Theresa NeSmith Centers for Disease Control and Prevention Center for Global Health Division of Global HIV/AIDS International Laboratory Branch
PEPFAR Priorities
CDC/International Laboratory Branch Key Activities and Partnerships
Capacity Building and Sustainability
• UNAIDS 90-90-90
• Right Thing, Right Place, Right Time (Right Now)
Impact Action Agenda
Focus Resources and Leverage Finances
Efficiency Action Agenda
Increase Transparency, Oversight and Accountability
Sustainability Action Agenda
Ensuring Availability of Services, Systems, Financing and Policies
Partnership Action Agenda
Impact Through Collaborations
Human Rights Action Agenda
Addressing the Human Rights Challenges
Rapid Test Quality Improvement Initiative
Improving the Quality of Point of Care Diagnostics
6
Completing the Quality Assurance Cycle for uptake and coverage
RTQII
1. Policy
2. Tester Certification
3. Proficiency Testing
4. Standardized HIV Register
5. Post Market Surveillance
6. Site Certification
Partnerships for Quality Diagnostics
World Health Organization (WHO)
African Society for Laboratory Medicine (ASLM)
Foundation for Innovative Diagnostics (FIND)
Cheikh Anta Diop University (CADU)
American Society for Clinical Pathology (ASCP)
Clinical Laboratory Standards Institute (CLSI)
7 Countries (Malawi, Tanzania, Ethiopia, Cameroon, Kenya, Uganda, Zambia
Local Partners
Near POC TB/HIV Diagnostics
TB Diagnostic Test CQI
Evaluating Novel TB Diagnostics
Improving the Laboratory/Clinical Interface
Partnerships for Improved Access to Quality Diagnostics WHO
Global Laboratory Initiative-Africa
ASLM
American Society for Microbiology
FIND
Drug Resistance Quality Assurance and Surveillance
Drug Resistance Data Quality Improvement
Partnerships for Improved Laboratory/Clinical Interface WHO
ASLM
FIND
American Society for Microbiology (ASM)
Senior Laboratory Fellowship Program
Improving Quality of Laboratory Practice (Nurse-Laboratorians)
Equipment Maintenance
Continuous Quality Improvement
Evaluation of New Diagnostics
Partnerships to Support Overarching Initiatives WHO
ASLM
ASM
FIND
ASCP
CADU
CLSI
APHL
Countries
Local Partners
Kenya, Uganda, Tanzania, Malawi, Mozambique, Swaziland
Viral Load Training Tools
Equipment Maintenance
Improved Clinical Uptake and Use
Community/Patient Demand Creation
Specimen Referral Systems
Increased Focus
Ensure Sustainability
Build Capacity Transfer Technology
Administrative and Management Development
Community Laboratory Force
Logistical challenges have been addressed through Periodic on site
mentoring/supervision by the Q-corps
Decrease in turnaround time of proficiency testing program
Capacity building by empowering lower level allows achieving uptake and coverage
Timely data collection and analysis by for implementation corrective actions
Regular site audits using the SPI-RT and mentoring by the Q-corps led to:
Baseline 12 months
in # of testing sites at level 0
84% in # of testing sites at level 3
73%