Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016

Details for Mechanism ID: 13144
Country/Region: Eswatini
Year: 2013
Main Partner: University Research Corporation, LLC
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $1,550,000

URCs strategy for strengthening laboratory services builds on the following principals: ensuring strong country ownership; integrating project activities within Swazilands health systems to ensure long-term program sustainability; capacity building through training/mentoring lab staff in quality assurance/quality management on both general lab-related and TB diagnostic services; linking project activities with other PEPFAR and donor funded initiatives to increase returns on USG investments in the country; and working with GKOS and other partners to ensure that laboratory services are strengthened as an important component to TB/HIV services. The two URC/USG projects share costs of offices, procurement and financial management systems making the program to be cost efficient. URC will collaborate with other PEPFAR partners to assist in the implementation of a comprehensive Laboratory Information Systems. URC also provides direct TA and support to Laboratory organizational leadership in implementation of the 5 year laboratory strategic development plan (2008-2013) and policy, and enhance capacity development for laboratory supervisors. Quarterly reviews meetings facilitate data reviews and quality improvement. Support is also given to attend regional and international trainings. In addition, URC will assist with the implementation of external quality assurance (proficiency testing) for all test parameters including HIV Rapid Testing and TB microscopy countrywide. The final stage of their intervention will be performing of internal audits to determine readiness for accreditation, followed by facilitation of a formal accreditation process. Experience shows that quality services and compliance to standards only occurs when adequate support and mentoring is in place.

Funding for Care: TB/HIV (HVTB): $750,000

The project will support TB/HIV laboratory related activities that aim at: standardizing TB/HIV best laboratory practices and provide associated training; providing for uniform quality assurance measures among laboratories; working with NCLS to standardize equipment (introduce new technologies and equipment), commodities, and supportive maintenance training; and supporting capacity building for a unified approach to procurement and distribution of laboratory commodities. The project will strive to ensure an adequate number of clinical laboratories perform quality testing for TB/HIV/AIDS diagnostics and monitoring tests for care and treatment services. The project will also assist to strengthen referral transport systems for specimens and implement practical and sustainable quality management systems by conducting laboratory management training programs and assisting in the adoption of the WHO Laboratory accreditation scheme (utilizing a stepwise approach for reference and peripheral laboratories).

Funding for Laboratory Infrastructure (HLAB): $800,000

The lab project will work together with the NCLS to develop and strengthen laboratory systems and facilities to support TB/HIV/AIDS-related activities including: strengthening of laboratory leadership and management; purchase of equipment and commodities; strengthening of laboratory supply and equipment management systems; promotion of quality management systems, laboratory monitoring and evaluation, and laboratory information systems; and provision of staff training and other technical assistance. The project will continue to support SLMTA (strengthening laboratory management towards accreditation) trainings. The project will also support 8 additional laboratory sites to start the process of accreditation. These are Phocweni, Piggs Peak, RFM, Good Shepherd, Hlatikhulu, Siphofaneni, Baylor and National TB hospital. In addition the project will continue working with NRL towards attaining accreditation stars to the 8 laboratories which are namely HIV Molecular/EID Referral Lab, Clinical chemistry Lab, Hematology lab, Microbiology lab, Flowcytometry Lab, Cytology/Histology Lab, Immunochemistry referral lab, TB Reference Lab.

Subpartners Total: $0
South African Medical Research Council: NA
National Emergency Response Council on HIV and AIDS: NA
National Health Laboratory Services - South Africa: NA
Cross Cutting Budget Categories and Known Amounts Total: $700,000
Education $50,000
Gender: Gender Equality $50,000
Human Resources for Health $500,000
Renovation $100,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
enumerations.Malaria (PMI)
Child Survival Activities
Military Populations
Mobile Populations
Safe Motherhood
Workplace Programs