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Scaling up EID: Successes, Challenges & Potential Solutions

This session discusses the successes, challenges, and potential solutions in scaling up Early Infant Diagnosis (EID) of HIV. It highlights Roche Diagnostic's activities, including qualitative assay automation, training initiatives, establishment of new laboratory facilities, and innovative solutions such as turnkey labs and mobile solutions.

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Scaling up EID: Successes, Challenges & Potential Solutions

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  1. Scaling up EID: Successes, Challenges & Potential SolutionsShabnam ZavahirRoche DiagnosticsVienna, IAS 2010, Special Session, 18th July

  2. 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

  3. 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

  4. 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

  5. Roche DiagnosticsYour committed partner for success Nurturing Partnerships Growing Capacities

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