Lab Matters Spring 2017 | Page 24

global health APHL Moves Laboratories Forward in Manicaland Province by Michael Makaya, laboratory consultant, Global Health; Sadaf Chaudhry, manager, Global Health; and Gynene Sullivan, MA, senior specialist, Communications M anicaland is home to over 1.7 million people—the second most populous province in Zimbabwe. APHL is actively working with two districts in this province to advance laboratory services. ASLM Audit Results In September 2016, APHL, in partnership with the African Society of Laboratory Medicine (ASLM), conducted an audit of 12 Ministry of Health and Child Care laboratories. While all 12 laboratories showed significant improvement, the Mutare Provincial Hospital laboratory received a four-star rating (a star below the highest rating in the ASLM system) and the Nyanga District Hospital laboratory received a three-star rating. The Nyanga laboratory started implementing Strengthening Laboratory Management Toward Accreditation (SLMTA) in October 2015. Over the past 18 months, APHL has supported the laboratories in their development of documents and records, and has provided mentorship, ISO 15189 quality management systems training and resources. When asked about the factors that contributed most to their high rating, laboratory staff cited support from management, commitment to service, teamwork and promotion of quality improvement, among others. “Working on quality improvements is never a static process,” said Blessing Mafokosho, laboratory technician and safety officer. “The right people working top-down and bottom-up makes all the difference.” APHL will continue to support these efforts. HIV 90-90-90 Initiatives Michael Makaya (left) hands over HIV viral load collecting tubes to Nyanyadzi Hospital nurse Sister Chikwerengo In 2014, UNAIDS announced an ambitious plan: to eliminate AIDS planet- wide by 2030. To do so, there are three key steps essential to this goal: 90% of all people living with HIV know their status, 90% of those diagnosed are on sustained antiretroviral treatment (ART) and 90% of those on ART have an undetectable viral load. In line with these recommendations, APHL has supported HIV viral load testing scale-up in Manicaland since September 2016, performing sensitization visits to collection sites, distributing collection materials and supporting Mutare Provincial Hospital Laboratory where the samples are tested. # of Viral Load Tests Performed at Mutare Laboratory 4000 2000 0 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Nyanga laboratory staff members (from l to r): Microscopist Anna Nyagura, Lab Manager/Lab Technician Zacharia Satumba and Safety Officer/Lab Technician Blessing Mafokosho 22 LAB MATTERS Spring 2017 PublicHealthLabs @APHL