Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5341
Country/Region: Haiti
Year: 2008
Main Partner: American Society for Clinical Pathology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $200,000

Funding for Laboratory Infrastructure (HLAB): $200,000

SUMMARY: Currently, the clinical and hospital laboratories within Haiti are challenged to provide laboratory

services to support HIV/AIDS care and treatment. The successful implementation of the President's

Emergency Plan for AIDS Relief (PEPFAR) goals requires a significant strengthening and expansion of

laboratory services. As antiretroviral treatment (ART) is made more widely available there is an immediate

need for expanded patient monitoring in clinical chemistry, hematology, and CD4. ASCP and the United

States Government (USG) team, working together, will enhance laboratory systems in Haiti by

implementing comprehensive laboratory quality assurance programs and conducting integrated laboratory

training.

BACKGROUND: On August 31, 2005, the ASCP received notice of award for "Supporting Laboratory

Training and Quality Improvement for Diagnosis and Laboratory Monitoring of HIV/AIDS Patients in

Resource Limited Countries through Collaboration with the ASCP," a three year cooperative agreement

between the Centers for Disease Control and Prevention and the ASCP. The overall goal of this program is

to enhance laboratory-testing practices and strengthen the quality of laboratory testing services in order to

improve the effectiveness of HIV/AIDS prevention, care and treatment services and interventions.

ACTIVITES AND EXPECTED RESULTS:

The ASCP laboratory training experience consists of: 1) technical assistance to clinical laboratories to

support laboratory strengthening; 2) technical assistance to the national public health laboratory (NPHL) to

significantly improve QC/QA in the areas of CD4, Chemistry and Hematology; 3) assist and support rollout

training to regional zones and districts and; 4) translation of ASCP training materials

Activity 1: ASCP will provide technical assistance to the NPHL laboratory network to standardize and

strengthen clinical laboratory services. The consultant will work with laboratories identified by the NPHL and

CDC Haiti to support adaptation of best clinical services laboratory practices (Quality systems). The experts

will work with local institutions in improving specimen management, laboratory management, quality

assurance, quality control, equipment management and information management in clinical laboratories.

ASCP will assign a technical expert fluent in French for three, one-month intensive visits.

Activity 2: ASCP will provide technical assistance to develop, implement, and strengthen the NPHL QA/QC

program for CD4, hematology and blood chemistry. ASCP will assign a technical expert fluent in French for

three, one-month intensive visits to work with the national laboratory for this activity.

Activity 3: Support/Observe Chem/Hem/CD4 Training Rollout

Two French speaking ASCP consultants from the above activities will assist the NPHL to coordinate and

conduct a training of trainers on the chemistry, hematology and CD4 QA/QC program. ASCP will observe

and provide daily feedback to these trainers regarding their performance so that the subsequent rollout

training will be of high quality and serve to increase the capacity of laboratories throughout Haiti. All

participants will receive training in each subject (CD4, Chemistry and Hematology) and hands-on practical

experience for all three disciplines. Vendor support will be required for the practical sessions.

Activity 4: ASCP will develop training materials for Haiti QA/QC program for CD4, hematology and blood

chemistry in collaboration with the NPHL. ASCP will supply reference materials (translated into French),

supplies and funds for the printing costs and shipment costs of the training manuals.

TARGETS:

- Train 10 clinical laboratory trainers

EMPHASIS AREAS:

-Technical Assistance

-Rollout Training

TARGET POPULATIONS:

-Laboratory professionals

COVERAGE AREAS:

-National and Regional