Tag Archives | LP Adorio-Arce

USAID-SIAPS Technical Assistance to NTP Laboratory Network: Strengthening Leadership, Management, and Governance Capacity

The National Tuberculosis Program’s strategic direction for the laboratory services is to improve access to laboratory services so that all high-risk TB patients are tested using World Health Organization (WHO)-endorsed rapid diagnostic tests (RDTs) as the initial diagnostic procedure, particularly the Xpert MTB/RIF assay (Xpert). This entails the strengthening of the laboratory network (LNW) and its support systems to achieve a wider deployment and implementation of RDTs while ensuring the sustained delivery and quality of all currently employed TB diagnostic technologies, including smear microscopy, culture and drug susceptibility testing (DST), and line probe assay (LPA). To facilitate the laboratory network strengthening processes, SIAPS focused its technical assistance in strengthening the leadership, management, and governance (LMG) capacity of NTP, particularly the National Tuberculosis Reference Laboratory (NTRL), since the latter is mandated to provide technical leadership and oversight to the management of the laboratory network.

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2017 Regional Planning Workshop for Laboratory Network Strengthening: Expansion of Rapid TB Diagnostic Laboratories and Strengthening EQA-DSSM Implementation

The National TB Reference Laboratory (NTRL) organized two planning workshops to assist the 17 Department of Health (DOH) regional NTP teams in developing their action plans for the expansion of the rapid TB diagnostic laboratories (RTDLs) and for strengthening the laboratory systems. The objectives of the workshop were to assist the regional NTP teams in analyzing the situation of the laboratory network in their respective areas and in developing a regional plan for the expansion of RTDLs and for strengthening external quality assessment (EQA) implementation. SIAPS provided technical assistance to the NTRL with workshop preparations and in facilitating discussions.

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NTP Laboratory Network Assessment: Strategic Directions to Improve Access and Quality of TB Diagnostic Services Assessment Report

The National TB Program has embarked on the new Philippine Strategic TB Elimination Plan Phase One: 2017–2022, setting targets and objectives to significantly reduce TB mortality and prevalence by 2022. Among the key activities in the plan is to ensure the access of all priority patients to rapid TB diagnosis along with drug susceptibility testing for rifampicin. This entails the expanded deployment of the new RDTs, exemplified by Xpert, at the primary level of care. The NTP envisions using RDTs as the initial TB diagnostic test within the short term. This assessment was done to gather information on the laboratory network’s capacity to provide access to diagnostic services, particularly the new rapid TB diagnostics at the primary level of care, identify factors that serve as barriers to ensuring the provision of continuous and reliable laboratory services, and to propose actions to address the identified barriers.

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Laboratory Network Monitoring Guide

The Philippines National TB Program’s (NTP) laboratory network strategic plan (LNSP) aims to improve access to quality laboratory services, including establishing new facilities, adopting new diagnostic technologies, and strengthening the laboratory systems. The implementation of laboratory network (LNW) strengthening plans and the performance of the LNW require a comprehensive monitoring of activities to detect problems, document results (performance), and gather lessons from the process. However, many program managers find monitoring difficult to implement because of the lack of knowledge, skills, and operational support, especially for field visits. A contributing factor is management’s weak appreciation of the value of monitoring for program management and improvement. This document aims to provide guidance to health workers who are tasked with monitoring the LNW’s status and performance. In this document, we provide the readers with practical tips on how to monitor—from preparation, data collection, data management, and reporting to a list of indicators to guide data collection.

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Laboratory Information Management and Utilization Training

The training materials in this compilation were developed by technical advisors from SIAPS. The training was conducted in November 2014. This will serve as a guide for trainings in LIMU. Sessions follow the spectrum of information management from data organization, analysis, and interpretation to the utilization of information for information sharing, planning, and decision making. A stakeholder analysis, which is important to prepare and disseminate audience-specific reports, is also included.

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A Guide for the Establishment of a Barangay Health Management Council

The concept of a Barangay Health Management Council (BHMC) was developed by a working group comprising technical advisors from SIAPS and health staff from the Quezon City Health Department in late 2011. The BHMC initiative aims to strengthen the delivery of services under the national tuberculosis (TB) control program (NTP) in poor urban communities. This document was developed as a quick reference for those who plan to establish BHMCs. The contents of this guide are based on the insights and experiences of the people involved in the implementation of the BHMC initiative in Quezon City from 2012 to 2016. Described here are the practical steps for establishing, operationalizing, and sustaining a BHMC.

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Enhanced TB Microscopy Training of Trainers

This document is a compilation of the training materials used for the course entitled “Enhanced TB Microscopy Training of Trainers.” The course was held on July 25 to 29, 2016, at the Cebu TB Reference Laboratory in Cebu City, Philippines, and is part of the activities under the National TB Program (NTP) Laboratory Training Decentralization Strategy. This training of trainers (TOT) was planned, organized, and implemented jointly by SIAPS/PH, the National TB Reference Laboratory (NTRL), and the Department of Health (DOH) Regional Office for Central Visayas. The materials for this course were designed so that they can be used in the original or modified version in future TOTs for TB microscopy or for other NTP laboratory training. Trainers from the NTP will benefit from these materials as they will find them useful when they plan and conduct future trainings.

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