Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 16828
Country/Region: Nigeria
Year: 2013
Main Partner: AIDS Prevention Initiative in Nigeria, LTD
Main Partner Program: Nigeria
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $399,877

APIN will support local institutions to develop, implement, monitor and manage a system for strengthening laboratory management towards accreditation. This will be achieved by building their capacity in the area of Quality Management System, accreditation, assessment and audit. Using the CLSI, ISO and SLMTA strategies with WHO-Afro accreditation checklist, APIN is currently preparing and strengthening five (6) supported laboratories for WHO-Afro accreditation. These laboratories are expected to be accredited by the end of 2013, having successfully undergone the SLMTA Roll-out process. APIN plans to replicate its existing QMS strategy by employing a hub and spoke approach whereby the laboratories being prepared for WHO-Afro accreditation will be used to mentor the secondary health facility laboratories. The primary targets are the secondary facility laboratories that will be used to establish a network of spokes to be mentored by the tertiary facility laboratories. State ministries of health laboratory personnel will also play a major role as assessors for the secondary health facility laboratories within their states. APIN will adopt a phased approach in the development and implementation of the accreditation process.

Funding for Health Systems Strengthening (OHSS): $399,877

APIN will target three (3) divisions of the FMOH; the laboratory unit of the HIV/AIDS division of NASCP, the laboratory unit of Hospital services division and the laboratory unit of National TB and Leprosy Control Program with a view of strengthening their capacity. The objective would be to build their capacity in the areas of development of monitoring mechanisms and setting up quality management systems that will ensure standards of laboratory practice in the HIV/AIDS response in the country. This will also focus on subscriptions to international journals for best practices ; CME for bodies tasked with quality assurance. APIN will also target 3 states of Lagos, Oyo and Plateau where it is the lead IP with the same objective as above. APIN plans to engage directly with the State ministry of Health laboratory personnel who will in-turn support and drive the process at the facility laboratories. In Benue and Kaduna States, APIN will engage directly with the State Ministries of Health and other implementing partners to provide the services. APIN will conduct advocacy visits to these state governments and management of the local institutions to sensitize and encourage their involvement. APIN will establish a quality management system by setting up a central accreditation planning committee for each supported institution that will be made up of a group of two or more laboratory personnel meeting to identify and solve a quality problem by working through a series of steps standard methods and tools. APIN will also develop an accreditation preparedness work plan for each participating institution to serve as key implementation framework. These institutions will be supported to develop quality management system documentation such as quality policies, manuals, SOPs, Job-aids, etc. These committees will be encouraged to develop quality management plans outlining the Lab Quality Program, including a clear indication of responsibilities and accountability, performance measurement strategies and goals, and elaboration of processes for ongoing evaluation and assessment of the Program. To implement, monitor and manage efficient laboratory Logistics Management Systems, APIN will provide technical assistance to Laboratory personnel in collaboration with FMoH (NACA, NASCP) using the approved national tools. This technical assistance will be in form of trainings which will relate to documentation of laboratory commodities (receipts, usage, balances and requests) using relevant LMIS tools. The approved tools are the Daily Usage Registers (DUR), Combined Report Requisition Issue and Result Form (CRRIRF RTKs, CRRIRF-Reagents/consumables), Inventory control Cards/Bin cards. APIN will conduct regular Monitoring and Evaluation visits to assess the level of utilisation of the LMIS tools, their completeness and timeliness in each review period. APIN will monitor the resupply efficiency of commodities by partnering with NACA, in collating reports, analysis and submission.

Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Tuberculosis
End-of-Program Evaluation