Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 4154
Country/Region: Kenya
Year: 2008
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $96,755

Funding for Laboratory Infrastructure (HLAB): $96,755

THIS IS AN ONGOING ACTIVITY. THE NARRATIVE IS UNCHANGED EXCEPT FOR UPDATED

REFERENCES TO:

+Development of capacity at the NPHLS to conduct CrAg testing and other mycotic disease diagnosis

+Decentralization of capacity for quality TB smear microscopy and culture as an added preventive measure

+Training of NPHLS/CRL staff in rapid/molecular techniques for identification and speciation of TB and

opportunistic infectious agents

1.LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6941) and TB/HIV (#6944).

2.ACTIVITY DESCRIPTION

In FY 2007, American Society for Microbiology (ASM) will worked with the National Public Health Laboratory

(NPHL) to establish central reference microbiological laboratory capacity. To date, support for laboratory

capacity related to HIV prevention and treatment programs has been heavily focused on tests for HIV

diagnosis or monitoring of treatment with antiretroviral drugs. Microbiologic diagnostic capacity is extremely

limited in Kenya; while many clinical labs can support microscopic diagnosis of tuberculosis, culture for

tuberculosis and diagnostic tests for other opportunistic infections are generally unavailable. The NPHL

strategic plan outlines needs to urgently support establishment of a network of laboratory referral services,

including microbiology services, throughout the country. ASM will train senior NPHLS staff from eight

provinces to conduct microbiology testing. Training will be done in high functioning laboratories in the USA,

elsewhere in Africa and within the central laboratories in Kenya. Essential microbiological technologies will

be selected for different levels of the National laboratories and appropriate equipment and reagents for such

tests procured in accordance with the National Laboratory policy guidelines. ASM will assist with

development of approaches to supportive supervision, specimen transport, quality assurance and

monitoring and evaluation related to microbiologic testing.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

Development of capacity to conduct appropriate microbiologic testing will dramatically improve the quality of

care provided for people with HIV in Kenya.

4. LINKS TO OTHER ACTIVITIES

This activity relates to all facility based palliative care activities, TB/HIV activities and HIV treatment

activities. In addition, the activity is intimately linked with HLAB (#7003), HLAB (#7113) and HLAB (#6940)

activities.

5 POPULATIONS BEING TARGETED

This activity targets laboratory workers.

6. EMPHASIS AREAS This activity includes major emphasis in the area of training of Microbiology

Technologists and Scientists and minor emphasis in the areas of laboratory infrastructure development,

procurement of specialized microbiology equipment and reagents, and development of protocols for quality

assurance schemes and strengthening of networks/linkages and referral systems for external quality

assurance schemes for microbiological tests as detailed in Section 3 above.