Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5255
Country/Region: Vietnam
Year: 2007
Main Partner: International Laboratory Branch Consortium Partners
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $60,078

Funding for Laboratory Infrastructure (HLAB): $60,078

This activity is linked to HLAB MOH/VAAC (9505), HLAB HCMC-PAC (9503), HLAB NIHE (9506), and HLAB APHL (9499).

PEPFAR will fund an implementing partner in the US Laboratory Consortium to develop standard operating procedures (SOPs) for testing, biosafety and data management within Vietnam's clinical and diagnostic laboratory networks. This partner will also facilitate training to implement SOPs and ensure quality of training at national, regional and provincial levels. PEPFAR will collaborate with the GF and World Bank to organize training for clinical and diagnostic laboratory staff in all regions of Vietnam in the development of SOPs and strengthening of quality assurance (QA).

Issues in QA practices in the diagnostic laboratory network were highlighted through a preliminary needs assessment in April 2006. Results of the needs assessment were discussed with end-users in a training workshop conducted with support from PEPFAR. The National Reference Laboratory for HIV diagnosis at the National Institute of Hygiene and Epidemiology (NIHE) and international experts from Australia (National Serological Reference Laboratory) and Thailand (CDC and Ministry of Public Health) conducted training workshops for all MOH/VAAC-supported diagnostic laboratories in 64 provinces to disseminate results of External Quality Assessment (EQA) and strengthen QA practices. Recommendations from the meeting were to enhance training for preventive maintenance on equipment, to improve QA within the laboratory network through provision of thermometers and balances for centrifuges, to provide support for writing SOPs in laboratories, to conduct regional/national meetings for laboratory staff, to enhance communication from VAAC about approved test kits, and to improve data management tools to generate reports and track output through Laboratory Information system (LIS). These recommendations will be used by implementing partners in the US Laboratory Consortium to design a locally adaptable SOP for the diagnostic laboratory network.

Designing and implementing SOPs for QA within the clinical laboratory network is a challenge because of the lack of a designated National Reference Laboratory for clinical laboratories which impedes the development and implementation of QA practices and EQAs. USG will fund another implementing partner to design and implement a needs assessment for the clinical laboratory network (Refer to partner APHL in US Laboratory Consortium) and will also work directly and closely with VAAC to establish a National Reference Laboratory for the clinical network.

The implementing partner will work with partners including World Bank and GF to facilitate trainings for 114 diagnostic and clinical laboratory personnel on how to write SOPs. Participants will be from 64 laboratories for the diagnostic laboratory network and from the 7 focus provinces for the clinical laboratory network.