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Laboratory Strengthening Program

BD's Laboratory Strengthening Program in partnership with OGAC supports 8 African countries in improving patient care through access to quality healthcare systems. The program focuses on laboratory diagnostics, human resource development, and quality improvement.

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Laboratory Strengthening Program

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  1. Laboratory Strengthening Program Burt Houtz BD Global Health

  2. BD established a Public – Private partnership (PPP) with OGAC in 2007 Non-commercial in structure and function No ties to BD businesses and business activities PEPFAR implementation partner Not a Cooperative Agreement Partner Supports 8 African countries through collaborations with in-country partners A 5-year Program valued at up to $18M 1:1 matching - BD:PEPFAR Utilizes BD associate assistance, globally BD employees selected as “volunteers” Competitive process External commitment by BD valued at $9M BD personnel time and contributions BD receives no government funding Who Are We?

  3. BD, as a PEPFAR implementing partner, makes a great contribution to society by improving patient care through access to quality healthcare systems. Through our partnerships, we advance private-sector capabilities by developing self-sustaining, replicable models to support laboratory and clinical systems. Improve access and quality to laboratory diagnostics critical to management of infectious disease patients. Develop human resources by successfully improving management capabilities Create a sustainable, knowledge-based, and continuous quality improvement culture Vision & Goals

  4. Laboratory Quality Management – CPHL & CDC 2008-2009 - Pilot Co-taught with 4 other local partners 96 laboratory workers trained 75 Labs enrolled in NEQAS 51 returned results 35% 88% Pre- to Post-Test Results Overall 30% improvement in EQA performance 9 Ugandan trainers learned teachback skills 2009-2010 – Monitoring 2011 – Preparing Nat’l mentors Specimen Referral Program - NTRL Specimen Referral Training 2000 Specimens referred properly GPS / GIS Implementation Over 900 sites mapped IT Server and Workstation Installation and Training Standardized test receipt and reporting Data management from referral expansion System for SMS routing to printers underway Uganda • Roles: • CD4 Trainer • QC Trainer • Logistical coordinator • Team Lead • Quality Assurance Manager* • Mycobacteriologists • IT Engineer

  5. Courtesy of Dr. Moses Joloba, NTRL Kampala

  6. Program Evolution

  7. Specimen Referral Linkage System Assessments Curriculum development SLMTA, EHNRI, CHAI, & BD Training Inclusion of postal workers Specimen shipping containers GIS development of specimen and patient data to support SRS Roles: Team Lead Curriculum Developers Quality Assurance Manager QC Trainer Logistical Coordinator Ethiopia

  8. Quality Creates Demand for Access

  9. Ethiopia Specimen Referral System

  10. Access Creates Demand for Data Management

  11. Data and Access Improve Capacity Wireless results reporting Spatial Data Infrastructure

  12. Safer Blood Collection Started by focusing on one country – Kenya Launched in June 2010 – pilot training in eight facilities Post training assessments showed significant improvement Implementation planning, surveillance, training reinforcement, best practice model development all underway Country ownership off to a good start “The MOPHS recognizes the need for partnerships between the private, development partner and the government to achieve its goal of providing quality health services” “…acknowledge with gratitude the role BD has been playing for the successful implementation of the Kenya Safe Phlebotomy Project” Improving safety for HCW and patients

  13. Execution is Difficult:Challenges / Solutions Prioritizing capacity building in the face of short-term crises Embracing institutional change Ministry of Health Country Operational Plan Budgeting for implementation following successful pilots Defining what needs to be done and alignment MOH CDC BD Other Per-diem system prevents reaching the “right people” MOA Coordinating multiple stakeholder efforts Work plan Funding restrictions—due to multiple processes Getting commitments Keeping commitments

  14. 16 countries represented 356 healthcare professionals trained * The Safer Blood Collection public-private partnership trained 100 healthcare workers in Kenya. The Kenyan Ministry of Health scaled up training to include 429 additional healthcare workers. ** Other: Barbados, Botswana, Dominica, Ethiopia, Lesotho, Mauritius, Namibia, Swaziland, Tanzania, Zambia

  15. 20 workshops 8 heath care topics * The Safer Blood Collection public-private partnership trained 100 healthcare workers in Kenya. The Kenyan Ministry of Health scaled up training to include 429 additional healthcare workers.

  16. Management and Leadership Development Project Management Budget oversight and financial management Governance Procurement systems Human resources Communications Private Sector Competencies Capabilities that may be needed for effective country ownership

  17. Thank you!

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