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TB DIAGNOSTICS R&D: Not Just Technology. BD Experience with Implementation & Support. Peter Mehlape, General Manager GBC Southern Africa Conference 11th October 2010, Johannesburg. About BD (Becton, Dickinson and Co.). Medical Technology Company $7.5B Offices in 52 countries

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tb diagnostics r d not just technology

TB DIAGNOSTICS R&D: Not Just Technology

BD Experience with Implementation & Support

Peter Mehlape, General Manager

GBC Southern Africa Conference

11th October 2010, Johannesburg

about bd becton dickinson and co
About BD (Becton, Dickinson and Co.)

Medical Technology Company

  • $7.5B
  • Offices in 52 countries
  • 29,000 employees

Four Areas of Focus

  • Reducing the spread of infection
  • Advancing global health
  • Enhancing therapy
  • Improving disease management

Africa Presence

  • 120 Employees
  • Offices in Johannesburg, Nairobi and Accra
  • Distribution, service and support network
new diagnostics a common perception
New Diagnostics: A Common Perception

Product Development

Technology Development

Validation studies

Cost efficient

Clinical trials


Specimen collection

Rapid turnaround

Sensitivity and specificity



Service and Support

bd product development process






Advocacy and Policy

Set Up

Customer Requirements

Customer Voices

Validation Units

Product Specifications

Verification Units

Product Requirements

Laboratory Strengthening

Business Voices

Operational Requirements


Process Specification

Process Validation

Process Requirements



Manufacturing Engineering Prototypes

Pilot Manufacturing


BD Product Development Process
tb diagnostics r d design challenges
TB Diagnostics R&D: Design Challenges
  • Need for improved laboratory capacity
  • Roads, electricity, cold chain
  • Regulatory hurdles
  • Lack of trained personnel
Patients who need to be treated are not reached

Specimens from non-responding patients need to be referred

Stakeholders have had difficulty routing specimens to the NTRL

Verification of microscopy results and the response to blinded re-checking of smears is incomplete

Used GPS technology to map patient sample collection sites

Created reference network and ability to gather data

Trained on proper TB specimen collection and transport

More than 1000 patient samples referred and more than 900 sites mapped

BD Example: Uganda Specimen Referral Program

private sector core competencies
Private Sector Core Competencies
  • Public/private and private/private collaboration
    • Technology development
    • Advocacy
  • Project management
    • Working with local MoH
  • Training and education
    • Leverage employee skill-set
    • Strengthen healthcare capacity

Implementation and Support


  • Effective R&D considers implementation/service up front
    • Anything can work in a laboratory or work in the field once – replicability and sustainability is essential
  • Incentives should not only be for technology/product development
    • Look for incentives on implementation and service as well
  • Leverage core competencies of the private sector
    • Multi-faceted problems require collaborative approach