Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 12632
Country/Region: Caribbean Region
Year: 2012
Main Partner: African Field Epidemiology Network
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $369,000

The purpose of this mechanism is to procure molecular testing and HIV rapid testing reagents,and equipment to support HIV diagnosis and clinical monitoring, as well as establish equipment service contracts to include equipment maintenance and calibration support for uninterrupted clinical laboratory monitoring of HIV/AIDS patients. The mechanism will also support the procurement of the Laboratory Informatics Systems (LIS)(Basic Laboratory Informatics Systems, BLIS) to improve laboratory data collection and management.Developing tiered laboratory referral systems and hubs for the entire Caribbean region will entail complete review of the current equipment pool. This implementing mechanism is in direct support of the USG Caribbean Partnership Framework Laboratory System Goal 3, Objective3.2: Improve laboratory services and systems, sub-objective 3.2.3: Procurement, service contracts and LIS). The CDC Caribbean Regional Office will support procurement and service contracts (for all the 12 countries) and molecular test reagents (for Suriname, Jamaica and Bahamas), HIV rapid testing reagents (for the OECS countries) and LIS for the National Reference Laboratories of Bahamas, St Vincent and the Grenadines and Dominica and will therefore, ensure that all laboratories will have reagents, data management system, and functional equipment that is well-maintained to ensure uninterrupted testing. Through the Partnership Framework five activity plans, countries have agreed to develop plans to eventually takeover and continue to sustain these activities. This mechanism will be monitored by the number of laboratories with well established service contracts, functional LIS and number of times that reagents were ordered and received in the laboratory within the stipulated turnaround time

Funding for Laboratory Infrastructure (HLAB): $369,000

In order to ensure timely and accurate HIV testing and clinical patient monitoring, laboratories must have proper equipment that is well-maintained. In the Caribbean Region there are significant challenges with the testing and reporting of results, due in part to limited CD4 capacity. The CDC Caribbean Regional Office will work with AFENET to purchase point of care CD4 machines to support testing in Jamaica and Trinidad and Tobago. This will support all the National Reference Laboratories of the OECS countries in their efforts to roll out HIV rapid testing to the community and other testing sites. AFENET will procure HIV rapid test kits worth 5000 test to support testing in these countries, in additional molecular testing reagents for viral load and DNA PCR will be purchase to support molecular testing in Jamaica, Suriname, and Bahamas.AFENET will collaborate with Ministries of Health of Bahamas, St Vincent and the Grenadines and Dominica to strengthen national health information systems including the design and implementation of customized paper and electronic based LIS. The BLIS developed by Georgia Tech in Atlanta has been piloting in other PEPFAR supported countries and found to be very useful particularly in resource limited settings. AFENET will pilot this LIS in these countries. This will improve HIV/AIDS case reporting, as the systems will provide information for the implementation of one standardized national HIV/AIDS patient registry system which provides both individual patient tracking and the ability to perform facility-level and national cohort and cross-sectional analysis.AFENET will identify a service engineer and to purchase preventative and service contracts for CD4, hematology, and clinical chemistry equipment. They will also obtain equipment calibration contracts for micro pipettes, refrigerators, thermometers and biosafety cabinets. These contracts will address issues such as preventive maintenance, troubleshooting and calibration of laboratory. The service engineer will provide technical assistance in developing standard operating procedures for use during instrument operation, developing preventative maintenance and maintenance logs, and training of staff.

Cross Cutting Budget Categories and Known Amounts Total: $210,000
Human Resources for Health $210,000