Scaling up EID: Successes, Challenges & Potential Solutions

Shabnam ZavahirRoche Diagnostics

Vienna, IAS 2010, Special Session, 18th July

Regional Activities in EID

• Scaling Up Laboratory Services– Cobas Ampliprep-TaqMan (CAP-CTM)– Migration of high volume countries

• Capacity Building Initiatives– ACILT/CDC/NHLS in Johannesburg

• PPP with UNITAID/CHAI– 7 new Turn Key Laboratory Facilities in sSA

• Educational Material– Laboratory Tools – Workflow Charts– DBS DVD – English and French

Challenges

• Leadership– Focus spotlight on the issues– Actionable Outcomes– Financing Solutions Identified

• Policy – WHO Guidelines and National Guidelines

• Technology/Infrastructure– Scaling-up requires automation– Quality and Integrity must be maintained

• Human Resources– High Staff attrition rates / Skills shortages– Task shifting at Clinic Level

Innovating Solutions

• Health Systems Strengthening•The power of multi-stakeholder partnerships

• Quality Facilities allows for growth in other lab services

• Cross-utilisation of services• Bundled Procurement reduces bottlenecks

• Technology Solutions• Pilot to Implementation• Improvement in TAT• Opportunities to link mother to EIC track via SMS• Integration of Health Systems / DMS

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