THE PIHOA REGIONAL LABORATORY STRENGTHENING INITIATIVE
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THE THE PIHOA PIHOA
REGIONAL LABORATORY REGIONAL LABORATORY STRENGTHENING INITIATIVESTRENGTHENING INITIATIVE
Vasiti Uluiviti
Regional Laboratory Coordinator
PIHOA 55th Meeting – PNI, FedSM
March 10th - 13th 2014
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OUTLINE OF PRESENTATION PIHOA Regional Lab Strengthening
Initiative Brief history A forecast into the future:
Lab Quality Management System (LQMS)Lab accreditationLab workforce developmentMicrobiology Skill-up Enhancement Training
Association of the USAPI Labs (AUL) President – Mr. Kasian Otoko (Chuuk Hospital
Lab Supervisor)
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Overview of the USAPI Laboratories
ASALBJTM
C
CNMI
GPHL
YAP
KOS
CHK
EBEMAJ
PNI
ASATHC
PIHOA Regional
Lab Initiative
Association of USAPI
Labs
All (except GPHL) provide both public health & clinical lab services
CLIA-waived
CLIA-regulate
d
Non-regulat
ed
PAL
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Brief history of the PIHOA Regional Lab InitiativeThe 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
2005 -Regional Lab Coordinator recruited & 1st 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
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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)
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THE THE PIHOA PIHOA
REGIONAL REGIONAL LABORATORY LABORATORY
STRENGTHENING STRENGTHENING INITIATIVEINITIATIVE
- A forecast into the - A forecast into the future -future -
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Lab Quality Management System (LQMS) Training: 2014 - 2015
Objectives: Strengthen USAPI lab services through:
LQMS (12 modules) training for all lab techs (onsite)
Development of draft Lab Quality Manual5 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)
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Laboratory AccreditationGoal:
By 2018 - 2019 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
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Lab workforce development
GoalBy 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 Lab Number graduated
Yap, FedSM 8 current staff
Palau 5 (2 current staff)
Majuro, RMI 1 current staff
Pohnpei, FedSM 1 current staff
Kosrae, FedSM 1 current staff (now at FNU)
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Lab workforce developmentStatus update:Fiji National University (Bachelors degree in Medical Lab Science)USAPI Lab Graduat
e(Graduation Year)
Current Year/Semester
Scholarship Sponsor
Ebeye, RMI 1 (2010) WHO
Majuro, RMI 1 (2012) AusAid
Palau 1 (2013) AusAid
Kosrae, FedSM
1 Year 1, S2 Kosrae Health Dept
Majuro, RMI 1 Year 1, S2 RMI Govt
Tafuna H/C, A/Samoa
1 Year 1, S1 WHO
Yap, FedSM 1 Prospective student
Compiling application
for 2015 admission
AusAid ?
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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)
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Microbiology Skill-up Enhancement TrainingObjectives:
Conduct microbiology skill-up training at GPHL between April 2014 – Jan 2016
2014 Phase 1 (2nd Q)– Microbiology skills
Phase 2 (3rd Q) – Microbiology skills
Phase 3 (4th Q) – Lab surveillance/Antibiotic resistance patterns
2015 Phase 4 (1st Q) – Food microbiology
Phase 5 (2nd Q) – Water microbiology
Phase 6 (3rd Q) – Bacterial agents of bioterrorism
Types of assistance:
SPC Financial & Training delivery/facilitation
PIHOA Training delivery/facilitation
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Thank you!!!