Project Components


Component I: Regional Diagnostic and Surveillance Capacity (US $ 44.9 million)
The first component will provide targeted support to create and render functional the regional laboratory network. Uganda, working in close collaboration with ECSA-HC, will lead the establishment of the network. The 1st component includes 3 sub-components:

1.   Diagnostic services for Vulnerable Populations in Cross Border Areas (US$21.2million).This sub-component will support five satellite laboratories in each country and six in Tanzania to expand access to diagnostic services for vulnerable groups in cross border areas and to serve as sentinel surveillance sites to monitor hot spots for disease transmission. The project will finance:

a) Rehabilitation, expansion, and/or construction of laboratories at existing hospitals
b) Provision of laboratory equipment and materials
c)  Acquisition of computer equipment, software, and technical support for integrated laboratory systems
d) Provision of operating funds to render the laboratories functional

2.   Reference and specialized Services and Drug Resistance Monitoring(US$22.5 million).The project will bolster the capacities of the Central Public Health laboratories in the participating countries and network them to share information, conduct joint training and research and collaborate in harmonizing policies and strategies. The project will finance:

a) Rehabilitation/construction and lab equipment and materials for central public health laboratories, including TB reference laboratories;
b) Acquisition of computers and videoconferencing capacity;
c) Technical Assistance to support accreditation of satellite labs and standardization of procedures and protocols;
d) Provision of operating funds to support inter-laboratory external quality assessments among the four
participating  countries and recruitment of additional personnel

3.   Disease Surveillance and Preparedness (US$1.3 million). The proposed project will support the IDSR strategic goals to improve availability of quality information by:

a) Strengthening competence of Lab and facility personnel to collect, analyze and use surveillance data
b) Reinforcing lab networking and district capacity to report, investigate and adequately respond to disease outbreaks
c) Strengthening communications and data sharing to respond rapidly to outbreaks. Kenya will take a lead in this area

4.   The project will also support Laboratory-based disease surveillance efforts by:

i.) Strengthening Etiological Confirmation of Pathogens and Promoting Active Participation of Laboratory and other Health Personnel in Disease Surveillance and Disease Outbreak Investigations;
ii.) Establishing and Maintaining an Integrated Data Management System;
iii.) Facilitating Sharing of Relevant Data Across The Sub-Region, Including of Periodic Newsletters and Quarterly and Annual Disease Surveillance Reports.


Component II: Joint Training and Capacity Building (US$9.9 million)
The project will support training in a range of institutions in the four countries and across the region.Tanazania will provide leadership in this area and establish a regional training hub. The bank project will finance:
a). Attendance at training courses at national and regional institutes;
b). Laboratory attachments, fellowships, and regional exchanges at recognized centers of laboratory excellence
c). Selective graduate training required to support specialized services
d). TA to review and develop standards and training curricula
e). Regional workshops to facilitate knowledge sharing


Component III: Joint Operational Research, Knowledge sharing/Regional Coordination, and Program Management (US$8.7million)
Joint Operational Research: the three main research priorities identified by countries relate to the need to (i) evaluate the effectiveness of the new TB related diagnostic technologies at the programmatic level (ii) assess drug resistance patterns for endemic diseases patterns for endemic diseases and (iii) ascertain the feasibility of using mobile phone technologies for weekly surveillance reporting of selected priority diseases. The project will fund:
a). TA to support operational research
b). Operating costs to organize workshops to share results
c). Training to boost capacities to conduct research

Knowledge Sharing &Regional Coordination
ESCA-HC will play a coordinating and convening role and be responsible for the following activities at the regional level:
a). Convene Technical Expert and Policymakers
b). Facilitate Capacity Building and training
c). Establish a Forum for learning and knowledge sharing
d). Facilitate Regional Surveillance Efforts

The project will fund:
a). Operating costs to organize regional workshops to share research and programmatic results, and explore policy implications
b). Establishment of a small team to coordinate activities at the regional level and a focal point at the EAC
c). Videoconferencing capacity
d). Development of a website to serve as a platform for sharing of information and results of research and TA
e). At the national level the project will support program management through the provision of funds for the establishment of project coordinating teams, operating costs, and procurement of office equipment, vehicles and internet access.

The Bank has established partnerships with several development partners such as:
a). World Health Organization (WHO)-Stop TB Department
b). International Union Against Tuberculosis and Lung Disease(UNION)
c). US Centers for Disease Control (CDC)
d). United States Agency for International Development(USAID)
e). International Drug Purchase Facility (UNITAID)


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