Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5295
Country/Region: Botswana
Year: 2009
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): $350,000

09.C.TB05: American Society of Microbiology - Technical Assistance on TB/HIV for laboratories

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: Diagnosis of opportunistic infections (OI)

and sexually transmitted infections (STI) is an important component of HIV prevention, care, and treatment,

especially among HIV-positive individuals and persons who engage in high-risk behaviors. Botswana needs

to be supported in identification of opportunistic infections pathogens, because of limited microbiology

laboratory capacity. In FY2008, funds were provided to the American Society for Microbiology (ASM) to

strengthen TB diagnostics at the National Tuberculosis Reference Laboratory (NTRL) and to strengthen OI

and STI diagnostic capacity at the National Health Laboratory (NHL) and at the peripheral laboratories in

the country. FY2009 funding is requested for ASM to provide technical support to Botswana for clinical

microbiology with respect to clinical laboratory diagnostics for common OIs and guidance for expansion of

services of the NHL clinical microbiology laboratory as a National Public Health Laboratory. ASM will also

continue to support to the National TB Reference Laboratory for TB diagnostics and the TB external quality

assurance (EQA) program.ASM will provide support to expand core functions of the NHL Microbiology

Laboratory, improve surveillance of communicable diseases by providing training for detection and

identification of STIs, diarrhea outbreaks, respiratory outbreaks using molecular and automated methods,

and strengthen the monitoring of antibiotic resistance nationwide. The Botswana clinical microbiology

laboratory network activity with the national microbiology EQA program and the development of the national

AFB microscopy training and EQA program will all continue.

From COP08:

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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17653

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17653 9861.08 HHS/Centers for The American 7836 5295.08 U62/CCU32511 $150,000

Disease Control & Society for 9: Capacity

Prevention Microbiology Building

Assistance for

Global HIV/AIDS

Microbiology

Laboratory

Program

Development

through

Technical

Assistance

Collaboration

9861 9861.07 HHS/Centers for The American 5295 5295.07 ASM $320,000

Disease Control & Society for

Prevention Microbiology

Emphasis Areas

Health-related Wraparound Programs

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $250,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.12:

Cross Cutting Budget Categories and Known Amounts Total: $250,000
Human Resources for Health $250,000