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Scaling up EID: Successes, Challenges & Potential Solutions Shabnam Zavahir Roche Diagnostics Vienna, IAS 2010, Special Session, 18 th July. Regional Activities in EID. Scaling Up Laboratory Services Cobas Ampliprep-TaqMan (CAP-CTM) Migration of high volume countries
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Scaling up EID: Successes, Challenges & Potential SolutionsShabnamZavahirRoche DiagnosticsVienna, IAS 2010, Special Session, 18th July
Regional Activities in EID • Scaling Up Laboratory Services • CobasAmpliprep-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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