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2 nd South Sudan Health Sector Summit Juba Bridge- 4-7 th Dec,2013. 1. Where we began. By: Dr. Lul Lojok. DG, Public Health Laboratory. Key Strategic Contents. 3. Where we need to go. 2. What is different since we Began. 1 . Where we began. 1. Where we began.
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2nd South Sudan Health Sector Summit Juba Bridge- 4-7th Dec,2013 1. Where we began By: Dr. Lul Lojok. DG, Public Health Laboratory
Key Strategic Contents 3. Where we need to go 2. What is different since we Began 1. Where we began
1. Key Historical Milestones • 1974 –Reference Laboratory initiated and foundation built (Regional Government) • 1993 - Reference Laboratory was opened for VCT (Coordination Council) • 2007- 2010 - Reference Lab. renovated and expanded (Government of South Sudan) • 2014 officially launched (RSS)
Statement of Problem • “Out-of-Country Testing “: Lead to common errors, false positives, under-reporting & late feedback • “Public Health Threat “ RSS is a hub of Neglected Tropical Diseases, Emerging & Re-emerging Infectious Diseases. • “ Loosing over $200 million a year” .By sending specimens and patients abroad • “Public are at risk from unchecked commodities”: Risky, hazardous and dangerous commodities being brought to our country or fake; .
Diagnostic Cycle Clinical Care Selection & interpretation of tests Collection and delivery Pre-Analytic Reporting Lab Management Post-Analytic Sample Receipt and Accessioning Record Keeping Sample Transport Lab tests Analytic
Public Health Reference Lab • Bacteriology and TB Unit • Parasitology/NTDS Unit • Virology and Immunology Unit • Molecular Biology • Continuing Education & research Unit • Quality Management Unit • Water and Food Safety
Molecular Biology Rapid molecular testing for diseases surveillance and diseases diagnosis crime scene investigations screening people for bio-molecules Paternity testing detect diseases earlier before symptoms on-set Chromosomal analysis for genetic disease screening hemochromatosis
Blood Transfusion Services (3)[2013] Administration Block Donor Block Laboratory Block Built and Equipped by Global Fund
New Regional Laboratories (4) Built and Equipped by Global Fund
PPP-led Diagnostic Center [2013- ] Clinical Pathology and Medical Imaging
National and State Integrated Diagnostic Model
Consumer Safety Reference Laboratory water Food Environment Drugs Toxicology disinfectants
Basic Information and Data Gathering Collection • No. of functional and non-functional Voluntary Counseling & Testing Centers (VCTs)(i.e. Infra., Staff, Equipment, supplies) • No. of functional and non-functional Government Laboratories : • Primary Health Care Centre Laboratories • County Hospital Laboratories • State Hospital Laboratories • Teaching Hospital Laboratories • National Public Health Reference Laboratory • No of Mission & NGOs Hospital Laboratories • No. of Private Laboratories
Where we need to go • We aim to take a premiere place amongst International Laboratory Services • We aim to set up a benchmark, quality Laboratories Services • We aim to reverse the gear from “zero-to- hero” and then“Last-to-First”By 2020.
Start where the World is HEALTH PROMOTION: Definitions, Principles, Values & Concepts
E.G Development of Diagnostic Equipment Microscopes 500 years
Step to realize the Premiership • Visit two African laboratories and one Western laboratory to learn more and share experiences, to develop National Laboratory System-Public and Private Benefits • Implement lessons learnt to take our laboratories to the next level. • Follow up to reinforce policies and procedures.
Step to realize the Premiership • Involved Key Stakeholders [Local and Partners] • Gather adequate information and data Laboratory for establishment and management of National Integrated Services • Set standards for national equipment, maintenance and services (ISO 15189:2012 ) at all levels and accreditation. • Formal and continuing education of involved staff. • Ensure adequate laboratory record, regular reporting and supportive supervision of services .
Bodies to Realize Premiership (cont) • Establish Health Laboratory committee (HLC) to regulate the facilities and laboratory equipment and diagnostic supplies • Establish Health Laboratory Practitioners Committee (HLPC), regulate laboratory professionals • Set up two Associations the Medical Laboratory Association of South Sudan and Pathologist Association for South Sudan for advising the Ministry on improving the quality of laboratory services in South Sudan.
THE FUTURE OF MEDICAL LABORATORY SERVICES IS IN OUR HANDS MERRY CHRISMAS & HAPPY NEW YEAR The End