Quality Assurance in Health Laboratory Services: A Status Report

 

Subject-Specific Laboratory Networks

 

*     Polio Eradication Programme

Network of polio laboratories in SEAR

With the help of WHO, laboratories in the Region are carrying out polio virus isolation from cases of AFP and also from environment. With impending polio eradication, it is envisaged that these laboratories will take up other national programmes such as measles and dengue control programme.

Sixteen laboratories in SEAR countries constitute the network of polio laboratories. Of these, five serve as reference laboratories. EQASs are currently in operation. The coded samples prepared for the global network of laboratories by Rijksinstituut Voor Volksgezondheid en Mileu (RIVM), Netherlands are distributed.

These laboratories are: IPH in Bangladesh; In India the nine laboratories are: BJ Medical College, Ahmedabad; Sanjay Gandhi Post-graduate Institute, Lucknow; Serologists to Government of India, Kolkatta; National Institute of Virology, Pune; Pasteur Institute of India, Coonoor; King Institute of Preventive Medicine, Chennai; National Institute of Communicable Diseases, Delhi; Entro-virus Research Centre, Mumbai and Central Research Institute, Kasauli. In Indonesia, Provincial Laboratory, Surabaya; in Myanmar, National Health Laboratory, Yangon; in Sri Lanka, Medical Research Institute, Colombo and National Institute of Health in Bangkok. These laboratories take part in IEQAS conducted by the Netherlands laboratory.

*     AIDS Control Programme

Countries of the Region have opened HIV surveillance centres. The quality assurance programmes of blood banks have been linked with AIDS control programmes in most of the countries.

Realizing the need for external quality assessment programme for HIV testing laboratories including blood banks in order to maintain the validity of HIV tests being carried out at various levels, the programme of EQAS in HIV testing is being instituted in all countries. In India, the National Institute of Biologicals (NIB) has been identified by National AIDS Control Organisation (NACO) as the apex institute for initiating an EQAS in HIV testing which will act as the national coordinator of networking. Eleven centers, viz. NICD, Delhi; AIIMS, New Delhi; Indian Institute of Immunohaematology, Mumbai; NICED, Calcutta; School of Tropical Medicine, Calcutta; Madras Medical College, Chennai; National AIDS Research Institute, Pune; Regional Institute of Medical Sciences, Imphal; Christian Medical College Vellore; National Institute of Mental Health and Neuro-Sciences, Bangalore; Dr MGR Medical College, Chennai have been identified for the implementation of the external quality assessment programmes in their areas. The same centres have been asked to conduct EQAS in transfusion transmitted infectious agents in blood banks for HIV, HBsAg, and HCV by NACO.

Similar programmes have been started in other countries of the region viz; Institute of Public Health in Dhaka, Bangladesh; National Public Health Laboratory in Kathmandu, Nepal; Provincial Laboratory, Surabaya, Indonesia; National Health Laboratory, Yangon, Myanmar; Medical Research Institute, Colombo, Sri Lanka, and National Institute of Health, Bangkok, Thailand.

With the help of WHO, selected laboratories in the countries of the Region are regularly participating in IEQAS in HIV serology conducted by Australia and CPHL, London.

*     Tuberculosis

With the upsurge in multidrug resistant tuberculosis in the countries of the world, especially in association with AIDS, WHO is conducting an international IEQAS for MDR tuberculosis.

There is a network of five laboratories in India carrying out surveillance of drug resistant tubercle bacilli in selected districts. These laboratories are Tuberculosis Research Centre, Chennai; National Tuberculosis Institute, Bangalore; Lala Ram Swarup TB Hospital, New Delhi; TB Centre, New Delhi and Maharashtra Government Institute of Medical Science, Wardha.

In other countries, the participating laboratories are: Centre Biomedis, Jakarta and Provincial laboratory, Surabaya in Indonesia; NHL, Yangon in Myanmar; MRI, Colombo in Sri Lanka; NIH Bangkok in Thailand; Centre for Epidemic Prevention, Pyongyang in DPRK, and NPHL, Kathmandu in Nepal.

 

 

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