Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 6129
Country/Region: Mozambique
Year: 2009
Main Partner: American Society for Microbiology
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: HHS/CDC
Total Funding: $367,000

Funding for Laboratory Infrastructure (HLAB): $367,000

THIS IS A CONTINUING ACTIVITY:

This activity is linked to activities implemented by APHL, ASCP, MoH, and South to South TBD Partner.

The American Society for Microbiology (ASM) is successfully providing technical laboratory support to

PEPFAR countries in sub-Saharan Africa. In Mozambique, ASM will continue to work in coordination with

the Ministry of Health of Mozambique (MISAU) and CDC-Mozambique to carry out laboratory capacity

building activities, with primary emphasis on clinical microbiology laboratory strengthening for Opportunistic

Infections (OI).

ASM will continue to offer technical support to the Mozambican primary-tiered (central) laboratories to

establish and/or strengthen their clinical microbiology services for HIV/AIDS patients countrywide, as well as

develop and present basic microbiology workshops for some lower-tiered (provincial/district) laboratories. In

FY09, ASM will assist with pre-service training efforts by selecting three graduating Mozambican

biology/medical technology students to undergo an intensive 6-month internship, both didactic and practical,

in an external university and laboratory. These students would then return to Mozambique to apply what

they learned at the 3 central level laboratories.

The objectives and activities proposed by ASM for FY09 are outlined below.

Objective 1: Improve human resource capacity for clinical microbiology; and Objective 2: Improve quality of

lab services

Activity 1: Provide onsite training and supervision to lab supervisor/technologists at central level laboratories

Mentors will provide follow-up for training in new technologies and introduction on mycology and higher

level parasitology (cryptosporidium, toxoplasmosis, isosporiasis, etc). Proposed laboratories are located at

central hospitals in Maputo, Beira, and Nampula. Mentoring will include onsite supervision and training as

needed. Mentors will also work with laboratory supervisors and MISAU to develop and implement a Quality

Assurance program for routine clinical microbiology procedures within the Mozambique Lab, possibly

integrated with other existing EQA programs. Coverage: National

Activity 2: Hold regional workshops (3 regions) for provincial/district laboratory personnel in basic

bacteriology

These 3-5 day workshops will rollout new SOPs and standardized training materials and provide practical

and didactic training on basic bacteriology techniques. At least one workshop will be held in each region

(southern, central, and northern). Workshops will be short and hands-on targeting microscopists around the

country. Goal would be to improve the ability of these microscopists to correctly prepare (slides and gram

reagents) and read gram stains. A lab-in-a-box format could be used as part of the training materials. This

box would contain several pertinent smears (stained and unstained) and would serve as reference for

positive, negative or indeterminate gram smears. A microscope may also be part of the box equipments,

since they may not have good microscopes. Coverage: Provincial/District

Activity 3: Select Mozambican trainees for 6-month internship in microbiology in representative lab (i.e.

Brazil)

Three graduating Mozambican medical technologists (or biologists) with aptitude in microbiology will be

chosen to undergo 6-month internship at a representative university and lab in another country in order to

ensure their readiness to start working in central level microbiology labs in Mozambique. Coverage:

National

Objective 3: Strengthen the national laboratory network infrastructure

Activity 1: Technical assistance toward supervision and implementation of goals set forth by National

Strategic Plan for Clinical Microbiology

Consultant(s) will provide guidance with implementing the goals defined in the National Strategic Plan for

Clinical Microbiology, along with determining how to measure, evaluate and redefine these goals over time.

Coverage: National

Activity 2: Technical assistance with realization of National Reference Laboratory (NRL) for Microbiology

Consultant(s) will continue to oversee progress toward establishing the NRL for Microbiology, which will

include guidance for lab infrastructure needs and defining the roles of the NRL. Coverage: National

New/Continuing Activity: Continuing Activity

Continuing Activity: 16313

Continued Associated Activity Information

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

System ID System ID

16313 12277.08 HHS/Centers for The American 7409 6129.08 $721,500

Disease Control & Society for

Prevention Microbiology

12277 12277.07 HHS/Centers for The American 6129 6129.07 $534,400

Disease Control & Society for

Prevention Microbiology

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $200,000

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: $200,000
Human Resources for Health $200,000