Workgroups 3

1
Workgroups 3 6

• Authorities and Responsibilities
• Measuring Success

2
Authorities and Responsibilities - Existing
Overall responsibility

• Ministry of Health (Department for Hospitals) -
  ultimate authority to approve any changes
• Subcommittee for laboratories (Deputy General
  Director of Health) - Guidelines for quality
• Ministry of Finance
• PDH and Municipal Authorities

3
Authorities and Responsibilities Who will have
overall responsibility for planning and
implementation?

• NIPH/National Laboratory Public Health
• Provincial Health Department (PHD)
• Operational District (OD)
• Referral Hospital (RH)
• Health Centre (HC)

4
Authorities and Responsibilities Who will have
overall responsibility for planning and
implementation?
5
Authorities and Responsibilities

• Who has authority for laboratory policy (national
  and local)?
• MOH at national level (needs a department for
  laboratories alone)
• PHD at local level

6
Authorities and ResponsibilitiesAre there laws
or regulations that address laboratory practices?

• MOH Punishing Law
• Advise (inform OD/PHD)
• Warning (inform OD/PHD)
• Contract (inform OD/PHD)
• Dismiss staff

7
Authorities and Responsibilities

• Are there laws and regulations?
• Presently there is none
• There is a announcement (not a law) that governs
  the opening or closing of laboratories
• There is a law for the doctors performances
  (medical council) but does not apply to
  laboratory practice

8
Authorities and ResponsibilitiesAre there laws
or regulations that address laboratory practices?

• MOH Exploitation Law
• Human Resource
• Biologist
• Pharmacist (lab experience)
• Medical Doctor (lab experience)
• Medical assistant (lab experience)
• Assistant Pharmacist (lab experience)
• Place or material

9
Recommendations

• Every laboratory should have a quality team
• Bring teaching in laboratory quality into the
  medical schools
• Develop a mechanism for laboratories to feedback
  to the MoH (proactive rather than reactive)
• Develop a draft policy and guideline committee
  by gathering information to make recommendations,
  conduct a national workshop and submit the
  recommendations on policy and guidelines to the
  MoH
• Ministry of Health should develop authorize the
  policy and give guidelines to the laboratories
  and recommend laws to back this up

10
Measures of Success

• How do we know if the plan is working?
• Material, reagents and supplies meet requests
• Network is operating and there is cooperation
• Human resources in appropriate numbers
• All staff should be trained and qualified
• Budget meets the needs
• Transport service in operation
• Supervision from NIPH would see improvement and
  report to all laboratories and MoH

11
Measures of Success

• How do we know that plan is working?
• Customer numbers would increase
• Improved leadership and support within
  laboratories
• Improved support for the laboratory from above
• Motivated staff (e.g. attend workshops, training
  in new methods, maintain equipment with records,
  working in teams)
• Quality systems being implemented
• MoH gives feedback to laboratories
• All provinces participating in EQA (NIPH)

12
Measuring SuccessIs the plan working?How would
you know?

• Job descriptions
• Staff assessments
• Material and reagents supply is adequate and on
  time
• Work performance criteria

13
Measuring SuccessIs the plan working?How would
you know?

• Renovation of lab facility
• Availability of computer/Laboratory Information
  System
• Checklist for routine staff activity (e.g.
  cleaning)