TITLE: Twinning Partnership for Palliative Care, Pare Diocese

NEED and COMPARATIVE ADVANTAGE: Palliative care is a crucial component of the holistic approach

necessary to address needs of PLWHA. Unfortunately, these services (both facility and home-based) are

limited in Tanzania. The American International Health Alliance (AIHA) twinning partnership with the Pare

Diocese will strengthen the capacity of the Evangelical Lutheran Church in Tanzania (ELCT) to provide

quality palliative care training to health care and non-health care personnel in the Pare Diocese. This

experience can be expanded to other parts of ELCT, and can inform and benefit the policies and practices

included in the national guidelines prepared by the National AIDS Control Programme (NACP).

The consortium of the Southeastern Iowa Synod of the Evangelical Lutheran Church in America (SIELCA),

Iowa Health—Des Moines, and Iowa Sister States (ISS) will work jointly with ELCT in Pare. This

partnership will build on the existing 18-year collaborative relationship between ELCT and SIELCA. AIHA

has a demonstrated exceptional experience with working at the community level in Tanzania and other

parts of Africa.

ACCOMPLISHMENTS: The twinning partnership between the Iowa consortium and ELCT is a new

collaborative relationship. With FY 2007 funding, the program has recently been initiated. It will apply its

experience in Iowa in the use the national curriculum to train healthcare providers and volunteers in

institutional settings and at home. Soon, ISS will make two visits to Pare to use these curricula in pilot

settings, and make recommendations to NACP for potential modification. Trainees will begin providing

palliative care services in hospitals, dispensaries, and in patients' homes.

ACTIVITIES: In FY 2008, the program will scale up significantly, working within the national guidelines set

out by NACP. Based on their experience in Iowa, the ISS may recommend enhancements to the present

national guidelines and/or the national training curricula, pending the approval through the appropriate

NACP channels. A team of trainees will be identified for intensive training on the curricula and in teaching

methods. ELCT will monitor the quality of palliative care services in institutional settings and at home. The

twinning partnership will train approximately 200 healthcare and non-healthcare providers in palliative care

and provide mentoring for health care providers, family members, and church volunteers in Pare Diocese.

Mentoring through partnership exchanges with both ELCT and with local health authorities, such as the

district health management teams and district-level community-based coordinators will increase

understanding of the palliative care model developed and provide the opportunity for ongoing quality-

assurance monitoring and sustainability.

LINKAGES: Pare Diocese and Gonja Hospital are part of the ELCT network of 20 hospitals and 160 primary

health care institutions, which constitute 15% of the health care services in Tanzania. The twinning

partnership program will be closely coordinated with the activities of the ELCT health department and the

Foundations for Sub-Saharan Africa palliative care program funded under the New Partner Initiative. The

partnership will work closely with the palliative care provider that has been assigned to the Moshi region

under the regionalization process (Pathfinder International). Pathfinder will take the lead in dealing with

coordination and linkages with the government of Tanzania. However, for recommended modifications to

guidelines/curriculum, the AIHA partnership will link directly to NACP.

CHECK BOXES: The palliative care training program is designed to strengthen the capacity of ELCT to

provide quality palliative care education to health care providers, family members, and volunteers that serve

those affected by HIV/AIDS. Furthermore, the partnership, via partnership exchanges, strengthens the

capacity of ELCT staff by equipping them with knowledge and skills necessary to provide quality palliative

care education.M&E:AIHA twinning center staff will assist partners to develop and implement a monitoring

and evaluation system for the partnership.

M&E In collaboration with USG stakeholders, AIHA and partners will select the appropriate PEPFAR

indicators and other relevant indicators based on activities in the work plan. AIHA will assist partners to

develop the appropriate tools and systems necessary to collect and report relevant data and provide

technical assistance when necessary. AIHA will report this data to USG teams on a quarterly basis and will

further evaluate the partnership's effectiveness in meeting its goals and objectives upon completion of the

work plan period. AIHA will coordinate with national programs and ensure that national quality standards

will be used to assess their activities. Once the new national palliative care monitoring system is

developed, the partnership in Pare will participate in the implementation of this system. Once developed,

this will be the system used by all palliative care providers to monitor services.

SUSTAINAIBLITY: Through peer-to-peer exchanges, mentorship, and training, this twinning partnership

builds the capacity of ELCT to provide quality palliative care training to health care providers, family

members, and volunteers.

TITLE: AIHA OVC Social Work Training Program

NEED and COMPARATIVE ADVANTAGE: There is an acute need for trained personnel at national and

local levels to provide care and support for orphans and vulnerable children (OVC). Currently, the

government employs social workers in only one third of districts in Tanzania, and approximately 300 social

workers countrywide. Even so, the existing curriculum in social work pre-service training provides

inadequate preparation to support OVC, and in-service training is scant.

The twining partnership between the Institute of Social Work (ISW) in Tanzania and the Jane Addams

College of Social Work (JACSW) is strengthening the ISW's capacity to train social workers and others in

the community to respond to the needs of OVC more appropriately. JACSW brings social work expertise

and experience of supporting social work training in other developing countries.

ACCOMPLISHMENTS: The twinning partners have conducted training-needs assessments, developed an

OVC training manual for in-service social workers, conducted training for 45 social welfare officers,

developed OVC training materials in Kiswahili for para-professional social workers, and have piloted the

training of 120 para-professional social workers. AIHA has participated actively in the OVC Implementing

Partners Group, and has provided support for the coordination of activities and contributed to the

development of the MVC National Plan of Action (NPA).

ACTIVITIES: AIHA will continue to support capacity-building activities at all levels of the Institute of Social

Work-ISW (e.g., faculty, field supervisors, students, social workers in-service, and para-professional social

workers) in priority areas. Planned activities for FY 2008 will:

1. Continue to work with the ISW to expand and support the program for training and using para-

professional social workers, especially in high HIV prevalence regions (Dar es Salaam, Iringa, and Mbeya)

to serve the needs of OVC and plan for a future certification program. Responsibility for this training will be

transferred to the ISW to work with the Capacity Project on a national roll out of training. Sub activities will

include: 1a) oversee training for para-professional social workers who are working in local non-

governmental organizations and community-based organizations, community development officers who are

working very closely with the communities on daily development activities, and some representatives from

the Most Vulnerable Children's Committee (MVCC); 1b) establish systems of supervision and support for

trained para-professional social workers; 1c) develop certification of the para-professional social worker

training program; 1d) evaluation of effectiveness of para-professional social worker program using

indicators such as number of cases managed and frequency of completed monthly reports to MVCCs; 1e)

national level conference on findings.

2. Improve the institutional capacity of ISW faculty to deliver enhanced pre-service quality social work

education, particularly in the areas of HIV/AIDS, and OVC. Sub activities include 2a) evaluation of new

OVC and HIV/AIDS-enhanced diploma and degree curricula; 2b) continued expansion of OVC and

HIV/AIDS resources and educational materials; 2c) expanded internet connectivity of the learning resource

center for utilization by OVC students.

3. Continue in-service training of social workers to serve the needs of OVC. The partnership will continue to

work with DSW in identifying gaps and implementing necessary interventions to enhance the capacity of

social welfare officers and staff from other departments with a role in managing, coordinating, monitoring,

and evaluating a scaled-up response to OVC needs.

LINKAGES: The activities contribute to the implementation the NPA. The partners collaborate closely with

the DSW in the Ministry of Health and Social Welfare (MOHSW), which develops policy on OVC and

employs social workers at national, regional, and district levels. The DSW coordinates the OVC NPA and

chairs the monthly OVC Implementing Partner Group. ISW has supported DSW's work on a new social

protection policy. The AIHA program is linked with all other USG-funded OVC partners, as well as other

donor-funded OVC programs, through the Implementing Partners Group. It has strong linkages with Family

Health International, PACT, PASADA, WAMATA, and the Regional Psycho Social Support Programme

(REPSSI), which have evolved through social worker and paraprofessional social worker training activities.

JACSW will support a two-year OVC certificate program currently under development by ISW and REPSSI.

CHECK BOXES: The areas of emphasis will include building the capacity of ISW to provide quality in-

service education to serve the needs of OVC. In FY 2008, twinning partners, with close collaboration from

the DSW, plan to develop an OVC case management certificate-training program for paraprofessional

social workers. Para-professional social workers targeted will include community development workers,

NGO workers, and members of the MVCCs.

M&E: AIHA twinning center staff have collaborated with partners to develop a monitoring and evaluation

system for monitoring shared activities. AIHA will continue to assist partners in implementing this system

and developing training-specific monitoring tools. In collaboration with USG stakeholders, AIHA and other

partners will continue to select the appropriate PEPFAR indicators and other relevant indicators based on

planned activities in the work plan. AIHA continues to collaborate with partners in developing appropriate

tools and systems necessary to collect and report relevant data and provide technical assistance. AIHA

report data to USG teams on a quarterly basis and will further evaluate the partnership's effectiveness in

meeting its goals and objectives upon completion of the work plan period.

SUSTAINAIBLITY: The twinning partners are supporting the development of OVC and HIV/AIDS-enhanced

certificate, diploma, and degree pre-service curricula for social work students at ISW. By improving the

training of social workers, ISW graduates will become more skilled and competent in providing care and

support for OVC. Capacity-building activities with ISW faculty and field supervisors will ensure program

sustainability beyond the involvement of JACSW.

The program will also train para-professional social workers drawn from local government and organizations

operating at community level regarding social work skills to use in care and support of OVC. Support from

the MOHSW will enable ISW to continue to support and provide supervision to trainers of para-professional

social workers.

TITLE: Tanzania Preceptor Initiative and Hospital Partnership

Note: This activity will continue in FY 2008 with zero funding due to existing unused funds.

NEED and COMPARATIVE ADVANTAGE:

The Tanzania MOHSW is expanding ARV treatment services. Facilities are accredited to provide ARV

services by the NACP, and are already receiving ARVs, but are facing serious limitations of human

resources.

Volunteer preceptors with appropriate qualifications and experience will support HIV CTCs on an individual

basis as on-site technical assistants for staff within the facilities and assist in the provision of services as

necessary to fill gaps in staffing needs.

Through two twinning partnerships, US hospitals will assist Tanzanian counterpart institutions to better

organize and manage their work while building the capacity of staff to provide better care at the CTCs.

ACCOMPLISHMENTS:

An in-country volunteer coordinator has been hired. An orientation program for preceptors has been

developed, including an orientation guide, local guidelines, and a safety manual. Suitable accommodation

and other logistical arrangements were made for volunteer placements. Discussions with USG partners are

ongoing to identify potential volunteer assignments. The scopes of work for the first placements have been

developed and sites were identified. Qualified volunteers were recruited and the first six preceptors have

been placed.

ACTIVITIES (ongoing):

1. Preceptor Initiative:

1a. Identify 15 suitable sites for the hosting of volunteers, in collaboration with USG partners and other

institutions

1b. Finalize10 Scopes of Work for 25 volunteer assignments, with the support and assistance of USG

partners and other organizations

1c. Identify qualified volunteers to fill available volunteer opportunities

1d. Identify and secure suitable accommodation for volunteers

1e. Conduct pre-departure and in-country orientation of volunteers

1f. Place volunteers in their site assignments

1g. Volunteers conduct needs/organizational assessments of placement sites to identify technical

assistance and training/mentoring needs

1h. Volunteers work with site supervisors to develop individual action plan for each assignment, based on

assessment results

1i. Volunteers implement action plan in coordination with site supervisors, including training of health

professionals

1j. Volunteers submit progress reports during assignment to document progress achieved and document

training provided

1k. Volunteers submit post-assignment final report documenting achievements, including suggestions for

continued support and training needed at the placement organization

1l. Receive feedback from host sites and volunteers in post-assignment debriefing interviews

2. Hospital Partnership:

2a. AIHA conducts assessments of Tanzanian hospitals with CTCs, and in collaboration with MOHSW and

the USG team, select the Tanzanian hospitals to participate in the partnership.

2b. AIHA solicits proposals from interested US hospitals to select appropriate US partner institutions, with

concurrence from MOHSW, USG team, and selected Tanzanian partner hospitals.

2c. US partners conduct needs assessment of the Tanzanian partner hospitals, to determine organizational

development and training needs

2d. Partners jointly develop workplan outlining partnership activities, to be approved by AIHA, with

concurrence from MOHSW and the USG team

2e. Partners participate in partnership exchanges (to Tanzania and the US) to provide technical assistance

to address organizational development and training needs as identified in the workplan

2f. Partners implement programs and activities to address organizational development and training needs

2g. US partners submit quarterly reports to document progress achieved versus the partnership workplan,

document training and other technical assistance provided, and indicate progress toward partnership and

PEPFAR indicators.

LINKAGES:

To address the recent regionalization of USG Treatment Partners, the preceptor initiative will be closely

coordinated with the respective partners to ensure that preceptors are most effectively deployed. As

appropriate, volunteer physicians and nurses will participate in NACP CTC training and certification courses

prior to initiation of their service. Partners have offered to include volunteers in the NACP courses they

facilitate.

The hospital partnership will seek to develop similar relationships with appropriate institutions, depending on

the Tanzanian hospital selected to participate in the program.

CHECK BOXES:

The overall goal of the Preceptor Initiative in Tanzania is to increase the capacity of Care and Treatment

Centers (CTCs) to provide services through the fielding of trained and qualified professionals.

The overall goal of the Hospital Partnership in Tanzania is to increase the organizational capacity and staff

expertise at a Tanzania hospital with a CTC to provide better quality care.

M&E:

Preceptors will report regularly on progress towards achieving their scope of work, training and other

technical assistance provided. At the end of the placement, volunteers will submit a final report and

participate in an exit interview. AIHA will conduct a post-service evaluation with the host organization.

AIHA will assist hospital partners to develop and implement a M&E system for the partnership. With USG

stakeholders, AIHA and partners will select the PEPFAR, and other relevant indicators. AIHA will assist

partners to develop tools and systems to collect and report relevant data, provide technical assistance when

Activity Narrative: necessary. AIHA reports to USG teams quarterly and will evaluate the partnership's effectiveness in

meeting its goals and objectives upon completion of the workplan.

SUSTAINAIBLITY:

The preceptor initiative is building the capacity of the country's CTCs to provide quality services to its

patients. Training, supervision and mentoring of clinic staff will increase their knowledge, practical skills and

confidence to provide HIV/AIDS care and treatment.

By engaging a US hospital in a partnership with a Tanzania counterpart institution, the capacity of the

Tanzanian hospital to provide better care in its CTC over the long term will be enhanced. US health

professionals from the partner hospital will develop long-term collaborative working relationships with their

Tanzanian peers. The partnership will leverage substantial in-kind contributions of professional time and

equipment and supplies from the participating US hospital.

TITLE: Tanzania HIV/AIDS Nursing Education (THANE)

NEED and COMPARATIVE ADVANTAGE:

Tanzania is home to 2.2 million PLWHA, so building health system capacity to provide HIV care and

treatment is critical. Training for nurses must be restructured to better prepare the profession to provide

quality HIV services. AIHA's partners, MUHAS and UCSF, will help Tanzania's 62 Schools of Nursing to

integrate HIV/AIDS care into Tanzania's nursing school curricula and to equip students with the knowledge

and skills needed to run quality HIV/AIDS services. MUHAS and UCSF are both leaders in the fields of

nursing education and HIV/AIDS.

ACCOMPLISHMENTS:

The partnership between MUHAS and UCSF finalized 12 HIV/AIDS modules to be integrated into the

nursing curriculum. An extended development phase ensured contents were of the highest standards.

Training of 18 Master Trainers on the curriculum was conducted and MUHAS participated in the MOHSW

review of the nursing curriculum, which moved the process of formal integration of THANE materials into the

curriculum forward. In FY 2007, nine zonal HIV/AIDS workshops will train 200 nurse tutors.

ACTIVITIES:

1) The program will continue to train nurse tutors on the 12 HIV/AIDS modules. Five zonal workshops will

train 100 nurse tutors at pre-service institutions not reached in FY 2007. UCSF mentors will provide onsite

support in nursing schools where nurse tutors are implementing the new HIV/AIDS curriculum. Mentors will

support clinical training in HIV/AIDS services.

2) Exchanges to the US and with countries in Southern Africa will be provided to nurse leaders to empower

nurses to assume more accountability as members of a multidisciplinary healthcare team.

3) 62 nursing schools will be supported to address infrastructural deficits (e.g. computers, clinician support

tools, and reference materials).

4) As begun in FY 2007, training focus will shift from nursing tutors to students with the goal of producing

nursing graduates confident in their ability to provide HIV-related services and protect themselves from HIV.

By the end of FY 2008, 7000 nursing students will have received HIV/AIDS instruction and 2,000 will have

graduated with a strong foundation in HIV/AIDS prevention, care, and treatment.

5) Monitoring and evaluation will focus on the communication skills, ability and effectiveness of nurse tutors

in teaching their students about HIV/AIDS. Internal and external evaluations on the programme will be

implemented.

6) MUCHS and UCSF will continue to work with MOHSW Training Department and the relevant certification

bodies to ensure the enhanced HIV/AIDS curriculum is formally approved and examinations reflect new

content.

The partners will continue to coordinate with AIHA's laboratory partnership, ASCP and I-TECH to share

learning and ensure standard approaches to pre-service training are developed. This and other pre-service

programs will help to ensure sustainability of PEPFAR in Tanzania.

LINKAGES:

MUHAS/UCSF worked closely with the National AIDS Control Program and the MOHSW's Nursing Unit as

well as other HIV/AIDS organizations, to develop the pre-service nursing program. MUHAS communicates

regularly with JHPIEGO's ACCESS program. UCSF has established relationships with its international

HIV/AIDS Nursing Network, I-TECH and the ASPIRE program. Links with National Council for Technical

Education and Tanzania Universities Commission are also critical to curricula revisions. The Tanzanian

Association of Nurses and Midwives is also regularly briefed and consulted.

CHECK BOXES:

The areas of emphasis were chosen because activities will ensure that the pre-service nursing program

results in nurses providing the general population with quality HIV/AIDS care as needed, including

prevention, care and treatment services.

AIHA Twinning Center provides partners with technical assistance and support to develop a structured

monitoring and evaluation system in accordance with USG/PEPFAR standards and indicators. AIHA also

helps partners to implement this system and develop training-specific monitoring tools based on work plan

activities and objectives. AIHA works with partners to develop appropriate tools and systems necessary to

collect and report relevant data and reports these data to USG teams quarterly. Finally, AIHA uses this

information to further evaluate the partnership's effectiveness in meeting its goals and objectives upon

completion of the work plan period.

SUSTAINABILITY:

The partnership is building the capacity of the country's nursing schools to provide quality HIV/AIDS

education for its students. Schools of Nursing will be better able to provide quality HIV/AIDS education to

their students as a result of advanced training, supervision, and mentoring. Tutors will increase their

knowledge, practical skills, and confidence to teach HIV/AIDS and students will be equipped to provide

comprehensive care to PLWHA. At the end of FY 2008 the schools of nursing should have developed

enough in-country capacity that support from AIHA will not longer be needed. Should additional technical

assistance be needed, the schools of nursing will have developed a strong enough relationship with UCSF

that they can work directly with UCSF as needed.

TITLE: Laboratory Mentorship Program

NEED and COMPARATIVE ADVANTAGE: There has been a marked expansion in diagnostic services to

support HIV/AIDS care and treatment. The introduction of newer automated technologies accompanied by

an increased volume of laboratory testing and the requirements for quality laboratory services has

challenged the few available skilled human resources trained in the traditional manual techniques. AIHA's

twinning partners seek to strengthen the capacity of laboratories to provide quality HIV/AIDS diagnostic

services in support of HIV/AIDS diagnosis and treatment monitoring. In FY 2008, AIHA, in collaboration with

Bolder community hospital (BCH) and a second partner, still to be named, will focus on building capacity for

regional laboratories. This activity will be complemented by other USG lab partners - Clinical and Laboratory

Standards Institute's (CLSI) implementing quality systems at the five zonal laboratories and the American

Society of Clinical Pathologists' (ASCP) working on curriculum review and development with the schools for

laboratory training. AIHA's partners, will provide ongoing mentorship in the application of HIV/AIDS

trainings and standard operational procedures developed for the country's laboratories. AIHA will also work

with laboratory assistants and build their capacity beyond the laboratory procedures hands-on training

which they undergo during their basic training to a level where they can assume technical competency and

thereby increase the pool of competent laboratory personnel.

ACCOMPLISHMENTS: The twinning partnership was formed in October 2006 between BCH and the five

zonal medical laboratory schools. In FY 2006, as part of that partnership, there was detailed planning,

needs assessments, lectures and mentorship activities. In addition, some educational materials, IT

equipment and internet connectivity were provided. In FY 2007, the partnership provided mentorship to

laboratory personnel and students on rotation in zonal and regional laboratories.

ACTIVITIES: The overall goal of the twinning partnerships with Tanzania's laboratories is to strengthen the

in-service training. The partnership between BCH and the laboratories will provide support to ensure that

laboratory personnel are confident in delivering HIV/AIDS diagnostic services via continued mentorship,

peer exchanges and exposure to best practices through a mentorship program for laboratory personnel to

ensure the application of HIV/AIDS training, use of standard operational procedures (SOPs) and

implementation of quality assurance systems. AIHA will deploy experienced and expert volunteer laboratory

mentors to the regional labs to help strengthen and expand HIV/AIDS knowledge, particularly in specialist

shortfall areas.

AIHA will provide professional development opportunities in shortfall areas through international training.

Opportunities for laboratory personnel to undertake further education are limited, unless they are able to

finance their own studies. The twinning partnership will enable laboratory personnel and tutors to upgrade

and develop specialist skills through participation in tailored short-term courses in the region and the United

States and organized study tours with other twinning laboratory partners in Africa.

AIHA will support the laboratory-related training institutions to retain current students and increase the

enrollment in training courses in Tanzania through professional development and financial support. The

lack of financial support for students is a serious obstacle to the training of sufficient laboratory personnel to

meet the country's needs. AIHA will provide sponsorship for students enrolled in diploma and advanced

diploma courses in laboratory schools, students enrolled in lab-related disciplines in universities and link

students with existing trained laboratory staff for mentorship and hands-on training to enhance coursework.

An additional US partner will be identified to train laboratory assistants to perform HIV/AIDS diagnostic

services. Laboratory assistants were identified as an important cadre of semi-skilled professionals with

potential to take on increased responsibilities if appropriately trained and supported. The partnership will

support the MOHSW's plans to support a laboratory assistant's school in Singida to expand and offer a

course to upgrade laboratory assistants to laboratory technicians. AIHA partners will review of currently

implemented laboratory assistants' pre-service curriculum to identify gaps to be addressed through training

and will design and provide training for laboratory assistants at regional laboratories.

To ensure the sustainability of AIHA efforts, twinning opportunities will be explored between the national

health laboratory council of Tanzania and a US-based partner with experience in monitoring and regulating

laboratory professionals practices, and on reinforcing professional code of conducts as health laboratory

scientists

LINKAGES: AIHA has established excellent working relations with MOHSW's departments of Diagnostic

Services and Human Resources & Training for the development of program plans, provide regular updates

on program activities and attend MOHSW organized stakeholder meetings. In FY 2008, the twinning

partnership will also work closely with other USG partners to coordinate effective and comprehensive

support for laboratory services. Key relationships are with: ASCP, to ensure that laboratory personnel are

mentored based on the pre-service training and revised curriculum under development as well as ongoing

in-service training, CLSI, which has developed SOPs with MOHSW and is supporting the accreditation of

laboratories across the country, the Association of Public Health Laboratories (APHL), which is working on

laboratory information systems and ART partners working in the care and treatment sites.

CHECK BOXES: The areas of emphasis were chosen because the laboratory mentoring program is

building the capacity and sustainability of the regional laboratories and schools to provide up-to-date quality

HIV/AIDS diagnostic services.

M&E: In collaboration with USG stakeholders, AIHA and partners will continue to ensure that the

laboratories effectively submit laboratory data and reports to MOHSW and on PEPFAR indicators which

include the number of tests performed with USG support, number of laboratories whose capacity has been

built and the number of laboratory personnel trained AIHA will specifically assist partners to collect baseline

data on the knowledge and abilities of laboratory personnel and to develop tools to monitor improvements in

their skills, capacity, and confidence in delivering high quality laboratory services. AIHA reports these data

to USG teams quarterly and will further evaluate the partnership's effectiveness in meeting its goals and

objectives upon completion of the work plan period. This will assist the care and treatment partners in

achieving comprehensive care for HIV/ AIDS patients.

SUSTAINABILITY: The twinning partnership is building the capacity of the country's regional laboratories to

Activity Narrative: provide quality HIV/AIDS diagnostic services to patients. Through this mentorship program, laboratory

personnel and students will increase their knowledge, practical skills and confidence to provide quality up-to

-date HIV/AIDS diagnostic services. It is important to note that the twinning partnerships will fully

incorporate the revised curriculum being developed by MOHSW and ASCP into its mentorship activities and

for its in-service curriculum for laboratory assistants. This will result in a larger pool of competent laboratory

technicians to sustain the country's laboratory services.