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THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE

THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE. Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 55 th Meeting – PNI, FedSM March 10 th - 13 th 2014. OUTLINE OF PRESENTATION. PIHOA Regional Lab Strengthening Initiative Brief history A forecast into the future:

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THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE

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  1. THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 55th Meeting – PNI, FedSM March 10th - 13th 2014

  2. OUTLINE OF PRESENTATION • PIHOA Regional Lab Strengthening Initiative • Brief history • A forecast into the future: • Lab Quality Management System (LQMS) • Lab accreditation • Lab workforce development • Microbiology Skill-up Enhancement Training • Association of the USAPI Labs (AUL) • President – Mr. Kasian Otoko (Chuuk Hospital Lab Supervisor)

  3. PAL ASA THC Overview of the USAPI Laboratories CHK CLIA-regulated ASA LBJTMC PIHOA Regional Lab Initiative PNI CNMI CLIA-waived Association of USAPI Labs KOS Non-regulated GPHL YAP EBE MAJ • All (except GPHL) provide both public health & clinical lab services

  4. Brief history of the PIHOA Regional Lab Initiative The PIHOA Regional Lab Initiative is 9 years old!!! • 2003PIHOA Board endorsed the resolution to: “Ensure provision of core public health laboratory services for the USAPI for cholera, typhoid, syphilis, HIV, dengue, influenza, measles, rubella, leptospirosis, & agents of BT for the USAPI” • 2004– Laboratory assessment of the public health lab capabilities in the USAPI - Majuro, Hawaii State Lab, Guam, CNMI • 2005 -Regional Lab Coordinator recruited & 1stPIHOA Lab Network Meeting/Training in Guam • 2006 – 2014 • PIHOA shipping network established • On-going training of shippers • Lab assessments • Microbiology & TB lab trainings • Lab quality management systems training

  5. Funding Sources 2005 – 2006: PIJ BT funds (discontinued in 2006) 2007 – 2010: CDC (HIV/STD/TB programs & Influenza Division)  2007 – 2014: DLS-CDC TB contract (partial) 2011 – 2015: Association of Public Health Labs (APHL)  2014: ASTHO (for LQMS trainings)

  6. THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE- A forecast into the future -

  7. Lab Quality Management System (LQMS) Training: 2014 - 2015 Objectives: Strengthen USAPI lab services through: • LQMS (12 modules) training for all lab techs (onsite) • Development of draft Lab Quality Manual • 5 labs for 2014 LQMS training: • Yap Memorial Hospital Lab, FedSM – completed as of 02/28/14 • Belau National Hospital Lab, Palau – April 2014 • American Samoa & Tafuna Health Center Lab (or Chuuk Hospital, FedSM) – August 2014 • CHC Lab, Saipan, CNMI – November 2014 • 2015: Remaining 6 labs (if/when funds are available)

  8. Laboratory Accreditation Goal: By 2018 - 2019 at least 2 labs in the freely-associated states of Palau, FedSM and RMI are accredited to a lab accrediting institution (ISO/CLIA-International/CAP-International) Which lab (Palau/FedSM/RMI/Tafuna Health Center, A/Samoa) would be committed to take on the challenge to move towards laboratory accreditation with a reputable institution in the next 3 – 5 years? PIHOA’s role • Provide all required information regarding lab accreditation to USAPI lab concerned • Assist USAPI lab concerned with preparation towards accreditation

  9. Lab workforce development Goal • By 2020 at least ONE (local) medical lab scientist employed in each USAPI lab Status update: Pacific Paramedical Training Center (PPTC) graduates – Diploma in Medical Lab Technology (POHLN): 2006 – 2013

  10. Lab workforce development Status update: Fiji National University (Bachelors degree in Medical Lab Science)

  11. Microbiology Skill-up Enhancement Training Goal: • Enhance the Level 2 lab capabilities/capacity at Guam Public Health Lab (GPHL) [SPC – PIHOA partnership/Resources – PPTC, FNU, CDC, APHL] • By Jan 2015 bacteriology testing reinstated at GPHL • By Jan 2016 food and water microbiological testing reinstated at GPHL • Enhance microbiology diagnostic capabilities at Level 1 USAPI labs (if/when funds are available)

  12. Microbiology Skill-up Enhancement Training Objectives: • Conduct microbiology skill-up training at GPHL between April 2014 – Jan 2016 2014 • Phase 1 (2nd Q)– Microbiology skills • Phase 2 (3rd Q) – Microbiology skills • Phase 3 (4th Q) – Lab surveillance/Antibiotic resistance patterns 2015 • Phase 4 (1st Q) – Food microbiology • Phase 5 (2nd Q) – Water microbiology • Phase 6 (3rd Q) – Bacterial agents of bioterrorism • Types of assistance: • SPC  Financial & Training delivery/facilitation • PIHOA  Training delivery/facilitation

  13. Thank you!!!

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