EAPHLNP Goal & Objectives

Goal & Objectives

The project aims to establish a network of efficient, high quality, accessible public health laboratories for the diagnosis and surveillance of Tuberculosis (TB) and other communicable diseases. This effort will provide support to ensure the following is achieved :
- Enhanced access to diagnostic services for vulnerable groups to contain the spread of diseases in cross border areas ;
- Improved capacity to provide specialized diagnostic services and conduct drug resistance monitoring at regional level ;
- Improved capacity for disease surveillance and emergency preparedness efforts through the availability of timely laboratory data to provide early warning of public health events ;
- Established a platform for conducting training and research.

The project is supporting 32 laboratories in East Africa selected by countries based on the following criteria :
- Located primarily in border areas
- Large vulnerable populations including migrants & refugees
- High risk of disease outbreaks (hotspots)
- Areas predominant with indigenous populations

Kenya - 7

Burundi - 6

Rwanda - 7

Tanzania - 7

Uganda - 6

NTBRL

NRL

NRL Kigali

Muhimbili - Dar

NTRL

CMRL

CHUK

Kibungo

Mnazi Mmoja - ZNZ

Gulu

Busia

Kayanza

Byumba

Musoma

Mbarara

Kitale

Makamba

Nyagatare

Ndanda

Arua

Malindi

Muyinga

Kamembe

Kibong’oto

Mbale

Wajir

Rumonge

Gisenyi

Sumbawanga

Mulago

Machakos

Gihundwe

Kigoma

NTBRL- National TB Reference Laboratory, Kenya ; CMRL-Central Microbiology Reference Laboratory, Kenya ; CATB -Centre Antituberculeuxde Bujumbura ; NRL- National Reference Laboratories, Rwanda ; NTRL- National TB Reference Laboratory- Uganda, CHUK- Le Centre Hospitalo-Universitaire de Kamenge, Burundi

Project Components

The initiative has three mutually reinforcing components which are :
1. Regional Diagnostic and Surveillance Capacity : this component will support strengthening satellite facilities under this project in three areas i.e.
- Diagnostic Services for Vulnerable Populations in Cross Border Areas
- Reference and Specialized Services and Drug Resistance Monitoring
- Disease Surveillance and Preparedness
2. Joint Training and Capacity Building
- Provide specialized training
- Support capacity building in the areas of laboratory management, infection control, bio-safety and outbreak investigation
3. Joint operational research & Knowledge sharing
- Relevant operational research & Knowledge sharing :
- Regional Coordination & program management

Implementation approach

The project is using a “design regionally-----implement nationally approach” i.e. national institutions including ministries of health and partners execute and implement project interventions at the country level, and on regional institutions for supportive services that cannot be performed efficiently by national agencies, such as coordination. Regional working groups develop implementation strategies for activities to be implemented at national level and information is shared among the collaborating country representatives on the implementation level and lessons learnt. Each country takes lead in a specific thematic area to guide the design, approval and implementation of activities at national or regional levels.
The countries have acknowledged the importance of developing harmonized approaches, promoting specialization, and expanding information sharing about public health issues. The countries have agreed to provide leadership at the regional level by leading working groups in key technical areas where each has a comparative advantage and would serve as a center of excellence, as follows :
- Kenya : Integrated Disease Surveillance and Response & Operational Research
Building on its relatively strong IDSR system Kenya serves as a center of excellence for disease surveillance as well as operational research through the Division of Disease Surveillance and Response (DDSR) and Kenya Medical Research Institute (KEMRI).
- Uganda : Lab networking and accreditation
Uganda provides leadership in establishing the East Africa public health regional laboratory network, and establishing accreditation mechanisms for laboratories in the project.
- Tanzania : Training and capacity building :
Tanzania provides training in laboratory techniques at its new state of the art Quality Assurance Training facility and diploma and degree programs at the Muhimbili University of Health and Allied Sciences.
- Rwanda : ICT, Performance Based Financing, MDR-TB :
Rwanda takes a regional lead in expanding use of ICT and promoting Performance Based Financing (PBF) approaches for laboratory services, building on its well recognized successes in these areas. Rwanda has also been selected as a center of excellence for MDR-TB for the Africa region by the Dutch TB Foundation (KNCV) and supports the project in this area
- ECSA through Regional Advisory Panel (RAP) : Plays a facilitating and coordinating role under the project supporting the four participating countries by : (i) documenting good practices and providing a platform for knowledge sharing and dissemination ; (ii) coordinating preparation of joint studies on human resources and public/private partnerships ; (iii) organizing meetings and regional reviews, and facilitating technical discussions ; (iv) consolidating country status reports and reporting on results ; and (v) preparing policy briefs for ministerial meetings and high-level policymakers on conclusions stemming from the activities supported under the project.EAC - Contributes to the strengthening of the ongoing regional and global initiatives to improve Integrated Disease Surveillance and Response (IDSR) country systems which will enhance the availability of quality information by : (i) strengthening competence of laboratory and facility personnel to collect, analyze, and use surveillance data ; (ii) reinforcing laboratory networking and district capacity (particularly those in border areas) to report, investigate, and adequately respond to disease outbreaks ; and (iii) strengthening communications and data sharing to respond rapidly to outbreaks



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