THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 55 th Meeting – PNI, FedSM March 10 th - 13.

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Presentation transcript:

THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE Vasiti Uluiviti Regional Laboratory Coordinator PIHOA 55 th Meeting – PNI, FedSM March 10 th - 13 th 2014

OUTLINE OF PRESENTATION  PIHOA Regional Lab Strengthening Initiative  Brief history  A forecast into the future:  Lab Quality Management System (LQMS)  Lab accreditation  Lab workforce development  Microbiology Skill-up Enhancement Training  Association of the USAPI Labs (AUL)  President – Mr. Kasian Otoko (Chuuk Hospital Lab Supervisor)

Overview of the USAPI Laboratories ASA LBJTMC CNMI GPHL YAP KOS CHK EBE MAJ PNI ASA THC PIHOA Regional Lab Initiative Association of USAPI Labs  All (except GPHL) provide both public health & clinical lab services CLIA- waived CLIA- regulated Non- regulated PAL

Brief history of the PIHOA Regional Lab Initiative The PIHOA Regional Lab Initiative is 9 years old!!! 2003 PIHOA Board endorsed the resolution to: “ Ensure provision of core public health laboratory services for the USAPI for cholera, typhoid, syphilis, HIV, dengue, influenza, measles, rubella, leptospirosis, & agents of BT for the USAPI”  2004 – Laboratory assessment of the public health lab capabilities in the USAPI - Majuro, Hawaii State Lab, Guam, CNMI  Regional Lab Coordinator recruited & 1 st PIHOA Lab Network Meeting/Training in Guam  2006 – 2014  PIHOA shipping network established  On-going training of shippers  Lab assessments  Microbiology & TB lab trainings  Lab quality management systems training

Funding Sources  2005 – 2006: PIJ BT funds (discontinued in 2006)  2007 – 2010: CDC (HIV/STD/TB programs & Influenza Division)  2007 – 2014: DLS-CDC TB contract (partial)  2011 – 2015: Association of Public Health Labs (APHL)  2014: ASTHO (for LQMS trainings)

THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE - A forecast into the future -

Lab Quality Management System (LQMS) Training: Objectives: Strengthen USAPI lab services through:  LQMS (12 modules) training for all lab techs (onsite)  Development of draft Lab Quality Manual  5 labs for 2014 LQMS training:  Yap Memorial Hospital Lab, FedSM – completed as of 02/28/14  Belau National Hospital Lab, Palau – April 2014  American Samoa & Tafuna Health Center Lab (or Chuuk Hospital, FedSM) – August 2014  CHC Lab, Saipan, CNMI – November 2014  2015: Remaining 6 labs (if/when funds are available)

Laboratory Accreditation Goal: By at least 2 labs in the freely-associated states of Palau, FedSM and RMI are accredited to a lab accrediting institution (ISO/CLIA-International/CAP- International) Which lab (Palau/FedSM/RMI/Tafuna Health Center, A/Samoa) would be committed to take on the challenge to move towards laboratory accreditation with a reputable institution in the next 3 – 5 years? PIHOA’s role  Provide all required information regarding lab accreditation to USAPI lab concerned  Assist USAPI lab concerned with preparation towards accreditation

Lab workforce development Goal  By 2020 at least ONE (local) medical lab scientist employed in each USAPI lab Status update: Pacific Paramedical Training Center (PPTC) graduates – Diploma in Medical Lab Technology (POHLN): 2006 – 2013 USAPI LabNumber graduated Yap, FedSM8 current staff Palau5 (2 current staff) Majuro, RMI1 current staff Pohnpei, FedSM1 current staff Kosrae, FedSM1 current staff (now at FNU)

Lab workforce development Status update: Fiji National University (Bachelors degree in Medical Lab Science) USAPI LabGraduate (Graduatio n Year) CurrentYear/ Semester Scholarship Sponsor Ebeye, RMI1 (2010)WHO Majuro, RMI1 (2012)AusAid Palau1 (2013)AusAid Kosrae, FedSM1Year 1, S2Kosrae Health Dept Majuro, RMI1Year 1, S2RMI Govt Tafuna H/C, A/Samoa 1Year 1, S1WHO Yap, FedSM1 Prospective student Compiling application for 2015 admission AusAid ?

Microbiology Skill-up Enhancement Training Goal:  Enhance the Level 2 lab capabilities/capacity at Guam Public Health Lab (GPHL) [SPC – PIHOA partnership/Resources – PPTC, FNU, CDC, APHL]  By Jan 2015 bacteriology testing reinstated at GPHL  By Jan 2016 food and water microbiological testing reinstated at GPHL  Enhance microbiology diagnostic capabilities at Level 1 USAPI labs (if/when funds are available)

Microbiology Skill-up Enhancement Training Objectives:  Conduct microbiology skill-up training at GPHL between April 2014 – Jan  Phase 1 (2 nd Q)– Microbiology skills  Phase 2 (3 rd Q) – Microbiology skills  Phase 3 (4 th Q) – Lab surveillance/Antibiotic resistance patterns 2015  Phase 4 (1 st Q) – Food microbiology  Phase 5 (2 nd Q) – Water microbiology  Phase 6 (3 rd Q) – Bacterial agents of bioterrorism  Types of assistance:  SPC  Financial & Training delivery/facilitation  PIHOA  Training delivery/facilitation

Thank you!!!