaungbyin Lab QA+ surveillance
Pale Lab QATaze Lab QA
Homalin Lab QASub-total 1,055,629
Grand-total 1,948,933
Mon State Sagaing Region
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Objectives
Project Objectives:‣ To strengthen the existing data management system for
malaria surveillance (NMCP)‣ To improve laboratory diagnostic quality assurance
(NHL-NMCP)
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Strategic Approach Surveillance:‣ Paper-based reporting system‣ Access database for data storing‣ Piloting at Mawlamyine, Belin &
Hkamti with mDMS (a mobile Data Management System with Access DMS + mobile applications for volunteers and BHS from NMCP)
Laboratory QA: improve malaria diagnosis ‣ Revise Malaria Microscopy and Lab QA
Manual & SOPs‣ Quality Microscopy at hospitals (10
townships)‣ Quality RDT diagnosis at the volunteer
and BHS levelWith strong collaboration among the DOPH (NMCP) and DOMS (NHL)
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Malaria Surveillance− Continue to support the routine paper-based reporting
system− Strengthen surveillance by using access database − Pilot real time notifications of malaria cases in three
townships− Case investigation within 72 hours and response in 7-
days (1-3-7 approach)− Supervision, monitoring and evaluation with NMCP
& NHL
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Laboratory QA−Baseline assessment conducted−Updated/revised malaria microscopy SOPs and lab QA manual−Created malaria microscopy algorithm for lab technicians−Scheduled to train lab technicians for Lab QA and microscopy−Lab QA: ‣ Cross Checking (NMCP)‣ Panel Testing (NHL)‣ On-the-Job/refresher training
−Supervision and monitoring now operational by core group (NMCP, NHL & ADB)
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Approved SOP and Manual of Malaria Microscopy
Printed and distributed:‣ 1,500 Malaria Microscopy SOPs to hospitals‣ 500 Manuals on laboratory QA for Health
Authorities, S/R VBDC, S/R Pathologist, NMCP, NHL
Malaria Microscopy Algorithm
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Guideline, Manual and SOP for mDMS
3. SOP on Mobile Application for Volunteers
4. SOP on Mobile Application for BHS
1. Guideline
2. Manual on Access
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Commodities SupplyMalaria Surveillance‣ Central Server (1)‣ Laptops (31)‣ Mobile Phones (200)‣ External HDDs (21)‣ Printers (11)‣ Cartridges (44)‣ Projectors with Screens (8)‣ Sim Card Router (12)
Note: All commodities are received and are being distributed to Central, S/R & Townships
Laboratory QA‣ Microscopes (31) (4 for NHL, 10 for Sagaing & 17 for Mon)‣ Microscopes with Digital Camera (1) (NHL)‣ 5 headed multi-viewing teaching microscope (1) (NHL)‣ Lab equipment and reagent for malaria microscopy
Equipment and fixtures ‣ Furniture (cabinet & bench)‣ Desktop Computers (13) Printer (4)‣ Generators (10)Note: All the equipment and fixtures will be delivered directly to the related laboratories
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
TOT Training on mDMS at Mawlamyine20-26 November, 2017
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Challenges ‒ Poor mobile services and internet connection in remote areas‒ Delayed arrival of commodities limited time for
implementation‒ Private sector engagement in malaria prevention and control ‒ Engagement of other ministries and stakeholders for malaria
elimination‒ When approaching malaria elimination lack of day to day
slides examination skill become declining gradually despite of repeated training
RMTF Best Practices Workshop4 Dec 2017, Naypyidaw, Myanmar
Way Forward‒Continued dissemination and training using approved SOPs and manual for
Lab QA and malaria surveillance ‒Advocacy and capacity building of private sector partners including service
providers ‒Strengthening malaria case notification and data surveillance ‒Engagement of other Ministries for malaria elimination‒Supportive supervision and mentoring support at all levels‒Quality malaria report and lab QA to NMCP‒Expanding program strategies to other states and regions‒Documentation of lessons learnt and success stories