Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6163
Country/Region: Botswana
Year: 2009
Main Partner: Association of Public Health Laboratories
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $550,000

Funding for Laboratory Infrastructure (HLAB): $550,000

09.T.LS07 APHL - Technical Assistance

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The Association of Public Health Laboratories (APHL) is requesting funds in FY2009 to provide technical

assistance in building the laboratory infrastructure in Botswana through the President's Emergency Plan for

AIDS Relief (PEPFAR).

There is a need for robust Laboratory Information Systems (LIS) at the Ministry of Health (MOH)

administered laboratories throughout Botswana. In FY2008, the Association of Public Health (APHL) will

provide project management expertise to assist CDC/BOTUSA and the MOH in the effective

implementation and management of a pilot laboratory information system (LIS). The LIS implementation will

follow the Office of the Global AID Coordinator (OGAC) approved guidelines that were developed by APHL

in 2005. APHL will also deliver paper based training and support basic computer training for health

professionals from the selected pilot sites. This support will enable the country to generate reliable data for

surveillance and HIV/AIDS interventions planned by the MOH.

Over the last few years, Botswana has followed the baseline report recommendations developed in 2002

intent on establishing a robust national quality assurance program. In FY2008, APHL supported the

Botswana Quality Assurance program, providing technical assistance to the MOH through short term on-site

consultations in the areas of quality systems, TB and PMTCT. A review on the current status has been

developed to establish the progress the program has made towards the goal of instituting a strong quality

assurance program. In FY2009, funding is requested to continue with the provision of technical assistance

in this area to develop further the quality of Botswana's laboratory services to meet the PEPFAR objectives.

APHL will work with the Botswana Bureau of Standards to strengthen and build their capacity to carry our

quality control and quality assurance activities.

In FY2009, APHL will participate in an evaluation of the anti-retroviral therapy (ART) monitoring program.

This evaluation will help Botswana decide whether or not the decentralization program is actually helping

the ART program and identify how to address the gaps. APHL will collaborate with the national health

laboratory to provide technical assistance in conducting laboratory work during the HIV sentinel surveillance

survey. Assistance will also be provided to support quality control and quality assurance.

APHL will work closely with CDC Atlanta and CDC/BOTUSA, as well as other partners, to provide technical

assistance in support of the expansion of HIV testing services. To this end, APHL will continue to participate

in laboratory assessment visits and provide technical assistance in quality system implementation, TB

testing and the PMTCT HIV testing activities. APHL will specifically support rapid HIV testing activities within

VCT centers. Technical assistance will be provided to support this activity and ensure adequate monitoring

of the program.

In FY2009, APHL will work with key partners and stakeholders to perform needs assessment/gap analysis

for the laboratory network. The expected outcome is a report of current and future needs of laboratories in

the tiered structure in terms of physical infrastructure, equipment, staffing, types and number of tests

performed, and educational background of staff. This report will provide recommendations for overall

strengthening of the laboratory network in Botswana and supplement the SWOT completed in FY2008.

APHL will then work with key partners and stakeholders as described previously to develop a

comprehensive national laboratory strategic plan that clearly describes a vision, mission, strategic initiatives

and essential implementation activities including the delegation of authorities and responsibilities, objectives

and outcomes, timelines and proposed budgets for the organization of a Botswana National Laboratory

Network that assures quality laboratory services in support of Botswana's health priorities and improved

health of the people of Botswana.

APHL will have two senior laboratory professionals, who are current or former directors of major U.S. public

health laboratories who have international experience, work with key officials to plan and hold a three-day

meeting to develop a draft National Laboratory Strategic Plan for interactive review and development into a

comprehensive strategic plan for a national laboratory system. This plan should propose an organization

and infrastructure that integrates public health laboratory services including disease specific services for

HIV, TB and malaria; reference testing services; quality management and biosafety; in service training and

human resources development; equipment maintenance and repair; and facility design and support.

From COP08:

The USG will provide technical assistance and financial support to the Government of Botswana to

strengthen the quality assurance for diagnostic, support HIV survey and surveillance through the

Association of Public Health Laboratory (APHL). In FY08 fund was allocated to APHL to provide technical

assistance for training, testing and EQA for the The Botswana AIDS Impact Survey (BAIS) which is a

population-based survey that collects information on key indicators of knowledge, attitudes and sexual

behavior known to be associated with the HIV/AIDS/STD epidemic. But this activity has not been approved

by CDC IRB therfore the fund won't be alble to be used to support the planned activity.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17658

Continued Associated Activity Information

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

System ID System ID

17658 12390.08 HHS/Centers for Association of 7845 6163.08 U47/CCU32309 $700,000

Disease Control & Public Health 6: APHL

Prevention Laboratories

12390 12390.07 HHS/Centers for Association of 6163 6163.07 $300,000

Disease Control & Public Health

Prevention Laboratories

Table 3.3.16: