Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4205
Country/Region: Kenya
Year: 2007
Main Partner: American Society for Clinical Pathology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $400,000

Funding for Laboratory Infrastructure (HLAB): $400,000

1. LIST OF RELATED ACTIVITIES This activity relates to activities in Counseling and Testing (#6941) and TB/HIV (#6944).

2. ACTIVITY DESCRIPTION The Kenya Medical Laboratory Technicians and Technologists Board (KMLTTB) was created in 1999 with the fundamental objective of ensuring quality medical laboratory services countrywide. The Ministry of Health (MOH) depends on this young body to give leadership in regulating training in medical laboratory sciences, regulation of laboratory equipment and reagents and establishing systems to ensure quality laboratory practice. It is a government requirement for all practicing laboratory technicians and technologists to be registered by this Board. The KMLTTB has made significant progress in the past five years. An assessment of all relevant training institutions has been completed with the result that those with unacceptable standards have been shut down. The curricula of these institutions have been reviewed and standards for professional registration set. The board now plans to embark on a program of support to laboratories within the country to ensure they are adequately equipped to support HIV/AIDS prevention, care, treatment and surveillance programs. The American Society for Clinical Pathology (ASCP) will assist KMLTTB with these activities. Specific activities areas will include: i) establishment of a system to register and ensure validation of reagents for HIV diagnosis and treatment support; ii) preparation of standards and procedures to assure the competence of laboratory personnel; iii) development and implementation of program for continuing training and education program in areas of clinical chemistry, hematology and CD4 cell counts; iv) review of curricula from training institutions to ensure that ART monitoring techniques are sufficiently covered; v) conduct training in good laboratory practice (GLP) and accreditation procedures; vi) establish an inspectorate for HIV testing laboratories that will review, consolidate, and revise existing documentation for registration of HIV diagnostic and treatment related reagents.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA KMLTTB registered laboratory personnel are deployed at public and private health care facilities serving HIV-infected patients in all parts of the country. They deliver services related to HIV testing, monitoring of anti-retroviral and opportunistic infection therapy, assuring safe blood supplies, measuring the burden of HIV infection in populations and monitoring trends of the epidemic (surveillance). These functions are essential for the implementation and sustenance of all HIV /AIDS prevention strategies such as Counseling and Testing (HVCT), Prevention of Mother to Child Transmission (MTCT) and ARV treatment programs, since medical laboratory staff.

4. LINKS TO OTHER ACTIVITIES This activity is linked to the agreement with the Kenya Medical Research Institute Laboratory Infrastructure (#6946), which supports the development of National Quality Assurance Programs within the National Public Health Laboratories (NPHLS) for Blood Safety and HIV testing in Surveillance, HVCT, MTCT and monitoring of anti-retroviral treatment regimens, and all MTCT, Counseling and Testing, and HIV treatment programs.

5. POPULATIONS BEING TARGETED This activity primarily targets laboratory workers.

6. KEY LEGISLATIVE ISSUES ADDRESSED This activity represents a twinning between equivalent technical agencies.

7. EMPHASIS AREAS This activity includes MAJOR EMPHASIS in the area of local organization capacity development and minor emphasis in the area of development of laboratory policies and guidelines. Pre-service education will be strengthened through curriculum development and faculty training.