specification & quantification of laboratory equipment and hiv

14
Vincent Habiyambere & Paula Fernandes WHO AMDS, Sep 2014

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Page 1: Specification & Quantification of Laboratory Equipment and HIV

Vincent Habiyambere & Paula Fernandes

WHO AMDS, Sep 2014

Page 2: Specification & Quantification of Laboratory Equipment and HIV

• Tests for each tiered network level defined

• Importance of standardization recognized

Maputo 2008

• TWG 1 Goal: Standardization and case studies

• TWG 2 Goal: Specifications to facilitate (a) procurement HIV

diagnostic tests in adults and children (b) monitor treatment

outcomes in patients on ART

Geneva 2008 (AMDS/EHT meeting)

• Tool revised from meeting outcomes

• Released Jan 2014

Geneva 2012 (AMDS/EHT meeting)

Page 3: Specification & Quantification of Laboratory Equipment and HIV

ASLM

CDC

CHAI

CPS

Crown Agents

FIND

Global Fund

GSSHealth

SCMS

STB

UNDP

UNICEF

USAID

USAID/Deliver, JSI

USAID/SIAPS, MSH

WHO/HIV/TAC

WHO/HIV/TCO (AMDS)

WHO AFRO

WHO/EHT/DLT

Page 4: Specification & Quantification of Laboratory Equipment and HIV

Enable purchasers and suppliers to understand end user requirements;

Provide detailed specifications to improve procurement;

Itemize commodities by test;

Approximate quantities of commodities by test;

List required and optional accessories;

List other relevant data e.g. shelf life, installation.

Page 5: Specification & Quantification of Laboratory Equipment and HIV

Buyers, logisticians and

national program officers

•Develop correct specifications

•List required accessories

•List optional accessories

• Identify installation and

training requirements

• Identify quality standards

Staff responsible for laboratory

logistics, supply chain

management, service planning

and scale-up

•Determine appropriate

laboratory network level

• Identify required additional

equipment

•Determine required quantities

• Identify shipping and storage

conditions

•Approximate shelf-life

Laboratory managers,

supervisors and technical staff

• Identify suitable equipment

for the laboratory network

level

•Determine need for

equipment installation,

training, calibration and

regular servicing

•Understand equipment

operating conditions

•Recognize required quality

standards

• Identify items required by test

to assist in work flow

planning

Page 6: Specification & Quantification of Laboratory Equipment and HIV

Training of laboratory, program and logistics managers – approx. 60

All 5 ROs and Country Offices

Positive feedback from procurement staff

Useful input for updates

Surveys planned

Page 7: Specification & Quantification of Laboratory Equipment and HIV
Page 8: Specification & Quantification of Laboratory Equipment and HIV
Page 9: Specification & Quantification of Laboratory Equipment and HIV

Table re-organization and additional information on tests required

RDTs/EIAs not updated in January 2014 edition

Technologies obsolete or removed from WHO and GF lists for quality issues

New technologies WHO PQ’d and/or included on the GF/other partner lists

Page 10: Specification & Quantification of Laboratory Equipment and HIV

New technologies added

Obsolete technologies removed

Catalogue numbers, shelf life, storage conditions, accessories updated

Performance characteristics for NA-based test analyzers and CD4 enumerating instruments significantly expanded

Division of Section I adapted

Page 11: Specification & Quantification of Laboratory Equipment and HIV

Current version Name of analyzer

Catalog number

Description

Pre-installation requirements & Operating conditions

Items supplied with analyzer & Required accessories & Optional accessories

Throughput

Installation & Training

Maintenance/calibration

URL

2014 revision Name of analyzer

Name of test

Catalog number

Description

Pre-installation requirements & Operating conditions

Items supplied with analyzer & Required accessories & Optional accessories

Turnaround time & Capacity per run

Throughput

Sample needed and stability

Sample preparation and protocol complexity

Reagent stability and storage requirements

Cost/test & Cost/instrument

Installation & Training

Maintenance/calibration

Internal QC & External QA

URL

Page 12: Specification & Quantification of Laboratory Equipment and HIV

New technologies (PQ & partner lists) ◦ 31 added (more pq’d items expected)

◦ 26 deleted

Test table revision ◦ Specimen type, Eligibility Criteria, Regulatory Status

◦ No. of tests, UN hazard code deleted

Revised structure of specification tables ◦ Columns “Manufacturer”, “Price range” added

Separated RDTs and EIAs

Alphabetical order by technology, not manufacturer

Updates: catalog nos., shelf life, storage conditions,

accessories, items required to perform test

Page 13: Specification & Quantification of Laboratory Equipment and HIV

Price range of lab commodities

Overall input on the draft which will be circulated for review before publication (technical and non-technical)

Contact information (to ensure tool info is up to date)

Page 14: Specification & Quantification of Laboratory Equipment and HIV

Joint publication Possible online version Dissemination through workshops and field

visit (actively collect feedback as the tool is used)