Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2015

Details for Mechanism ID: 9522
Country/Region: South Africa
Year: 2010
Main Partner: National Health Laboratory Services - South Africa
Main Partner Program: NA
Organizational Type: Parastatal
Funding Agency: HHS/CDC
Total Funding: $12,073,862

With the availability of significant technical and scientific resources within South Africa, NICD and NHLS are well placed to continue to provide regional laboratory support within Sub-Saharan Africa. Both organizations will expand and strengthen existing regional support mechanisms and will enhance collaboration with other PEPFAR-funded countries through the African Center for Integrated Laboratory Training (ACILT). Expansion of services includes, but is not limited to, extending EQA programs, TB and HIV laboratory diagnostic technical support and services, regional HIV rapid testing kit evaluations, integrated TB/HIV training programs, and other HIV and TB related laboratory technical assistance. All regionally supported activities will be funded by requesting countries within their COP submissions and are not directly funded by South African PEPFAR funds. This regional support is deemed critical to the success of other PEPFAR funded laboratory program areas within Africa.

ACILT was established in 2008 with funding from PEPFAR to provide training courses for laboratory personnel to meet the increasing demand for training in laboratory management and diagnosis of HIV, TB and malaria. The demand for training far exceeds its current capacity because ACILT operates in borrowed laboratory and lecture spaces at the NHLS campus and does not have a dedicated facility. Another major challenge is the lack of affordable accommodation in proximity to the NHLS campus. To meet the present and future demands in South Africa, Southern Africa and Sub-Saharan PEPFAR countries, ACILT will need a newly constructed facility containing three training laboratories, two lecture/seminar rooms, staff offices, and accommodation for visiting staff and trainees. NHLS has developed plans and a budget, as well as identified adequate space on its campus for the proposed facility.

Funding for Strategic Information (HVSI): $3,472,753

None

Funding for Laboratory Infrastructure (HLAB): $2,635,683

1. BACKGROUND ACILT was established in 2008, via funding from the President's Emergency Plan for AIDS Relief (PEPFAR), to set up training courses for laboratory personnel within Africa to build the much needed extra capacity required for treating these diseases. In 2008 five courses were offered at ACILT to 85 participants, and in 2009, 14 courses will be presented to an estimated 200 attendees, participants coming from different 14 African countries. 2. FUNCTIONS Courses recently presented are Early Infant Diagnosis (EID); Practical Approach to Monitor and Improve the Quality of HIV Rapid Testing; Practical Course on Growth, Detection and Identification of Mycobacterium tuberculosis complex; Strengthening of laboratory management towards accreditation; Bio-safety and infrastructure development; and National Laboratory Strategic Planning. For each course materials and documentation for participants of courses are prepared, printed and collated as well as the preparation of laboratory supplies, and issuing of biological substances necessary for the courses conducted and standardization of teaching laboratory facilities, equipment etc. Facilitation of most courses are performed with ongoing support in the form of instructors and technical assistance from Centre for Disease Control and Prevention (CDC), World Health Organisation (WHO), Association of Public Health Laboratories (APHL), and President's Emergency Plan for AIDS Relief (PEPFAR). A major challenge presents itself in the accommodation of participants. Hotels in Johannesburg are expensive and access at time from even local hotels is difficult. Participants' countries carry the expense of travel to and accommodation in Johannesburg, often difficult to do when not budgeted. 3. CONCLUSION This project would ensure the establishment of the African Centre for Integrated Laboratory Training in its

own facility at the National Institute of Communicable Diseases. With this state of the art training facility, ACILT will be able to provide a full training service to address the requirements of the various hand-on courses offered in collaboration with its international partners (CDC, WHO, APHL, PEPFAR.) in building the required capacity in Africa to improve efficiency and management in the diagnosing and monitoring of TB, HIV / AIDS and Malaria. The facility will ensure that all participants attending these courses will be exposed to the ideal layout and design required for the establishment of such laboratories in their respective countries.

Funding for Care: TB/HIV (HVTB): $5,965,426

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