Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014

Details for Mechanism ID: 13270
Country/Region: Ghana
Year: 2014
Main Partner: Global Health Systems Solutions Inc.
Main Partner Program: Ghana
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $0 Additional Pipeline Funding: $43,531

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The Ghana Health Service (GHS), is responsible for hospital laboratories in ten regional and 170 district hospitals as well as the public health laboratory system, comprised of one National Public Health Reference Laboratory (NPHRL) and three zonal public health laboratories. The National Health Insurance Scheme (NHIS) has made it mandatory for laboratories to obtain accreditation/certification or risk losing the privileges provided by NHIS. Though these services exist, provision of quality laboratory services and conduct of reliable diagnostic testing are still challenges in Ghana. Quality management systems (QMS) in pre-analytical, analytical and post analytical process for laboratories have not been addressed as a whole. In order to leverage and coordinate donor laboratory efforts, USG support was targeted to reinforce the basic scale-up assistance coming from the Global Fund and from PMI. USG support will build national capacity for QMS, trainings and the monitoring of laboratory quality using the tools of external quality assessment (EQA), including Proficiency Testing (PT) programs. CDC Ghana through its implementing partners supports cost-effective, quality laboratory practices to promote reliable and accurate results, thus contributing to effective patient care. This in turn builds a positive attitude by patients towards testing. CDC worked closely with the GOG to support zonal and regional laboratories identified by GHS in preparation for the accreditation process. This included evaluating, developing, improving, and maintaining the laboratories QMS in compliance with WHO requirements for accreditation. This has been a four year process and support for laboratory accreditation is ending 30 March 2015.

Mechanism Allocation by Budget Code for Selected Year
Laboratory Infrastructure (HLAB) $0
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

MER Indicator MER description Target Fiscal Year Target
LAB_ACC By site support type: Direct Service Delivery (DSD) 2015 14
LAB_ACC Number of PEPFAR-supported testing facilities (laboratories) that are recognized by national, regional, or international standards for accreditation or have achieved a minimal acceptable level towards attainment of such accreditation 2015 14
LAB_ACC Sum of Support Type disaggregates 2015 14
LAB_CAP By clinical laboratories 2015 14
LAB_CAP By site support type: Direct Service Delivery (DSD) 2015 14
LAB_CAP Number of PEPFAR-supported testing facilities with capacity to perform clinical laboratory tests 2015 14
LAB_CAP Sum of Site Support Type disaggregates 2015 14
SITE_SUPP By program area/support type: Lab Direct Service Delivery (DSD) 2015 17
SITE_SUPP Number of unique sites supported by PEPFAR 2015 17