Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5114
Country/Region: Haiti
Year: 2007
Main Partner: Association of Public Health Laboratories
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $249,000

Funding for Laboratory Infrastructure (HLAB): $249,000

Linked to Activities 9311, 9340, 9923, 9922, 9337.

SUMMARY: The Association of Public Health Laboratories (APHL) will provide technical assistance to the United States Government (USG) Team to support three critical activities: strengthening laboratory quality assurance/quality control (QA/QC) efforts; implementing a laboratory information system at the anti-retroviral (ARV) sites and the National Public Health Laboratory (NPHL); and improving laboratory facility infrastructure and equipment validation, operation and maintenance. APHL will use technical and scientific experts from its staff, public health laboratory members and technical consultants to provide effective and timely assistance to the USG Team.

BACKGROUND: APHL has been working in Haiti since 2003 implementing President's Emergency Plan for AIDS Relief (PEPFAR) objectives. Previous activities have included providing technical assistance for: implementing HIV Rapid Testing throughout the departments in Haiti; writing standard operating procedures for laboratory testing to support HIV/AIDS diagnosis and treatment; accurate enumeration of cluster of differentiation 4 (CD4) cells; and selecting and procuring flow cytometry instruments.

ACTIVITIES AND EXPECTED RESULTS:

In FY07, APHL will support the USG Team strategy for strengthening laboratory infrastructure in Haiti by conducting the activities described below.

Activity 1: APHL will provide technical assistance to the USG Team and the Ministry of Health (MOH) in coordination with the CDC Haiti office to strengthen laboratory infrastructure capacity. APHL will provide experts to assist in development and implementation of plans that include activities to improve the physical laboratory facilities to provide adequate and safe workspace to perform testing; activities to assist in the selection of appropriate equipment, training for users, systems for proper maintenance. and activities to train laboratory MOH staff and supervisors in the development and implementation of project management plans to ensure integration and timely implementation of related activities at laboratory sites. A master plan will be developed by APHL, in consultation with CDC Haiti, the Haitian Group for the Study of Kaposi's sarcoma and Opportunistic Infections Haitian Group for the Study of Kaposi's sarcoma and Opportunistic Infections (GHESKIO) equipment maintenance engineer who will be hired by PEPFAR 07 fund and the MOH, to address physical facilities, equipment capacities, and equipment maintenance plan for the national lab and 24 ARV laboratories in Haiti.

Activity 2: APHL will assist the USG Haiti to provide post-service training and education in laboratory science and delivery through in-country training courses and/or modules at the National Laboratory Training Center (i.e. Rapid HIV testing for PMTCT, tuberculosis [TB]/HIV diagnosis, chemistry; hematology; CD4 etc). In addition, APHL will continue to provide technical assistance for laboratory QA/QC in coordination with priorities identified by the USG Team. This technical assistance may include the development of QA documents, including model QA/QC manuals, preventive maintenance logs, and quality control logs; planning and delivery of regular, periodic external quality assessments (EQA) for HIV serology and rapid testing; assisting in analysis of HIV serology and rapid testing EQA performance and development and delivery of QA training; training for personnel in HIV rapid testing, TB testing, sexually transmitted infection (STI) testing, and antiretroviral treatment (ART)-related laboratory testing; assessing quality practices of testing at counseling and testing sites performing rapid HIV testing; assessing quality of testing at laboratories providing AR T services; assisting in laboratory design; development of standard operating procedures; and equipment selection. Technical assistance will also be provided to the USG Team in planning and procurement of laboratory equipment, test kits, and laboratory supplies.

TARGETS:

Metrics for Year 4 EQA will be established in consultation with the USG Team and review of the most recent year's data on EQA, which will be available in March 2007. Implementation plan for laboratory facility and equipment capacity building for the national and 24 ARV labs developed and implemented.

One laboratory management workshop developed and implemented