Mapping Partner Resources for Laboratory Strengthening in the 22 High Burden Countries

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Mapping Partner Resources for Laboratory
Strengthening in the 22 High Burden
Countries PRELIMINARY SURVEY RESULTS MAY
2008 Catherine Mundy Management Sciences for
Health Stephanie Mullen Measure-Evaluation
Project
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Purpose of Survey

• To plan future laboratory strengthening and
  support activities under the GLI.
• GLI is creating an inventory of key stakeholders
  providing laboratory services and support
• Type of support provided and to whom

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Surveys and Responses

• 2 surveys
• Partners and Supranational Reference Laboratories
  
• NTPs/MOH in 22 high burden countries
• Responses
• Partners 25/84 (30)
• SRLs 20/25 (80)
• NTPs 7/22 (32)

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Partners areas of expertise

• 60-73 TB microscopy, TB culture, Field
  evaluations of new diagnostic technologies,
  Training of laboratory staff, Organization and
  delivery of laboratory services, TB laboratory
  MIS, Assessments, Equipment procurement.
• 40-60 - 1st line DST, New diagnostics, SOP
  development, Safety and infrastructure, Commodity
  management, Leadership and management
  strengthening, Budgeting and Financial management
• 25-40 - 2nd line DST, Laboratory Policy
  Development, Planning, Monitoring and Evaluation

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Technical Assistance

• Partners Top 5 areas
• Training
• Assessments
• Policy development
• TB microscopy
• Organization and delivery of laboratory services
• SRLs Top 5 areas
• 1st line DST
• 2nd line DST
• New TB diagnostics
• Refresher training
• Safety and infrastructure

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Funding for TB lab strengthening and support

• Top 3 sources of funding for Partners
• USAID
• WHO
• CDC
• Top 3 sources of funding for SNRLs
• Own government
• WHO
• Global Fund

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Challenges and Constraints

• Human resource shortages and poor motivation
• Inadequate and discontinuous funding
• Quality of services EQA of microscopy, culture
  and DST
• Lack of organization of TB services
• Political commitment no government mandate for
  work
• Leadership and management
• Planning
• Poor infrastructure
• Bureaucratic delays
• Biosafety