Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 9915
Country/Region: Botswana
Year: 2010
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $250,000

Context

The American Society of Microbiology (ASM) is a life-science society composed of over 42,000 scientists and health professionals.

Its mission is to promote research and research training in microbiological sciences, and to assist communication between scientist, policy makers and the public to improve health, economic wellbeing and the environment. ASM goals are to: develop and package training tools using new and existing resources through a consensus approach; monitor and evaluate progress and impact in order to identify best practices; and create sustainability at national levels through quality-assured programs and working with in-country partners.

Goals and Objectives

- Strengthening and expanding core functions of the National Health Laboratory Microbiology Laboratory

- Strengthening monitoring of antibiotic resistance nationwide

- Strengthening in-service, and continuing medical education (CME), for microbiology and the clinical microbiology network

- Providing onsite technical assistance for the development of the second regional TB culture laboratory in Botswana

- Supporting a national microbiology External Quality Assurance (EQA) program

- Supporting national Acid Fast Bacilli (AFB) microscopy EQA program

Target populations

Laboratory personnel

Geographic Coverage

All laboratories in Botswana

Cross-Cutting Areas

ASM will build human capacity through mentoring and training programs.

Making the Most of Other HIV Resources

Working with MOH laboratory employees to strengthen the microbiology network and to establish an EQA program for AFB microscopy.

Establishing South-to-South collaborations involving sharing of evaluated, culturally appropriate and highly effective strategies and programs.

Encouraging south-to-north collaborations in order to continue to strengthen the cadre of highly competent microbiologist mentors for countries.

Enhancing Sustainability

Mentoring staff at different facilities and training them to run the program themselves by training trainer-of-trainers in different microbiology disciplines. This ensures sustainability once PEPFAR funding dries up.

ASM approach to strengthening laboratory capacity includes: ensuring countries have ownership of the programs as the countries are ultimately responsible for implementing them.

Monitoring and Evaluation

ASM monitors and evaluates all its intervention and trainings to ensure that capacity is built in-country.

Funding for Care: TB/HIV (HVTB): $250,000

10.C.TB05: American Society of Microbiology - TA - 250,000.00

Objective 1: Improve human resource capacity for clinical microbiology diagnostics. 1. Strengthen and expand core functions of the NHL Microbiology Laboratory. Consultants will continue to improve the surveillance of communicable diseases by providing training for detection and identification of STIs, diarrheal outbreaks, and respiratory outbreaks using molecular and automated methods. This includes the establishment of PCR for the rapid detection of STIs and automated Enzyme Immunoassays for the detection of infectious diseases, such as toxoplasma, measles, rubella, and Herpes simplex, among other diseases. 2. Strengthen monitoring of antibiotic resistance nationwide. Consultants will assist the NHL staff with the collection of bacteria and information throughout the country to monitor resistance, ensure capacity and quality control (QC) for antimicrobial susceptibility testing (AST), use WHONET to develop antibiograms and publish the annual resistance report, and disseminate reports to other laboratories throughout the country. 3. Strengthen in-service training and continuing medical education (CME) for microbiology and the clinical microbiology network. Consultants will focus on strengthening in-service training and CME for microbiology by reproducing the model developed for the AFB smear microscopy. 4. Consultants will provide additional training of staff at referral and peripheral microbiology laboratories in bacteriology, parasitology, and mycology procedures. They will expand the services of the Botswana referral hospitals to include automated and rapid diagnostics, such as automated blood culture. Objective 2: Improve the quality of laboratory services. 1. Support for the national microbiology EQA program. Consultants will continue to strengthen the bacteriology EQA program and support competency assessments of the microbiology laboratory staff. 2. Support for the national AFB microscopy EQA program. Consultants will provide continuous onsite supervision and training for the strengthening of the AFB microscopy EQA program. This includes mentoring the QA team on conducting blinded rechecking, supervisory visits, and panel testing as well as providing feedback on results.

Cross Cutting Budget Categories and Known Amounts Total: $250,000
Human Resources for Health $250,000
Key Issues Identified in Mechanism
Tuberculosis