Scaling up EID: Successes, Challenges & Potential Solutions Shabnam Zavahir Roche Diagnostics Vienna, IAS 2010, Special Session, 18 th July

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

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

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 Diagnostics Your committed partner for success Nurturing Partnerships Growing Capacities