Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014

Details for Mechanism ID: 10485
Country/Region: Botswana
Year: 2014
Main Partner: American Society for Clinical Pathology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

PEPFAR supports health systems strengthening to improve efficiency and promote evidence-based approaches. The laboratory program is working towards strengthening a sustainable and integrated lab network. This is in line with the Botswana’s Medical Laboratory Strategic Plan. A Global Healthcare Public Foundation (AGHPF) is the implementing organization for the lab program through the American Society for Clinical Pathology (ASCP). AGHPF is supporting labs in Botswana to set standards and build capacity for lab accreditation. An accreditation system necessitates a quality management system (QMS) based on the 12 quality systems essentials. This will ensure accurate, reliable, timely lab results; effective disease diagnosis; rational use of drugs; control of diseases of public health importance and safe labs to work in. Currently lab infrastructure and quality assurance are weak, with many labs operating unmaintained equipment, uncontrolled reagents and inadequate staff. The goal is to provide TA toward accreditation of labs. The objectives are to 1) document QMS as per ISO 15189 (standard for medical labs); 2) conduct assessment and implementation of lab QMS and 3) train and mentor towards quality manual and QMS development. Currently AGHPF works with five labs. AGHPF is working closely with already-accredited labs in country to provide acquired accreditation skill and training. AGHPF will work with the quality assurance unit in country and build capacity to become a key mentoring partner. AGHPF will provide quarterly reports to CDC as well as conduct audits of the labs twice a year.

AGHPF hands over all the accredited laboratories to the MOH and trains quality officers within the laboratories to continue maintaining the system after their exit.

Mechanism Allocation by Budget Code for Selected Year
Laboratory Infrastructure (HLAB) $1
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.

Key Issues Identified in Mechanism
Tuberculosis