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: 2012
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $350,000

The American Society of Microbiology (ASM) is a life science society composed of over 42,000 scientists and health professionals. ASM's mission is to promote research and training in microbiological sciences and to assist communication between scientist, policy makers and the public to improve health, economic well-being, 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. ASM is funded by PEPFAR to build capacity in different countries. In Botswana, ASM has worked with Ministry of Health (MOH) laboratory employees to strengthen the microbiology network and to establish an external quality assurance (EQA) program for acid fast bacilli (AFB) microscopy. ASM mentors staff at different facilities and trains them to run the program themselves by training trainers in different microbiology disciplines. This ensures sustainability once PEPFAR funding ends. ASM has also been in the country working closely with the MOH laboratories prior to PEPFAR funding. ASM's approach to strengthening laboratory capacity includes insuring countries have ownership of the programs they develop as they are ultimately responsible for implementing them; establishing South-to-South collaborations involving sharing of evaluated, culturally appropriate, highly effective strategies and programs; and encouraging south-to-north collaborations in order to continue to strengthen the cadre of highly competent microbiologist mentors for countries.

Funding for Care: TB/HIV (HVTB): $350,000

In FY 2012 funding is requested for ASM to provide continued technical support to Botswana for clinical microbiology with respect to laboratory diagnostics for common opportunistic infections. ASM will also provide guidance for expansion of services of the National Health Laboratory (NHL) clinical microbiology laboratory as a national public health laboratory. ASM will continue support to the National TB Reference Laboratory for TB diagnostics and the TB external quality assurance (EQA) program. ASM's objectives are to:1. improve human resource capacity for clinical microbiology diagnostics by (a) strengthening and expanding core functions of the NHL Microbiology Laboratory. Consultants will continue to improve surveillance of communicable diseases by providing training for detection and identification of sexually transmitted infections, diarrheal outbreaks, and respiratory outbreaks using molecular and automated methods; (b) strengthening monitoring of antibiotic resistance nationwide; (c) strengthening the Botswana clinical microbiology laboratory network; and (d) strengthening in-service and continuing medical education for microbiology by reproducing the model developed for AFB smear microscopy. 2. improve quality of laboratory services by (a) supporting the national microbiology EQA program. Consultants will continue to strengthen the bacteriology EQA program and support competency assessments of microbiology laboratory staff; (b) supporting the national AFB microscopy EQA program; and (c) designing a mycology training package for the referral laboratories in Gaborone as well as in Francistown. 3. devise networking / strengthening mechanisms for addressing communication gaps between microbiologists and the clinicians to maximize impact.

Key Issues Identified in Mechanism
Tuberculosis