Laboratory Supply Logistics

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Laboratory Supply Logistics

• Logistics Management Short Course
• DELIVER Project

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A Comprehensive HIV/AIDS Program
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Purpose of Laboratory Services

• Support expanding ART services by
• Diagnosing HIV, STIs, TB, and opportunistic
  infections
• Completing baseline laboratory investigations
  (CBC, liver function, kidney function, CD4 count,
  clinical chemistry, etc.)
• Monitoring response to ART and detecting toxicity
• Support health services

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Commodity Considerations

• How many
• commodities
• does it take to
• test for malaria?

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Commodity Considerations

• 9
• commodities to test for malaria

5 reagents 4 consumables

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Commodity Considerations

• How many different HIV-related tests would be
  conducted at a

• health center lab?

• district hospital lab?

• regional hospital lab?

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Commodity Considerations

• About

19 at a health center
26 at a district hospital
43 at a regional hospital
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Required Laboratory Policies

• Laboratory management structure
• Test menu by level
• Staffing, responsibilities and training by level
  
• Supervision roles
• QA/QC scheme
• Specimen/patient referral system, if applicable
• SOPs for testing

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Laboratory Standardization

• Set test menus by level
• Defined and standardized technical SOPs by level
• Agreed instrumentation by level