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Progress and retooling needs as perceived by developers

Progress and retooling needs as perceived by developers. Retooling Task Force work planning meeting 15-16 January 2008. Dr Giorgio Roscigno CEO – FIND. FIND’s perspective:.

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Progress and retooling needs as perceived by developers

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  1. Progress and retooling needs as perceived by developers Retooling Task Force work planning meeting 15-16 January 2008 Dr Giorgio Roscigno CEO – FIND

  2. FIND’s perspective: FIND has a rich set of products in the pipeline intended for the different levels of the health system which are developed and evaluated following a well-defined process from feasibility onwards…

  3. PARTNERS PARTNERS FIND Project phases & milestones Customer support document Customer support document Marketing plan Marketing plan Registration Registration Feasibility Feasibility Contract phase Contract phase Development phase Development phase Evaluation phase Evaluation phase Demonstration phase Demonstration phase Global Policy Global Policy National Practice National Practice Impact Impact PHASES 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 Milestones Customer Requirements Customer Requirements Specifications Specifications Product in box Product in box Efficacy Efficacy Effectiveness Effectiveness WHO guidelines WHO guidelines Customer support document Customer support document Effectiveness & Access Effectiveness & Access Output Partnership Strategy FIND

  4. • Uptake in pilot countries Collecting • Accreditation /franchising evidence for • Laboratory Support scaling up • Measuring Impact But achieving impact requires engagement with the retooling process, once new tools are adopted into global policy Development, Adoption Evaluation, Global WHO into global Demonstration Impact Policy phases Link to PEPFAR, Global Fund, other initiatives Scaling up and continued adoption Laboratory preparedness for introduction of new technologies requires addressing: (Hardware) • Infrastructure and equipment • Staffing and training • Biosafety aspects • Development of SOPs • QA systems At the appropriate level of the health care system (Software)

  5. FIND’s approach: • Facilitate introduction of new technologies in selected countries • Concentrate on “software”, and collaborate with partners who can provide “hardware” • Document experience and knowledge for widescale replication elsewhere And is based on: • Product requirements • Local needs and capacity • Level of healthcare system where product will be used • Collaboration with Ministries of Health based on a signed MOU • Adapted to the national context

  6. FIND approach to retooling: Example 1: Ethiopia • Large NTLP with established reference lab (#8/22 HBC) • PEPFAR and other partners present with support for HIV/AIDS and TB programs • NTLP identified continued gap on “software” side • NTLP has requested support from FIND to: • Provide long term, technical assistance over many months • Support integration of new diagnostic technologies into NTLP at reference (automated liquid culture) and regional levels (manual liquid culture)

  7. FIND approach to retooling: Example 2: Lesotho • No TB reference laboratory existed • Focus was on referral level Please refer to WHO presentation

  8. FIND approach to retooling: Example 3: Tanzania • Large NTLP (#14/22 HBC) • Multiple partners present with resources for infrastructure, equipment procurement • NTLP turned to FIND for support with “software” • In collaboration with other partners, FIND is: • Supporting national referral laboratory for preparation for introduction of liquid culture, including: planning for upgrading infrastructure to meet bio-safety requirements (see next) • Reinforcing quality assurance systems

  9. FIND approach to retooling: Example 4: India • Excellent in case finding with a quality assured microscopy services offered in more than 12000 microscopy centres under the NTP • But fewer competent NRLs FIND input: MOU signed with the Health Ministry Government of India and State Government of Rajasthan FIND/INDIA office started in New Delhi on 1st Oct,2007 Step 1 - Introduce novel technology at all 3 GLC identified DOTS plus sites in Delhi , Ahmadabad and Nagpur & establish a training site in Jaipur, Rajasthan Appoint Microbiologists at the above sites and a study coordinator

  10. FIND’s perspective on retooling: Conclusion Retooling to prepare laboratories for the introduction of new diagnostic technologies cannot be done alone…but in partnership

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