Results

  • Introduced a unique and cost effective peer review mechanism by which the five EAC member states assess performance of each other’s laboratories, ensuring objectivity and promoting cross country learning.
  • Attained substantial quality improvements with impressive gains in the Stepwise Laboratory Quality Improvement Process towards Accreditation (SLIPTA), instilling a culture of continuous quality improvements and setting laboratories on a path towards accreditation. Seventy-three percent of facilities reached at least three stars on a scale of five, in stark contrast to less than one star at baseline for the majority.
  • Piloted use of Performance Based Financing, linking incremental improvements in the SLIPTA composite scores to financial incentives to participating hospitals.
  • Supported the Uganda National Tuberculosis Reference Laboratory to reach the gold standard ISO accreditation, and quality to serve as a prestigious WHO SRL, the second of its kind on the continent.
  • Financed construction and equipment of state of the art laboratories in cross border areas, bringing diagnostic services to vulnerable groups.
  • Rolled out new molecular technology for more rapid and accurate results, which implies that anti-TB drugs can be prescribed with greater accuracy, saving time and money. The GeneXpert technology has improved the turnaround time to several hours rather than waiting months for liquid culture results.
  • Introduced high-tech video conferencing and other ICT innovations to support e-learning, facilitate knowledge sharing, and strengthen communications.
  • Expanded the pool of qualified personnel by training over 7,000 professionals in both short and long term training, including fellows in the gold standard Field Epidemiology and Training Program (FETP) designed and supported by CDC.
  • Developed a regional framework for cross-border surveillance, established cross border committees; conducted joint simulation exercises; carried out joint disease outbreak investigations across partner states, including several Ebola and Marburg outbreaks in Uganda; and developed a mobile phone disease surveillance system to facilitate sharing of information on disease outbreaks.
  • Conducted joint analytic work on Human Resources for Health and on Public-Private Partnerships to assist Governments to address HRH issues and to explore ways to harness the potential of the private sector.