Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4519
Country/Region: Tanzania
Year: 2007
Main Partner: American Society for Clinical Pathology
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $385,000

Funding for Laboratory Infrastructure (HLAB): $385,000

This activity links to activities HLAB MOHSW 7758, 7779 NIMR, CDCBase 7834, CLSI 7696, APHL7682, AIHA7676, AMREF 7672, RPSO 7792, BMC 7685, ZACP 8224, DoD 7746; Track 1 ART CU7697/7698, EGPAF 7705/7706, HARVARD7719/7722, AIDSRelief 7692/7694, DoD7747, Blood Safety; CT NACP 7776, TB/HIV7781, PMI, SCMS 8233, FHI 7712; SI NACP 7773, MOHSW 7761

The main activity for ASCP is the enhancement of laboratory capacity in support of HIV diagnosis care and treatment through training activities both in the pre-service and in service areas. With the introduction of sophisticated automated equipment into the health diagnostic services in Tanzania, there was a need to train in service technicians on the use of this equipment and address the pre service needs for sustainability. In June of FY 2005, ASCP carried out an assessment and trial training in Bagomoyo and in February of 2006 ASCP conducted a follow-up assessment and gap analysis. Using the information gathered during the February assessment, ASCP assisted with the development of the Training of Trainers plan. In collaboration with CDC-Atlanta, CDC-Tanzania, NMRI and the Tanzania Ministry of Health and Social Welfare, ASCP conducted a 2 week Training of Trainers (TOT) in CD4, Chemistry and Haematology in Arusha, Tanzania,. This was accompanied by Biomedical Engineering training on the same equipment with the support of the equipment vendors. ASCP trainers assisted in building the training capacity of the National Training Team and participated in the subsequent roll out four zones in the mainland and Zanzibar.

While ASCP and other Cooperative Agreement Partners have provided the basic tools by which laboratories can meet PEPFAR goals, standards-based strategies are needed to assure that initial training investments result in sustained and increased performance In FY 2007, ASCP will collaborate with MOHSW and partners in the development and updating of standard operating procedures (SOPs) and a quality assurance and quality control program in the areas of clinical chemistry, hematology, CD4 count in order to maintain the quality of services rendered following the initial training.

For the Pre service area, ASCP will assist in developing the infrastructure of Schools of Medical Technology. ASCP will use its educator members and consultants to develop partnerships between US Medical Technology training programs with Tanzanian Schools of Medical Technology,. As a result of ASCP assessments and training experiences in PEPFAR countries, staff and volunteer faculty have realized that the sustainability of ASCP's training efforts could be strengthened if initiatives are taken to support ‘pre-service training. ASCP will assist in the curriculum review for the schools of laboratory sciences to incorporate automation, instrumentation, laboratory management and quality assurance, procure books and equipment needed to train individuals in medical technology thereby increasing the human resource capacity of Tanzania to address the monitoring of individuals receiving antiretroviral treatment.

ASCP will partner with professional associations within Tanzania to support and mentor the associations and their members to strengthen their presence in Tanzania and ensure sustainability of laboratory infrastructure and capacity building.

ASCP will assist the National Quality Assurance and Training Centre in the development of curricula to in educational design and evaluation; training course development; competency assessment development; technical assistance with training delivery; provision of equipment, reagents and supplies for training. This will achieved through assigning technical experts to provide technical assistance for two to three months working with MOHSW and CDC Tanzania. ASCP will coordinate and support the accreditation of the National Quality Assurance and Training Centre. The ASCP will develop and pilot an accreditation program that supports a sustained quality improvement and assessment infrastructure for participating laboratories. The focus for the accreditation program will be the National Quality Assurance and Training Center.