Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 677
Country/Region: Ethiopia
Year: 2008
Main Partner: American Society for Clinical Pathology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $425,000

Funding for Laboratory Infrastructure (HLAB): $75,000

PEPFAR Ethiopia in partnership with Ethiopian Helath and Nutrition Research Institute (EHNRI), a

significant progress has been made in improving the laboratory services supporting HIV/AIDS care and

treatment program and strengthening of the national laboratory system. There are still gaps in

standardization of clinical microbiology laboratory service including diagnosis of opportunistic infection,

sexually transmitted infection, tuberculosis and malaria, testing and laboratory biosafety. American Society

for Microbiology (ASM), a prime partner in many PEFAR focus countries has been providing technical

assistance in these areas. As of 2008, ASM will also provide technical assistance in improving clinical

microbiology laboratory services. ASM will assess the status of the services, provide assistance in

developing standards in simple diagnostic testing, development of training modules and mentoring, ASM

will work closely with CDC Ethiopia and Ethiopian Health and Nutrition Research Institute (EHNRI) to

establish the national clinical and public health microbiology laboratory at the national and regional labs The

support is gap filling and critical in Ethiopia and will start preliminary activity with the reprogrammed budget

and the activities will continue widely in COP09.

In COP08, the following activities will be covered by ASM

• conduct an assessment of clinical microbiology laboratories in Ethiopia, identify gaps, and develop work

plan based on the priorities

• Preparation of protocols and guidelines for improvement of Clinical Microbiology laboratory services

including, STI, Malaria and other OI diagnosis, QA, development training modules, etc

• Development training modules in clinical microbiology laboratory services (STI and malaria and OIs)

Funding for Laboratory Infrastructure (HLAB): $350,000

Clinical Laboratory Services Support

American Society for Clinical Pathologists (ASCP) has supported development of in-service training

modules in chemistry, hematology, and CD4, and has provided technical assistance in training-of-trainers

(TOT) and regional rollout trainings in partnership with the Ethiopian Health and Nutrition Research Institute,

CDC Ethiopia and US university partners. To improve pre-service training curricula in laboratory diagnosis

and monitoring of diseases with emphasis on HIV/AIDS, ASCP supported the medical laboratory schools.

The ASCP Institute's pre-service work group facilitated a five-day curriculum review and gap analysis with

key stakeholders, university faculty, and medical technology school principals. The pre-service work group

used the gap analysis and developed supplemental materials, exercises, enhanced exams, timetables, and

activities.

In FY08, ASCP will continue providing technical assistance in both in-service and pre-service education

programs started in FY07. ASCP will offer technical assistance on TOT and rollout of trainings in chemistry,

hematology, and CD4. ASCP will assist in training of 60 trainers. ASCP trainers will provide a TOT

workshop for key faculty members and directors of schools of medical technology, with a total target of 25

participants. The training will be designed to provide the faculty with newly developed curricula and

exercises and will allow them to practice new teaching methods and develop their discussion skills. The

ASCP trainers will use participatory methods that encourage interactive learning and promote teamwork.

The trainings are projected to last for two weeks and will include didactic presentations, hands-on

instrument training, and "teach back" methodology.

The ASCP, with Joint Commission International (JCI), will continue the accreditation project started in FY07.