Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5295
Country/Region: Botswana
Year: 2008
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $350,000

Funding for Care: TB/HIV (HVTB): $150,000

08.C0705: American Society of Microbiology - Technical assistance on TB/HIV for laboratories

2007 Achievements

In FY07, funds were requested to strengthen TB diagnostic services at the NTRL and to evaluate the

capacity of the NHL and peripheral laboratories to diagnose opportunistic infection (OIs) and sexually

transmitted infections (STIs). The identified gaps and weaknesses will be addressed in FY08.

The technical assistance enabled the NTRL to improve its local organization and its capacity to provide

quality-assured TB microscopy, culture and drug sensitivity testing. The NTRL was enrolled with Centers for

Disease Control and Prevention (CDC) External Quality Assurance (EQA) in 2006 as well as the South

African EQA program with the National Health Laboratory Service, enabling it to provide services for the

fourth national drug resistance survey (DRS), with FY2007 funding. WHO/CDC training material was

customized and produced to support the TB microscopy training program.

2008 Plans

National TB Reference Laboratory

FY2008 funding is requested for the ASM to provide technical assistance to the NTRL and the peripheral

laboratories to maintain and improve TB microbiological services, strengthen the EQA program for TB

microscopy by training local staff in preparing TB panels and smear microscopy for the EQA program.

National Health Laboratory: Local organization capacity development

Diagnosis of STIs and OIs is an important component of HIV prevention, care and treatment. Botswana had

significant difficulties in identifying the pathogen responsible for a recent outbreak of infant diarrhea, mainly

due to weakness of the microbiology laboratory capacity in the country. FY08 funding is requested for ASM

to provide technical support to Botswana for basic clinical microbiological services for common OIs and to

provide guidance for establishing a central microbiology laboratory.

Funding for Laboratory Infrastructure (HLAB): $200,000

08.T1206: Laboratory Accreditation Support

To strengthen the laboratory infrastructure in Botswana, in FY05 and FY06 work was done to enhance and

implement a laboratory QA program in the public health laboratories in Botswana. The objective was to

enroll three public health laboratories for accreditation in the South African National Accreditation System

(SANAS) board. Assessment was conducted to the selected sites and a quality manual developed, a first

Audit conducted by the Botswana Bureau of Standards showed lot of non compliances to the quality

standard. 2008 funds are requested to address the gaps and continue the preparation of the laboratory to

accreditation in 2008.