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This report summarizes the findings from the Work Planning Meeting of the Retooling Task Force held in Geneva on January 15-16, 2008. It emphasizes the importance of advocating for trusted and accessible diagnostic technologies in health systems, particularly for vulnerable populations. Key elements for successful adoption include policy decisions, stakeholder involvement, budget transparency, and ongoing training of health workers. The study highlights the need for a structured implementation process to monitor new technologies effectively and share lessons learned across countries.
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DIAGNOSTICS-RELATED NEEDS AS PERCEIVED BY COUNTRIES WORK PLANNING MEETING RETOOLING TASK FORCE GENEVA 15-16 January 2008 Dr. S. M. Egwaga NTLP - Tanzania
Country needs • RTF must advocate and promote available new diagnostic technologies • Countries need trusted diagnostic technologies • Should compliment existing technologies • Must be acceptable by health workers and consumers • Should be easy to accommodate and fit into existing health system (not radioactive, does not need cold chain) • Should help reach the vulnerable and marginalised populations
Adoption process - 1 • A country must make the policy decision to adopt a new diagnostic technology • Ownership by countries • Incorporating into health systems • Alignment and harmonization with donor priorities • Information on logistical requirements – from procurement to installation must be available at country level
Adoption process -2 • All stakeholders including decision and policy makers must be involved early • Rules and procedures which govern TB control programmes should also be taken into consideration • Countries may need support in adopting and introducing new technologies
Introduction of new technology -1 • Budget implications: • Transparency in financial and human resource requirements to introduce new technologies • Affordable – capital and running costs • Sustainable – beyond donor support • Endorsement and registration requirements of the new technology • Support to identify suppliers of new technologies
Introduction of new technology - 2 • Mobilization of financial and human resources • Making an operational plan to implement new technologies • Technical assistance to develop new policy guidelines to incorporate new technologies • Create demand for new technology – raise community awareness through different media channels • Set aside enough time
Implementation process -1 • Plan to train health workers • Plan supply chain to ensure reagents and supplies are available • Plan for preventive maintenance • Coordination of implementation by different partners
Implementation process -2 • Monitor performance of new technologies • Indicators • Supervision • Trouble shooting • Document process of implementation and lessons learnt • Share information with others