specification & quantification of laboratory equipment and hiv
TRANSCRIPT
Vincent Habiyambere & Paula Fernandes
WHO AMDS, Sep 2014
• 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)
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
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.
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
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
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
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
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
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
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)
Joint publication Possible online version Dissemination through workshops and field
visit (actively collect feedback as the tool is used)