Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5280
Country/Region: Zambia
Year: 2009
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $130,000

Funding for Laboratory Infrastructure (HLAB): $130,000

Activity Narrative:

ACTIVITY UNCHANGED FROM FY2008

This activity is linked to TB/HIV (#0724), adults care and treatment program areas and Centers for Disease

Control and Prevention - Technical Assistance (CDC-TA #9022), Southern Provincial Health Office (SPHO

#9797), Western Provincial Health Office (WPHO #9799), Eastern Provincial Health Office (EPHO #9795),

Chest Disease Laboratory (CDL #15510), Comforce (#8996), University Teaching Hospital (UTH #9798)

and all activities within the Laboratory section.

Opportunistic infections (OI's) are common in HIV populations and are a major threat to People Living with

HIV/AIDS (PLWHA) both prior to diagnosis as well as during care and treatment programs. Global efforts

toward detection of tuberculosis (TB) are currently in place. However, basic microbiology laboratory

services for blood stream and other infections such as sexually transmitted infections (STI), which have high

morbidity in the HIV infected patients, are limited and lack quality.

In FY 2008, this activity supported technical assistance from the American Society for Microbiology (ASM).

ASM technical experts provided support in the areas of TB and OIs. The technical experts conducted a

national basic microbiology workshop focused on OIs; provided training for routine bacteriology diagnostics

and antimicrobial susceptibility testing; trained on the function and maintenance of the BACTEC 9050;

educated laboratory staff and medical personnel on proper blood culture collection techniques, and

provided support for development of quality systems for TB diagnostics.

In FY 2009, the ASM will continue to provide in-country expertise for cost effective microbiology services

and expand support for detection of STIs, laboratory systems, strategic planning, standardization of

protocols for antibiotic utilization, infection control, and good laboratory and clinical practice. The ASM's

major emphasis area will continue to be human capacity development. Activities conducted will include

training on the most common bacterial infections using basic and advanced diagnostic techniques;

improvements in rapid TB culture, and drug susceptibility testing at the national and regional TB reference

laboratories, and assistance for development of infection control strategies.

Additional ASM assistance will involve strengthening and development of a quality assurance/quality control

programs for basic bacteriology such as gram staining; antimicrobial susceptibility testing; TB and STI

diagnostics. This will require on-site training and consultation addressing workflow management, specimen

tracking, testing procedures, documents and specimen retention, reporting, reagent preparation and

storage, instrument maintenance, competency testing, and proficiency testing. An external quality

assurance program for microbiology will include identification and antimicrobial susceptibility testing of

unknown pathogens and feedback on results.

Technical experts will continue to provide support to CDC Zambia laboratory staff and local laboratories for

strengthening microbiology services and treatment of OIs, working in collaboration with interdisciplinary

health care teams and other partners such as JHPIEGO to ensure a sustainable program working within

existing health care facilities. The technical experts provide in-country technical assistance for periods

between three to four weeks and return for multiple consultations. This activity provides support for their

travel and other costs related to their consultancy to the national laboratory quality assurance program in

Zambia. Trainings will be performed in consultation with CDC-Zambia or other organizations.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15563

Continued Associated Activity Information

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

System ID System ID

15563 9794.08 HHS/Centers for The American 7183 5280.08 ASM - $130,000

Disease Control & Society for U62/CCU32511

Prevention Microbiology 9

9794 9794.07 HHS/Centers for The American 5280 5280.07 ASM - $129,999

Disease Control & Society for U62/CCU32511

Prevention Microbiology 9

Emphasis Areas

Health-related Wraparound Programs

* TB

Workplace Programs

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $130,000

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: $130,000
Human Resources for Health $130,000