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Scaling up EID: Successes, Challenges & Potential Solutions Shabnam Zavahir Roche Diagnostics Vienna, IAS 2010, Special Session, 18 th July. Roche Activities in EID. HIV Qualitative Assay on Cobas Ampliprep-TaqMan (CAP-CTM) Automation Increased daily output & simplified workflow
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Scaling up EID: Successes, Challenges & Potential SolutionsShabnam ZavahirRoche DiagnosticsVienna, IAS 2010, Special Session, 18th July
Roche Activities in EID • HIV Qualitative Assay on Cobas Ampliprep-TaqMan (CAP-CTM) • Automation • Increased daily output & simplified workflow • Robust & High Quality • Migration of high volume countries to CAP-CTM (South Africa, Kenya,Uganda) • Training Initiatives • ACILT/CDC/NHLS in Johannesburg • Turn Key Labs • 7 new Laboratory Facilities across sSA • Educational Material • Laboratory Tools – Workflow Charts • DBS DVD – English and French
Challenges • Leadership • Focus the spotlight on the issues • Take EID from words to action • Where leadership is lacking, programmes fall down • Policy • WHO Guidelines and National Guidelines • Technology • Scaling-up requires automation • Human Resources • High Staff attrition rates • Task shifting for clinic workers • Lay health care workers in short supply
Innovating Solutions • Health Systems Strengthening through Turn Key Laboratory Concept • Establishment of high quality facilities for EID allows for growth in other lab services • Bundled Procurement • Consolidated Clinical & Laboratory Supplies reduces bottlenecks • Technology • Cobas Ampliprep-Cobas TaqMan HIV Qualitative assay • In response to growing demand for “scaled-up” solution • Increased daily output & simplified workflow • Robust & High Quality • Mobile Solutions • Successful pilots of “SMS” solution at lab level • Automation at Lab level + “SMS” = > improvement in TAT • Further explore opportunities to link mother to EIC track via SMS
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