Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 9644
Country/Region: Tanzania
Year: 2013
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $500,000

The goal of the American Society for Microbiology (ASM) cooperative agreement is to increase the capacity of laboratories to perform quality testing for HIV/AIDS-related opportunistic infections and other infectious disease and to improve laboratory infrastructure nationwide, including implementation of necessary training and institutionalization of quality management systems procedures. In Tanzania, ASM's objectives are to work with MOHSW to strengthen clinical and public health microbiology services at the National Quality Assurance and Training Centre and the zonal and regional laboratories. ASM will improve the quality and skills of existing personnel and establish local mentors to strengthen staff retention. This directly supports Partnership Framework Goal 5, which is to ensure necessary human resource capacity is available for the achievement of quality health and social welfare services at all levels. Laboratory development activities also align with PF Goal 1 for service maintenance and scale- up.

ASM's coverage includes the national, zonal, and regional levels, targeting microbiology laboratory managers, technologists, and technicians at local Tanzanian laboratories. By increasing the number of quality local microbiology mentors and master trainers, ASM will decrease its external consultant costs over time. ASM will transition activities to URT by building leadership, training, and supervisory capacity at the NHLQATC; and develop local mentors.

Activities in Tanzania will be conducted in alignment with ASM's monitoring and evaluation framework. Laboratory progress will be measured through a series of assessments and monthly quality indicators. Technical skill will be measured through tools, such as competency testing.

Funding for Laboratory Infrastructure (HLAB): $500,000

Microbiology diagnostic services are important in the rapid and accurate identification of microbial diseases, in detection of antibiotic resistance and in assistance in the control of disease outbreaks and nosocomial infections. American Society for Microbiology (ASM) was brought in as a new partner in Tanzania in 2008 and has been working with the Ministry of Health and Social Welfare (MOHSW) and the Centers for Disease Control and Prevention (CDC-Tanzania) to strengthen clinical microbiology services at the National Health Laboratory Quality Assurance and Training Centre (NHLQATC), zonal, and regional laboratories.

An assessment conducted by ASM in January 2009 found that the microbiology laboratories are highly underutilized despite their critical role in patient management and disease control. To achieve the goals identified in the MOHSW National Health Laboratory Strategic Plan (2009-2012) and better serve the health needs of the Tanzanian population, ASM is working to advance microbiology services to the same standard as the other clinical disciplines serving people living with HIV/AIDS. ASM support is in alignment with the objectives of the strategic plan and is addressing the multiple clinical laboratory tiers, that is, national, zonal, and regional.

With COP12 funds, ASM will continue to work with MOHSW and CDC to strengthen the NHLQATC as a public health microbiology reference laboratory with capacity for confirmation and surveillance of communicable diseases including outbreaks. ASM will continue providing technical assistance for the improvement of the test menu, testing algorithm, specimen referral strategy, equipment maintenance, and supplies/reagents to support microbiology specialized diagnostic testing. Laboratorians will be trained on water and food diagnostic procedures and provide mentorship on quality management systems in microbiology laboratories. ASM will also strengthen microbiology services in zonal and regional laboratories by building local mentorship capacity.

Cross Cutting Budget Categories and Known Amounts Total: $500,000
Human Resources for Health $500,000