Lab Matters Summer 2018 - Page 62

APHL 2018 Annual Meeting Poster Abstracts Program (GLLP). The goal of this partnership is to ensure a One Health approach to laboratory leadership training and to promote coordination and cooperation between all components of a country’s health laboratory system. The Competency Framework provides a comprehensive standardized outline of the knowledge, skills and abilities needed to manage and lead a national laboratory system (or one of its major components) and the training package includes core course materials for inclusion in a curriculum designed for specific country needs. By developing strong laboratory professionals to lead their laboratories or laboratory systems to the next level, this international partnership encompassing all One Health disciplines is committed to support countries’ laboratory systems to meet the critical Global Health Security demands. Presenter: Jocelyn Isadore, Public Health Works, LLC, Holliston, MA, Phone: 508.446.4097, Email: Strengthening Clinical and Veterinary Laboratory Systems and Capacity in Cambodia Through Mentoring and Training N. Ndefru 1 , P. Sadate-Ngatchou 1 , S.K. Ong 2 , S. Sek 2 , S. Song 2 , S. Sokunna 3 , M. Uch 3 , O. Kimsan 3 , S. Sam 3 , L. Perrone 1 ; 1 I-TECH, University of Washington, Seattle, WA, 2 I-TECH, Cambodia, 3 Department of Hospital Services Background: In resource-limited countries, poor laboratory quality has been documented to have a negative impact on health care systems. I-TECH with financial support from DTRA implemented a mentored laboratory quality stepwise implementation (LQSI) and training program to strengthen the quality and capacity of infectious disease diagnosis and surveillance in 12 national and provincial clinical laboratories across Cambodia in August 2014– March 2016. All 12 laboratories established the foundational practices of a quality management system and improved their operations. In September 2017, after an 18-month hiatus, I-TECH resumed the mentoring program to continue implementation of quality management system (QMS) at the 12 previously supported laboratories. Methods: In collaboration with the Ministry of Health, I-TECH trained select laboratory mentors to be quality auditors. Prior to the start of QMS activities, the auditors conducted baseline assessments of the program laboratories using the SLIPTA checklist from Dec 2017 to Jan 2018. A national dissemination meeting was held to share the audit results and communicate the national vision and goals for laboratory services and quality. Findings: Overall, the average audit score was 38%, with scores ranging from 23 % to 65%. The laboratories performed strongest in information management and facilities and maintenance sections where the average scores were 67% and 53% respectively. The weakest performance was registered for corrective actions where the average score was 7%, followed by occurrence management where the average scored was 9%. Half of the laboratories scored 0% in these sections. The average score for management review was 11% followed by evaluations and audits with an average score of 12%. Lessons learned: Evidence from the baseline audits suggest that when the LQSI program stopped in 2016, most of the quality improvement efforts in the laboratories stalled as evidenced by the lack of documented corrective actions, internal audit reports and laboratory meeting minutes in 83% of the laboratories. Regular on-site mentoring allowed staff to learn concepts of quality management; however, building a culture of quality in 60 LAB MATTERS Summer 2018 the early stages of QMS implementation requires continuous support for effective adoption and implementation of proposed recommendations effectively. Next steps: Results from the assessments will inform strategies that I-TECH mentors use to customize corrective action plans for each laboratory. Mentors will use the LQSI tool to routinely monitor progress for quality improvement initiatives in 12 laboratories. Quarterly dissemination meetings will be held to strengthen accountability and engagement. The laboratories will have follow up assessments in a year. Presenter: Nayah Ndefru, University of Washington, I-TECH, Seattle, WA, Email: Development of a National Strategic Plan 2017–2020 for the Laboratory System in Côte D’Ivoire P. Sadate-Ngatchou 1 , N.D. Van Cauwelaert 1 , A. Korn 1 , L. Traore 2 J. Antilla 1 , G. Loukou 3 , A. Kourouma 3 , A.S. Amari 4 , B. Nicola 1 , R. Martin 1 , L. Perrone 1 ; 1 University of Washington, I-TECH, Seattle, WA, 2 I-TECH Cote D’Ivoire, 3 Laboratoire National de Sante Publique, 4 Direction de La Pharmacie Des Medicaments et Laboratoires, 5 University of Washington School of Public Health, Seattle, WA Strong laboratory system governance requires committed leaders and clear guidelines and strategic plans to guide national priorities and proce