Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 4154
Country/Region: Kenya
Year: 2009
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $100,000

Funding for Laboratory Infrastructure (HLAB): $100,000

Updated April 2009 Reprogramming. Decreased by $200,000. Funds moved to TBD for FOA PS-09-966

(HLAB).

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

+Development of human capacity at, and support for laboratory infrastructure design of, the NPHLS Central

Microbiology Reference Laboratory to provide microbiology reference testing services

+Decentralization of capacity for quality TB smears microscopy and culture to regional laboratory facilities in

high TB/HIV prevalence areas.

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

opportunistic infectious agents

+Collaboration with local institutions to facilitate reference microbiology technology transfer and to build

sustainability in training/ testing capacity.

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

+By supporting training of senior laboratory staff in microbiologic diagnostic techniques, this activity will

support key cross-cutting budget attributions relating to human capacity development in Kenya.

1. LIST OF RELATED ACTIVITIES

This activity relates to activities in Counseling and Testing (#6941) and TB/HIV, PMTCT and HIV care &

treatment programs.

2. ACTIVITY DESCRIPTION

In FY 2009, American Society for Microbiology (ASM) will work with the National Public Health Laboratory

services (NPHLS) to establish the Central Reference Microbiology laboratory capacity and to strengthen the

central TB reference Laboratory. 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 NPHLS 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 laboratory staff from eight provinces to conduct microbiology

testing, prepare SOPS for microbiology testing, prepare lists of reagents and equipment and provide expert

advice on physical infrastructure requirements. Training will be done in high functioning laboratories in

Kenya or the region. 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 and benefit the general health system.

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 and HLAB 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.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15008

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15008 4826.08 HHS/Centers for The American 7006 4154.08 $96,755

Disease Control & Society for

Prevention Microbiology

7039 4826.07 HHS/Centers for The American 4285 4154.07 $499,994

Disease Control & Society for

Prevention Microbiology

4826 4826.06 HHS/Centers for The American 4154 4154.06 Microbiology $146,799

Disease Control & Society for

Prevention Microbiology

Emphasis Areas

Health-related Wraparound Programs

* TB

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $100,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.16:

Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000