GHSS has experience and certified trainers in Good Clinical Laboratory Practice (GCLP). This training is designed to provide practice-orientated training for clinical researchers interested in laboratory work and to introduce the principles and basic concepts of GCLP. The overall objective of this course is to give participants an understanding of the principles of GCLP and the related international guidelines including ISO as well as other guidelines.
LABORATORY QUALITY ASSURANCE (QA)
GHSS is working with the MOH to build the capacity of laboratory personnel on Lab QA as a whole and QA of HIV RT in particular. So far, about 1,200 labs are enrolled in the QA program with over 3345 health personnel trained. This capacity building training is now extended to non-laboratory personnel involved in HIV RT. GHSS Mentors equally provide onsite trainings to support Continuous Quality Improvement in the diagnosis, linkage, treatment and management of patients. GHSS has put in place an effective sample referral system that ensures the safe and timely transportation of samples from reference labs to the peripheral labs.
EXTERNAL QUALITY ASSESSMENT (EQA) FOR HIV RT, CD4, EID POCT, VIRAL LOAD and TB
GHSS in collaboration with other Partners is working with the MOH to provide EQA materials to participating laboratories. So far, about 1,200 labs are enrolled and participating in HIV PT program entirely run by GHSS, 133 in CD4, 5 Pilot labs in EID POC.
GHSS believes strongly in developing capacity in resource-limited settings to conduct operational research which is critical to infectious-disease control program.. Particularly in developing countries where the disease burden is high and resources and time are restricted, investment in operational research and promotion of a principle of inquiry are needed so that health care can become more efficient. Thus, research capacity needs to be developed, specific resources allocated, and different stakeholders brought together in promoting operational research.
OUR MAJOR COLLABORATORS INCLUDE
Ministries of Health
World Health Organization (WHO)
United States Centers for Disease Control and Prevention
Africa Union Centre for Disease Control
African Society of Laboratory Medicine
Association of Public Health Laboratories
Several Bi-Lateral organizations
Our goal is to developing the capacity of developing countries to analyse and appraise the organization and implementation of key aspects of public health surveillance system, in order to be able to develop locally appropriate skill sets including state of the art training in integrated disease surveillance systems. Health workers who see and treat patients are the backbone of not just the service delivery system, but also of disease surveillance: correctly diagnosing, reporting, and responding to myriad public health threats. We deliver short and long term courses and trainings that address surveillance systems that count on the rigorous application of standards and protocols by health workers at the front lines in order to produce reliable information to guide decision makers as to how to best respond to identified problems. Monitoring and Evaluation.
At GHSS, we also provide capacity development for monitoring and evaluation. Training is focused on several ways to measure the effectiveness of program implementation. We also focus on understanding of how important it is to have effective quality assurance tools to monitor their programs and how imperative it is to evaluate the outcome of services.
STRENGTHENING LABORATORY MANAGEMENT TOWARDS ACCREDITATION (SLMTA)
Global Health Systems Solutions (GHSS) is working with the Ministry of Public Health (MOH) Cameroon to develop capacity and strengthen laboratory services, networks and systems. GHSS is implementing the Strengthening Laboratory Management towards Accreditation (SLMTA) in 32 Laboratories. The SLMTA toolkit permit the laboratories to develop and implement a Quality Management System that guarantee accurate, reliable, and timely release of test results. The numerous hands-on activities incorporated in the SLMTA Training toolkit enable the laboratories to implement the requirements of ISO 15189 standard. Three (3) Laboratories in the SLMTA Program have been found competent and compliant to ISO 15189 standard by the South African National Accreditation Scheme (SANAS). These three Laboratories are today Accredited to ISO 15189:2012. 9 other laboratories have undergone ASLM-SLIPTA audit with excellent scores; 1 Lab attained 4 STAR level, 2 Labs attained 3 STARS, 3 attained 2 STARS, and 3 attained 1 STAR level.
STRENGHTENING LABORATORIES IN THE CENTRAL AFRICAN SUB REGION
GHSS is currently collaborating with the Africa CDC’s Regional Integrated Surveillance and Laboratory Network (RISLNET) and taking a regional approach to emergency preparedness by building on existing public health capacities, sharing experiences on preparedness and health systems strengthening, collaborating on research, and building collective, continent-wide capacity to effectively respond to disease threats and effectively prepare for and fight outbreaks of emerging and re-emerging infectious diseases in the region. The overall vision is to support countries in the region to combine resources to create a regional surveillance laboratory network in which some countries house a high-level biosafety containment laboratory while the other countries strengthen existing laboratories to test for other less dangerous, more common diseases. The key activities for this collaboration include the following; conduct mapping of centres of excellence, national reference laboratories and other laboratories in the Central African region; region; assist countries to develop laboratory strategic plans and policies; implement Quality Management Systems and biosafety in the region using the Strengthening of Laboratory Management Towards Accreditation (SLMTA) tool and Stepwise Laboratory Improvement towards Accreditation (SLIPTA) in selected reference laboratories in the sub-region; develop a framework for implementing quality management systems for Point of Care testing resulting in the increased accuracy and reliability of diagnostic testing that can be used for rapid detection of endemic and outbreaks diseases; implement a Basic Laboratory Information Systems (BLIS) to improve sample turnaround times to support clinical decision making; develop equipment maintenance guidance and biosafety maintenance; develop a framework for biological specimen referral systems in the region; and support selected Member States to develop laboratory components for regional proposals to address antimicrobial resistance.
People are the most critical resource in accomplishing any organization’s goals. If they have the knowledge, skills, or commitment needed to achieve these goals, organization will be strong and competitive. Employees also need to be capable of responding to the challenges of changing requirements, evolving missions, and an increasingly diverse population. GHSS can design, develop, and deliver training built around your current and anticipated organization demands. We use a multi-step learning process that involves the client in every phase: from pre-training assessment and assistance, through training delivery (onsite or computer-based), and into post-training reinforcement and technical assistance.
SHORT COURSES AND TRAININGS
GHSS provides up-to-date information in the form of short courses and training programs to improve on the capacity and competence of various categories of health sector employees. GHSS also offers such short courses and trainings at the pre-service level students of Professional Health Institutions.
List of Courses/Training Programs
• Medical Laboratory Leadership and Management Training (SLMTA)
• Internal and External Quality Control
• Continuous Quality Improvement, Root Cause Analysis, corrective and Preventive Actions
• Decoding ISO 15189: Training on International Laboratory Standard
• Quality Assurance of HIV Rapid Testing
• Laboratory Quality Assurance
• Laboratory Biosafety
• Basic first aid and fire safety
• Equipment Maintenance and Calibration
• Training of Internal Auditors
• Laboratory Information Systems (LIS)
• Tropical Infectious Diseases Epidemiology and Outbreak Investigations (TIDEI)
• Introduction to Project Planning and Management
• Results- based Approach to Monitoring and Evaluation
EQUIPMENT MAINTENANCE AND CALIBRATION (EMC)
GHSS has build strong capacity in the area of EMC. A strong and sustainable EMC program ensures high performance, efficiency and longevity of equipment. In clinical and Medical Research Laboratories the safety of the personnel and quality of results is constantly guaranteed. The GHSS EMC team consist of 7 trained Engineers and a coordinator. GHSS EMC Engineers, maintained, calibrate and certify biosafety safety cabinets (BSCs); micropipettes, centrifuges, water baths, refrigerators, freezers, autoclaves, thermometers, mixers, incubators etc.
SAMPLE TRANSPORT SYSTEM (STS)
GHSS has been operating STS in two Regions in Cameroon; the Center and Littoral. The major samples collected on a daily basis are Dry Blood Spot Specimen (DBS) from Health facilities, which are sent to the Early Infant Diagnosis (EID) Lab in Mutengene on a weekly basis with the assistance of trained bikers at various health districts. STS distributes Dry Tube Specimen (DTS) PT Panels produced in GHSS to health facilities as External Quality Assurance for personnel on HIV testing, once every quarter and CD4 Panel from Qasi Canada once every trimester, as well as supply of Quality Assurance Logbooks to Health facilities. The STS team also carries out other auxiliary services such as the distribution of DBS Kits, envelopes for sample packaging and administrative letters within Districts, Health facilities and the EID Center.
BASIC LABORATORY INFORMATION SYSTEM (BLIS)
BLIS is an open source Laboratory Information System (LIS) that provides a robust, customizable and easy-to-use system that tracks laboratory specimens, results, workflow, reports and consumables by using computer hardware and software. It addresses specific needs of the laboratory. GHSS IT Engineers install and maintain the BLIS software in Laboratories in Cameroon and 8 other countries in the Central African sub Region.