2017 APHL activities:

​​Co​​llaborated with a local vendor to support the
development of a health information system to track
HIV and TB patients. The health information system
monitors clinical visits, HIV and TB indicators, and
patient treatment.

Training & Mentorship
Trained 24 laboratorians, in collaboration with
CDC Angola, on maintenance, data and sample
management, and quality control on the GeneXpert
platform for HIV VL and TB testing.

Provided ongoing technical assistance, coaching and
mentorship for quality system improvements to nine
public health laboratories in Luanda.

​Collaborated with a local vendor to support development
of a sample transport system between health clinics and
HIV VL testing sites in Luanda.

Surveillance TrainingQuality Systems

Informatics; Training & Mentorshiptarget_self_selfNo
2017 APHL activities:


APHL and CDC's National Public Health Institute have linked the Botswana MOH with New York State Public Health Laboratory (NYSPHL), Wadsworth Center in a twinning relationship. The goal of this partnership is to strengthen the laboratory system in Botswana, as MOH are working to transition their National Health Laboratory to a National Public Health Laboratory, under one of the pillars of the newly formed Botswana Public Health Institute.​​​
Twinning; Document Development; Informatics; Training & Mentorship; Quality SystemsCountry Page_selfNo
Samples incubate in a water bath, Kinshasa,
2017 APHL activities:​

Evaluation & Accreditation
Six laboratories were evaluated on their progress
towards SLMTA accreditation. The results determined
each laboratory’s current status and identified gaps
needing support.

Completed a baseline review and SLIPTA assessments
in ten HIV laboratories—five in both Lumumbashi and
Kinshasa—and one TB lab in Kinshasa.

​Training & Mentorship
Developed a training of trainers (ToT) HIV training
curriculum, intended for laboratory personnel across
Kinshasa and Lubumbashi. Trainers will transfer
knowledge to staff in their respective laboratories.

Completed a five-day HIV ToT training in November at
the Kinshasa School of Public Health (KSPH) which
targeted participants from the MOH, KSPH and PEPFAR implementing partner lab advisors from Kinshasa, Haut Katanga and Lualaba. An APHL member-consultant,
APHL consultant, Programme National de Lutte contre
le SIDA/VIH trainer and CDC staff served as instructors.

Accreditation Training​​

Training & MentorshipCountry Page_selfNo
Ethiopia HIV labmailto:sherrie.staley@aphl.org7.40332440.693359
2017 APHL activities:

Guided proper implementation and management of LIS at regional laboratories, bringing the total number of laboratories with implemented LIS to 20.

Collaborated with a LIS vendor to provide support and training to build capacity of the Ethiopian Public Health Institute (EPHI) LIS team to maintain LIS in 20 laboratories throughout Ethiopia.

Coordinated meetings with CDC Ethiopia, EPHI and the LIS vendor to ensure transfer of knowledge for the sustainability of the project.

Training & Mentorship
Provided a multifaceted BSC certification program, in collaboration with Eagleson Institute, to address training and workforce development needs and build capacity for maintenance and certification of BSCs. Seven engineers from the Ethiopian Public Health Institute completed this certification program.

Piloted a seven-day interactive Global Health Security and Foundation in Laboratory Management workshop to support and strengthen 34 senior laboratory personnel throughout Ethiopia.

LIMS Surveillance TrainingDatabase Development and Management

Informatics; Training & MentorshipEthiopia page_selfNo
mailto:samantha.dittrich@aphl.org41.95186 44.028917
2017 APHL activities:

​Training & Mentorship
Provided ongoing AR technical assistance to strengthen laboratory capacity through the development and implementation of laboratory activities, including direct service delivery and building comprehensive national laboratory services.​

Strategic Plan and National Policy Training Quality Systems

Training & MentorshipCountries Page_selfYes
Tamale Labmailto:robyn.sagal@aphl.org7.946527-1.023194
2017 APHL activities:


Document Development
Facilitated stakeholder meetings with 87 participants to develop the “Ghana Laboratory VL Testing Expansion Plan 2017-2020,” which will standardize and enhance VL testing while improving capacity within the laboratory system.

Created six VL SOPs regarding risk assessment reporting, sample collection, packaging, handling, and storage and transport of plasma VL testing.

Drafted a curriculum outline for country-specific training on the International Health Regulations and HIV as it relates to laboratory activities.

Evaluation & Accreditation
Conducted a baseline VL assessment using VL scorecards in nine VL testing laboratories to determine current capacities and inform VL scale-up activities in the future.

Conducted a pre-implementation baseline assessment (gap analysis), instrumentation interfacing, technical support and a half-day onsite workshop in five priority regions (Greater Accra, Eastern, Western, Brong-Ahafo and Ashanti Region).

Conducted geographic information services (GIS) mapping of all 245 ART centers in Ghana, in partnership with the Centre for Remote Sensing and Geographic Information Services, to generate geo-referenced maps for each site, determine the plot of the latitude and longitude of the ART centers, and differentiate care sites (regional VL, sector VL centers, functional VL centers, etc.). These maps will help drivers locate the referral centers when transporting specimens.

Trained eight staff at the National AIDS Control
Programme in GIS to manipulate the database and
perform analysis as needed.


Document Development
Conducted a desktop review of existing biosafety
regulations and practices and reviewed prior
assessments to provide recommendations for
adaptation of the Biorisk Management Framework
template that was developed by APHL.

Evaluation & Accreditation
Conducted three rapid AMR assessments focused on
basic laboratory capabilities, bacterial isolates and
AMR susceptibility testing. The final report included
recommendations based on the findings and was
shared with CDC Ghana and laboratory directors.

Conducted four biosafety and biosecurity needs
assessments, in partnership with Integrated Quality
Laboratory Services, at the country’s four public health
laboratories to determine current capabilities, identify
priority needs and propose recommendations.

Training & Mentorship
Conducted a BSC end-user training for 15 laboratory
scientists, which included hands-on work with BSCs to
further improve technical skills and covered set-up, use,
spill response and decontamination, maintenance and
best practices.​

Informatics; Training & Mentorship; Document DevelopmentCountry Page_selfNo
Parasitology Lab at National Public Health Lab in Conakry, Guineamailto:deborah.odegbile@aphl.org11.144929 -10.991921
2017 APHL activities 

Document Development
Developed laboratory testing SOPs for over 40
epidemic-prone diseases at the Laboratoire National
de Sante Publique (LNSP) and one national hospital

Supported the development of an updated national
laboratory policy and facilitated stakeholder meetings to
develop a National Laboratory Strategic Plan.

Quality Systems
Provided ongoing support to laboratory scientists and
managers at LNSP for QMS.

Supported ISO 15189 training for two APHL scientists
who are now certified as assessors.

Supported minor renovations to one national hospital
laboratory to improve laboratory workflow, enable
increased testing capacity and enhance biosafety and

Training & Mentorship
Provided bench-level mentoring at LNSP that increased
laboratory testing capacity, including media and reagent
preparation for the diagnosis of meningitis, cholera and
other epidemic-prone diseases.

Supported an electrical engineer from Guinea to attend
advanced training in BSC certification in the US.

Supported a national hospital laboratory scientist to
receive microbiology and AMR testing training at the
National Institute for Communicable Diseases in South

Provided training workshops on laboratory
management, data management and calibration
and standardization of laboratory equipment and

Document Development; Quality Systems; Training & MentorshipCountry Page_selfNo
2017 APHL activities:

Training & Mentorship
Supported 69 microbiologists and epidemiologists from 25 districts in Tamil Nadu to attend integrated microbiology and epidemiology training in Tiruchirappalli.

Supported internal auditor training in Chennai with 57 participants from medical college microbiology, pathology, and biochemistry departments.

Supported two, two-day QMS trainings in Chennai with 122 participants from the district public health labs and medical colleges.

Supported over 50 participants to attend the National Workshop on Strengthening Laboratory-based Surveillance of AMR.​

Training & Mentorshipcountry page_selfYes
2017 Country Activities

APHL supported two stakeholder working group
meetings in Astana, Kazakhstan with 75 participants to discuss laboratory system strengthening projects.

Training & Mentorship
Supported trainings on ISO 15189 in Almaty and Petropavlovsk and three-day trainings on Assuring Quality of Examination Procedures/Measurement Uncertainty in Karaganda, Oskeman, Petropavlovsk, Almaty and Shymkent.

Training & Mentorship_selfYes
LIMS implementation in Kenyamailto:elaine.markovich@aphl.org0.576537.8399
2017 APHL activites:​


Evaluation & Accreditation
Administered a revised laboratory capacity mapping questionnaire to 360 facilities that had been missed in previous assessments. Since 2015, over 1500 facilities in 40 counties have been mapped.

Facilitated Technical Working Group meetings to review data collection, management, analysis and reports to assist in developing next steps for the final phase of lab mapping in all 47 counties.

Enhanced platform used for collecting data on laboratory capacity mapping (DHIS2) to include data management, analyses, querying, visualization and reporting in various output formats for MOH. User access levels and permission for the system was determined for various governmental personnel.

Implemented and supported LIS at health facilities across Kenya. Currently 14 laboratories are equipped with LIS.

Implemented an application to submit VL test requests and receive VL results from laboratories that conduct VL testing. More than 20 sites have been equipped with this LIS application.

Piloted a Short Message Service (SMS) program to communicate between MOH and facilities throughout the country so facilities were better prepared to conduct testing events and provide results back.

Quality Systems
Worked with CDC Kenya and the National Public Health
Laboratory (NPHL) to facilitate, strengthen and integrate
the EQA Proficiency Testing program.

Supported continuous quality improvement for
rapid HIV testing to improve the timely reporting and
communication between NPHL and sites referring
samples. Contracted with vendor for the production of the
panels, as well as distribution and compilation of reports.

Training & Mentorship
Provided biomedical engineers with training and
ongoing mentorship related to GeneXpert machines and

Collaborated with Kenya Bureau of Standards to
facilitate trainings on equipment calibration.


Document Development
Hosted the NPHL Operational Planning meeting with 28
participants in attendance.

Developed the NPHL Operational Plan 2017-2018.​

Training & Mentorship; Quality Systems; Informaticstarget_self_selfNo
Laboratory training in
Current APHL activities:
  • Implementing electronic laboratory information systems (LIMS) at referral hospitals throughout the country, and providing technical assistance to laboratories with functioning LIMS
  • Collaborating with partners to implement a software application at smaller health facilities to enable electronic test ordering, facilitate the sample referral process and speed up turnaround time for patients to receive test results
  • Designing a central database at the Ministry of Health (MOH) to store test results, create reports and improve surveillance efforts.
  • Supporting development of data visualization and reporting tools for the MOH
  • Ongoing support for accreditation activities, including facilitation of Strengthening Laboratory Management Toward Accreditation​ workshops at laboratories throughout Mozambique

Strategic Plans LIMS Surveillance Infrastructure AccreditationTrainingDatabase Development Quality Systems

Informatics; Training & Mentorship; Evaluation & Accreditation; Document Development; Quality Systems; Transporttarget_self_selfNo
basket weavers in
Current APHL activities:
  • An APHL member-consultant, in collaboration with the Ministry of Health and Social Services, will develop a national laboratory standards of practice document to guide government regulation of human diagnostic laboratories.

Select completed projects:​​​
  • ​Assisted in creating structure and content for disease surveillance reports for a ​central database.
  • Helped develop a strategic plan and policy for the Ministry of Health and Namibia Institute of Pathology.

Strategic Plan and National Policy

Document Developmenttarget_self_selfNo
laboratorian working in Nigeriamailto:esther.gathinji@aphl.org9.06707.4830
Current APHL activities:
  • ​Providing technical assistance to Nigeria and US CDC as they establish a National Public Health Laboratory Network and Referral system.

Select completed projects:​​​
  • Provided strategic planning, consultations and network meetings as part of PulseNet Africa.
  • Developed an HIV diagnostic algorithm and provided technical assistance for its continued evaluation.

Strategic Plans Training Quality Systems

Training & Mentorship; Document Development; Quality SystemsNigeria page_selfNo
mailto:samantha.dittrich@aphl.org14.627847 -14.522356
Current APHL activities:
  • ​Planning and coordination of laboratory activities and services for regional, national, international and agency collaborators.
  • Providing technical assistance to country and external partners to progressively build national capacity.
  • Developing, reviewing and editing laboratory training tools and documents.
  • Assisting with the development of strategic plans, protocols, work plans, funding proposals and other documents.
  • Identifying assessment needs and carrying out assessments for the development of laboratory infrastructure capacities.

Strategic Plan and National Policy Infrastructure Quality Systems Network and Partnership Building

Transport; Quality Systems; Document Development_selfNo
Performing TB smears in Sierra Leonemailto:deborah.odegbile@aphl.org8.5214-11.8439
Current APHL activities:
  • Supporting national capacity building by strengthening the skills of laboratorians and promoting excellence in laboratory practice:
    • Supporting influenza and microbiology External Quality Assurance programs to monitor quality testing, strengthening quality assurance at the laboratories
    • Conducting ongoing competency assessments of bacteriology staff’s anti-biogram testing for Anti-Microbial Resistance (AMR) monitoring
    • Supporting pre-service training for laboratory medicine courses at the College of Medicine and Allied Health Sciences, University of Sierra Leone
  • Supporting improvements to laboratory management and organization by:
    • Providing technical assistance for Laboratory Information Management Systems (LIMS)
    • Supporting the upgrade of peripheral, district and/or referral hospitals into a National Public Health Institute
    • ​Conducting internal audits and support to improve SLIPTA assessments
  • Supporting outbreak preparedness and response by conducting ongoing training to reduce testing turnaround time for epidemic-prone diseases​

Strategic Plan and National Policy LIMS Surveillance Training Quality Systems Network and Partnership Building

Training & Mentorship; Evaluation & Accreditation; Quality Systems; Document Development; Informaticstarget_self_selfNo
APHL-GWU Laboratory Leadership Institute in
Current APHL activities:
  • Providing ongoing support for building LIMS capacity, such as: 
    • Training Ministry of Health staff
    • ​Implementation of a centralized, open source laboratory data repository
    • Integration of the Sample Referral System and LIMS, enabling two-way data-flow
  • Enabling collaboration between APHL Tanzania and Kenya consultants on BLIS development and implementation through a visit to Kenya and ongoing virtual meetings
  • Launching twinning initiative with National Quality Assurance and Training Center (NHLQATC)

LIMS Twinning Quality Systems

InformaticsCountries Page_selfNo
Early Infant HIV testing labmailto:elaine.markovich@aphl.org1.29571432.508580
Current APHL activities:
  • ​Providing support to strengthen the quality of laboratory testing and quality assurance programs at the Uganda National Health Laboratory Services (UNHLS)
Select completed projects:​​​
  • Assisted with the development of the UNHLS Strategic Plan and Transition Plan
  • Facilitated a twinning arrangement with the New Mexico State Public Health Laboratory
  • Conducted a Global Health Security Scorecard Assessment
    Supported microbiology trainings

Strategic Plan and National Policy Surveillance Training Twinning Quality Systems

Quality Systems; Document Development; Training & Mentorship; Twinning; Evaluation & AccreditationCountries Page_selfNo

​Current APHL activities:

  • Providing technical assistance on quality management systems including External Quality Assurance (EQA) activities and support for HIV testing strategy and algorithm validation
  • Facilitating a twinning relationship between Ukraine and Florida State Public Health Laboratories; they are currently focused on improving the HIV algorithm and building a national laboratory network in collaboration with the Ukrainian Center for Public Health (UCPH)
  • Supporting UCPH with the development of a National Strategic Laboratory Plan

Strategic Plan and National   Policy Infrastructure TrainingTwinningQuality SystemsNetwork and Partnership   Building​​

Transport; Quality Systems; Document Development; Training & Mentorship; TwinningCountry Page_selfNo
Current APHL activities:
  • Providing a three-phased Biosafety Cabinet (BSC) Certification workshop in collaboration with Eagleson Institute, as a sustainable approach to testing and certifying BSCs in-country
  • Facilitating a twinning relationship between Vietnam and the Hawaii Public Health Laboratory; the two are currently focusing on biosafety and quality manag​ement systems and plan on conducting a number of ongoing trainings​
  • Transitioning technical management of LIMS activities, previously managed by APHL since 2005, over to the Government of Vietnam​

Strategic Plan and National PolicyLIMS Surveillance Training Twinning Database Development and Management

Informatics; Document Development; Training & Mentorship; Twinning; Evaluation & AccreditationVietnam page_selfNo
laboratorian working in
Current APHL activities:
  • Establishing a National Viral Load Scale-up Program through the strengthening of the Specimen Referral Transport Systems.
  • Providing power back-up solutions to HIV Viral Load testing sites.
  • Providing LIMS support to manage Viral Load testing data.
  • Providing technical support to the Ministry of Health in drafting and finalizing the National Laboratory Strategic Planning Documents as well as for operational planning.

Strategic Plan and National Policy LIMS InfrastructureTraining

Informatics; Training & Mentorship; Transport; Document Developmenttarget_self_selfNo
Nurses celebrate new project in
Current APHL activities:
  • Implementing an Integrated Specimen Transport (IST) system across six provinces and supporting IST programs already in place.
  • Supporting the national external quality assessment (EQA) program.
  • Supporting an HIV patient-monitoring program, aimed at increasing access to testing in six provinces, by providing mentorship opportunities and increasing participation in the EQA program.

LIMS Training Quality Systems

Quality Systems; Informatics; Training & MentorshipCountry page_selfNo