Making Lab network sustainable after Polio

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Making Lab network sustainable after Polio

• Presenter
• Varavikova Elena, MD, PhD, MPH

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The Global Polio eradication lab network is the
best example of a global public health
laboratories that we have. There is a potential
for other health endeavours after polio is
eradicatedS.L. Cochi
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(No Transcript)
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Prepare for the Threats

• Avian Influenza pandemic H5N1
• Biopreparedness
• Climate related diseases (vector)
• HIV/AIDS Pandemic
• Hep., Measles, Rubella, Yellow Fever
• Containment activities

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Tenth informal consultation on the global polio
laboratory network, 6-8 Sept. 2004

• While maintaining polio eradication as there
  highest priority, WHO regional offices, in
  collaboration with headquarters, should begin the
  process of encouraging Member States and partners
  to progressively accept ownership of all polio
  network laboratories over the next 5-10 years.

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Changing situation

• Globalization (no geo barriers, weakening of
  Governments)
• Demography (Population rising , aging,
  urbanization, inequality)
• Reforms in Health sector, decentralization,
• medicalization, Public Health services
  privatization
• New Threats
• Low capacity of National Lab services

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Changing Donors behaviour

• Current situation with low interest to public
  health could change with biopreparedness in G7
  countries
• Globalization G7/8, EU, WB, International
  standards
• Developing interest for HRH (salary, motivation)
• Existence of active forces private and NGO
• Interest to the research
• Polio success create new possibilities for Lab.
  services

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WHO-AFRO LAB NETWORKRecommendations

• As we approach polio eradication direction for
  the network
• First assure completion of polio eradication
• Review activities to identify strengths and
  failures
• Working with partners, define future activities
  and funds
• Call on national governments to provide support
  for THEIR laboratories
• Continuing partner support for network activities
  
• Network to begin preparation for future roles in
  disease control

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WHO-AFRO Laboratory Network Draft Budget 2003

• BUDGET ITEMS
  US (x (103)
• Equipment/reagents/supplies
  900.00
• Laboratory support
• TSAs for 16 laboratories including support for
• Sequencing capacity at RRL
  200.00
• Training
• Laboratory techniques
  120.00
• Data management
  60.00
• Consultants for lab. Containment
  60.00
• Laboratory containment issues
  100.00
• Meetings
  200.00
• Staff
• Fixed term staff-(mo admin support)
  140.00
• Duty travels
  80.00
• APWs for RRLs/NLs
  350.00
• Regional office
• Operational cost (communications, etc )
  50.00
• Total
  2,260.00

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Problems facing laboratory services in developing
world (1)

• Weakening PH systems and governmental
  responsibilities
• Failure to recognize the value and importance of
  surveillance and lab services for population
  health
• Lack of strategic planning and financing
• Inadequate training without analysis of
  competencies and skill mix required

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Problems facing laboratory services in developing
world (2)

• Inadequate investment in revenue
• Salaries and motivation are low
• Universal quality assurance and razing standards
  may close some labs
• Lack of environment for continuing education and
  career development
• Scientific educational background often deficient
  
• Work ethic

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"Matreshka"

• Develop a consensus on the strategy
• (for instance- at international level
  achieve an accreditation of the network labs for
  a list of viral infections, at regional to
  upgrade polio labs into regional multy functional
  labs (PAHO)
• Developing set of the Core activities, standards,
  Info and reporting system, HR re-education, etc
• Gradually introduce the new set of activities
• Development financial plans
• Evaluation by input, process, outcomes

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Conclusion

• Polio Lab network best practice in modern PH
• There is a need for different strategy in
  Advocacy
• Decision must be made on maintaining
  international responsibility for the network
• Developing new strategy based on accurate
  evaluation on the current situation
• Building renewed collaboration of Donors
• (biopreparedness, survey of hardware etc.
  HRH research)