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About CLSI

 

Assisting Laboratories in Countries Around the World

GHP staff and volunteers travel the globe to give resource-constrained laboratories the tools and training they need to succeed.

We are currently providing support programs to laboratories all over the world. Hover over the highlighted map markers to learn where; click on the marker to learn more about our involvement at that location.

GHP World Map

Program Locations

While GHP is always expanding its support services to new areas, we have assisted or are currently providing programs to laboratories in the following locations:

Azerbaijan

2013 – GHP is assisting the Republican Veterinary Laboratory (RVL) in Azerbaijan with the implementation of quality management systems and preparing the staff to apply for ISO 17025 accreditation. The GHP team began working with RVL and GHP contractor, Faisal Ibrahim, MBA, MT(ASCP), in 2011 after the U.S. Defense Threat Reduction Agency (DTRA) spent more than $1 million on extensive renovations to the laboratory, which is operated by Azerbaijan’s State Veterinary Service, as part of an effort to monitor for extremely dangerous pathogens.

Ethiopia

2014 – Laboratory mentoring, in support of the accreditation initiatives, continued at the Ethiopia Public Health Institute (EPHI) in Addis Ababa, and is expanding to regional laboratories with the first placement at Adama Regional Laboratory. Mentors working with these organizations have included GHP contractor Faisal Ibrahim, and GHP volunteers Beatrice van der Puije and Raymond Nyakuwocha.

In July, CLSI, EPHI, and the Centers for Disease Control and Prevention (CDC)-Ethiopia conducted a workshop, Roles of Health Facility Management in Laboratory Quality Improvement for hospital administrators and laboratory directors. This workshop was first held in 2013, and it was so well received that the EPHI and CDC-Ethiopia now plan to make it an annual event. CLSI volunteer, Wendy Kitson-Piggott and GHP Director Connie Lien Adams were invited to present on behalf of CLSI.

A new advanced-level quality management systems (QMS) workshop was developed and conducted by GHP Directors Connie Lien Adams and Fran Ingersoll, and volunteer Wendy Kitson-Piggott. The CLSI guideline QMS02-A6—Quality Management System: Development and Management of Laboratory Documents; Approved Guideline—Sixth Edition, together with International Organization for Standardization (ISO) standard 15189:2012, Medical laboratories – Requirements for quality and competence, were used as primary reference documents for this interactive, activities-based workshop.

Guam

2013 – GHP Vice President Karen McClure, PhD, MLS(ASCP)SBB, and CLSI volunteer Devery Howerton, PhD, MS, MT (ASCP), will conduct a quality management system workshop for the U.S. Pacific Islands laboratorians in Guam in August 2013.

Ghana

2014 – A new advanced-level workshop is in development for delivery in Ghana this year by GHP Directors Connie Lien Adams and Fran Ingersoll, and volunteer Pam Melcher. This two-part training is designed to provide basic skills-development for laboratory quality managers.

Kazakhstan

2013 – In February 2013, GHP Directors Frances Ingersoll, MS, MLS(ASCP), and Connie Adams, MT(ASCP), delivered a quality management systems (QMS) workshop to 26 laboratory directors and key personnel from the 23 Blood Transfusion Services of Kazakhstan. The five-day workshop covered a range of topics, including external quality assurance, setting up quality indicators, and facilities and safety. They distributed two CLSI documents that had been translated into Russian: The Key to Quality and QMS01 (formerly GP26). The directors will return to Kazakhstan in July for a second workshop.

In February 2013, GHP International Projects Specialist Adja Thiouf, and CLSI volunteer Pauline Cyr, conducted an assessment of the Diagnostic Laboratory at the Almaty City Center for AIDS Prevention and Control in Kazakhstan. The CLSI team discovered that none of the laboratory staff were trained or familiar with QMS concepts or terminology. A member of the laboratory’s staff had attended a 2011 CLSI workshop and received CLSI documents, but had left the laboratory, taking the information with her. Thiouf and Cyr returned to the country in May 2013 for additional laboratory gap assessments. Adams, Thiouf, and Cyr returned again in July 2013 to conduct a document development workshop for the HIV laboratories.

Kenya

2013 – CLSI’s Global Health Partnerships staff and Board of Directors President Mary Lou Gantzer, PhD, FACB, are working with the Kenya Medical Technicians and Technologists Board to launch an ambitious program to validate laboratory equipment and reagents as they enter the country. The scope of this validation project is unprecedented among the developing countries in the region.

After an initial meeting in January 2013, Dr. Gantzer and GHP Director Fran Ingersoll returned to Kenya in April 2013 to conduct a validation workshop and provide technical assistance to the board as its members develop the program’s policies and procedures. They will travel to Kenya again in August 2013 to lead workshops for managers in the labs selected as potential validation sites.

Mozambique

2014 – The GHP team has continued to support the accreditation preparedness activities of the Mozambique External Quality Assessment program. CLSI volunteer Catarina Downey conducted an assessment of the external quality assessment training and competency system, and worked with the team to develop an action plan to ensure compliance with ISO 17043:2010, Conformity assessment – General requirements for proficiency testing. 

CLSI is working with AABB to help support their ongoing programming to strengthen the National Blood Transfusion Service in Mozambique.

Namibia

2013 – CLSI has been working with Namibia Institute of Pathology (NIP) in collaboration with CDC Namibia to strengthen and build local laboratory capacity to implement and sustain quality management systems since 2008. Through this collaborative effort, the NIP Reference Laboratory (Windhoek Central Reference Laboratory) successfully attained accreditation aligned with ISO17025 in October 2010. This laboratory has maintained this status since then. Ongoing activities have seen four more laboratories under NIP attaining different levels of recognition after ASLM assessments in July 2013.

Nigeria

2013 – GHP Director Fran Ingersoll, MS, MLS(ASCP), Senior Program Manager Patrick Mateta, MT, MBA, and Contracts Administrator Juma Ally led two assessor workshops in Nigeria in the first half of 2013; another workshop is scheduled for August 2013.

GHP Program Manager Leonard LaFazia, MS, MLS (ASCP), spent two weeks in Nigeria in June 2013 mentoring on quality management systems and assisting with the writing of a quality manual.

Tanzania

2013 to 2014 – CLSI conducted targeted and focused four-week mentor programs at six laboratories. In these mentorship programs, CLSI expert mentors spent up to four weeks working side-by-side with local laboratorians, coaching and teaching them on how to implement standards-based quality. These mentor programs were targeted at either implementing the developed QMS or upgrading the documentation to comply with the ISO 15189:2012 version of the standard. The following four-week mentor programs were conducted at the laboratories:

  • Mentor program at Bugando Medical Center (BMC) from September 16–October 11, 2013.
  • Mentor program at Mnazi Mmoja Hospital from February 10–March 7, 2014.
  • Mentor program at Mbeya Referral Hospital Laboratory (MRL) and BMC from April 7–May 9, 2014.
  • Mentor program at Muhimbili National Hospital (MNH) and National Health Laboratory and Quality Assurance Training Center (NHLQATC) from June 9–July 4, 2014.
  • Mentor program at Mnazi Mmoja Hospital from August 11–September 15, 2014.

CLSI continues to provide capacity building and technical assistance to laboratories in Tanzania by working in collaboration with the CDC, Coag Implementing Partners, and MOHSW to ensure sustainable strengthening of national laboratory systems, assist six specific laboratories in attaining or maintaining accreditation through mentorship, and assist MOHSW in developing policies that align with the internationally recognized laboratory standards for medical laboratories.

Vietnam

2014 – The GHP team completed the second Quality Management Systems for Laboratory Leaders (QMS-LL) Certificate Program. Of 50 leaders selected to participate in the two programs, 46 (92%) successfully completed the QMS-LL requirements. These graduates represent 16 different institutions within the Vietnamese Ministries of Health, Education, and Defense. Some graduates from the first cohort have become teaching assistants and, in the upcoming third round of training, will co-facilitate the program with CLSI staff.

The certificate program is designed for people working in leadership positions who have influence over the country’s laboratory policy. The year-long curriculum focuses on the CLSI QMS model and related standards aimed at providing officials with the skills and tools necessary to improve laboratory efficiency and testing accuracy.

Discussions have begun with universities in Vietnam to integrate the QMS-LL program into postgraduate professional development programs. Including graduates of the program as instructors in future rounds of training and integrating the curriculum into university programming allows for quality and sustainability of the program, which helps ensure ongoing development of laboratory leadership.

Zambia

2013 – GHP conducted the Quality Mentor Training Series, consisting of two 4-day workshops. The first took place in May 2013 and the second in July 2013. Fourteen of the participants received certificates of training.

From August 11 through September 7, 2013, Faisal Ibrahim, the CLSI International Program Manager, is conducting a four week mentorship at Ndola Central Hospital lab in Ndola, Zambia.

 

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