HIV RAPID TESTING PT PROGRAMME HIV RAPID TESTING PT PROGRAMME IN ZIMBABWE IN ZIMBABWE
The National HIV Rapid Testing Programme in Zimbabwe involves various stakeholders like MOHCC, NMRL, RTCQI Officer, and District Lab Mentors working together to ensure effective proficiency testing, PT production, distribution, and result release. The program aims for ownership and sustainability through functional EQA desk support, corrective action implementation, and sample shipment for analysis and reporting. Additionally, it focuses on integrating proficiency testing panel production for rapid HIV, recency, syphilis, and hepatitis B detection. Zimbabwe relies on an integrated sample transport system for efficient diagnostics.
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HIV RAPID TESTING PT PROGRAMME HIV RAPID TESTING PT PROGRAMME IN ZIMBABWE IN ZIMBABWE Lydia Tongowona, Public Health Specialist CDC Zimbabwe Wednesday, June 5, 2024 Division of Global HIV & TB
HIV DTS Proficiency Test (PT) Overview 2024 2017 Inception 2019 2022 Merging of HIV DTS, RTRI, Syphilis and Hepatitis- Combined DTS One Stop Shop. Facility Based with Harare Facilities 2500 testers in 40 Districts 4000 testers in 43 Districts Transitioned 300 Testers from Facility Based Testing . Merging of HIV DTS and RTRI into one scheme. 3000 testers in 40 Districts 2020 2018 2023 Key: GREEN - PEPFAR YELLOW GLOBAL FUND Division of Global HIV & TB 2
National Rapid HIV PT Program: Roles and Responsibilities of Multiple Stakeholders Roles Stakeholders MOHCC Provides policy and regulation National Microbiology Reference Laboratory (NMRL) Coordinates EQA( HIV rapid PT samples production, distribution, feedback and corrective actions EQA Technical Officer Responsible for PT production, PT distribution and PT results release. RTCQI Officer Coordinates RTCQI trainings, supports tester certification and corrective actions District Lab Mentors Ensure distribution of PT samples and return of results and CAPA. District Focal Person (DFP) L ab Oversees PT program at district level Nurse-in-Charge Ensure PT participation, results return and CAPA Testers Participates in PT and corrective action when needed Distribution of PT samples and results to the clinics. IST riders-
National PT Program Ownership and Sustainability SURVEY SURVEY OPENED OPENED COMMUNICATION FUNCTIONAL EQA DESK PASSWORD ASSISTANCE RESULT QUERY EQA CALENDAR CORRECTIVE ACTION SUPPORT CORRECTIVE CORRECTIVE ACTION ACTION SHIPMENT SHIPMENT OF SAMPLES OF SAMPLES National Reference Microbiology Laboratory REVIEW OF REVIEW OF FINAL FINAL REPORTS REPORTS RUNNING RUNNING OF SAMPLES OF SAMPLES FINAL FINAL REPORTS REPORTS ISSUED ISSUED SUBMISSION SUBMISSION OF RESULTS OF RESULTS ANALYSIS OF ANALYSIS OF RESULTS RESULTS Division of Global HIV & TB 4
Integration of Proficiency Testing Panel Production Rapid HIV Recency Syphilis Hepatitis B Pilot stage Division of Global HIV & TB 5
Zimbabwe Relies on Integrated Sample Transport for Distribution of PT Samples and Results Division of Global HIV & TB 6
E-Tool for Management of Rapid HIV PT Data Division of Global HIV & TB 7
Examples of PT Reports Division of Global HIV & TB 8
PT Results Management Marking scheme is embedded ePT portal. System marks the results and reports are generated. DFPs download reports and send to testers using IST. Testers test and submit result forms to the DFPs DFPs enter results into the ePT portal. Entered results are sent to the NMRL for Quality Control of entered data. An EQA review team analyses survey findings before final authorization of reports.
Rapid HIV DTS PT Performance 2017 - 2023 4500 96% 4000 94% 3500 90% 90% 3000 80% 2500 82% 2000 1500 1000 500 0 COP 18 COP 19 COP 20 COP21 (Cycle A) COP 21 (Cycle B) COP 22 Enrolled Participated Passed Pass Rates Division of Global HIV & TB 10
Rapid HIV Proficiency Testing Scale up plans Private Sector involvement Increase PT Coverage to 100% by 2025 Dual . HIV DTS and RTRI PT in 2023. ZINQAP has capacity to provide PT for Private Labs. Current NMRL 4000 testers ZINQAP 2500 testers. Tester Gap 1500 Capacitate the NMRL for increased production. Decentralise CAPA Integration of Hepatitis and Syphilis PT Pilot PT one district in 2023. Automate PT Production ISO17043 accreditation
Lessons Learned PT integration allows multi-disease monitoring- Syphilis, hepatitis , Recency and rapid HIV Introduction of district level CAPA has improved quality and completion CAPA PT Management under MOHCC NMRL sustainable and cost efficient Participation in PT increase tester competency, and quality of HIV testing services Automation of PT and IQC production will enable scale up of PT and IQC Using IST has improved PT distribution and results return TAT Division of Global HIV & TB 12
