Laboratory capacity

1
Laboratory capacity

• To diagnose HIV infection
• to contribute to prevention efforts (safe blood,
  VCT)
• to monitor ART in the context of 3x5
• to monitor the emergence resistance to ARVs

2
General logistical issues

• ?Collection of samples
• ?Transportation
• ?Receiving and sorting
• ?Processing results
• ?Internal and external quality control and
  quality assurance
• ?Reporting and communication of test results
• ?Record keeping
• ?Storage

3
Essential resources

• Infrastructure
• Personnel
• ?Equipment
• ?Reagents
• ?Cost inputs and cost recovery

4
Legal and political framework for the operation
of laboratories

• ?Are there guiding policy documents relevant to
  the Health Sector response to HIV/AIDS
• ?If these exist, what do they say, specifically
  about the role and place of laboratories in the
  response?
• ?Relation of intentions as espoused in policy
  documents to the reality, implementation of
  policy as observed during the situation and
  response analysis

5
Laboratory impact on key stakeholder

• ?Patients
• ?Doctors and nurses
• other members of staff,
• ?Funding agencies
• ?Policy-making units