title: Laboratory systems and services are critical in global health: time to end the neglect?
abstract: The $63 billion comprehensive global health initiative (GHI) emphasizes health systems strengthening (HSS) to tackle challenges, including child and maternal health, HIV/AIDS, family planning, and neglected tropical diseases. GHI and other initiatives are critical to fighting emerging and reemerging diseases in resource-poor countries. HSS is also an increasing focus of the $49 billion program of the US President's Emergency Plan for AIDS Relief and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Laboratory systems and services are often neglected in resource-poor settings, but the funding offers an opportunity to end the neglect. To sustainably strengthen national laboratory systems in resource-poor countries, the following approaches are needed: (1) developing integrative national laboratory strategic plans and policies and building systems to address multiple diseases; (2) establishing public-private partnerships; (3) ensuring effective leadership, commitment, and coordination by host governments of efforts of donors and partners; (4) establishing and/or strengthening centers of excellence and field epidemiology and laboratory training programs to meet short- and medium-term training and retention goals; and (5) establishing affordable, scalable, and effective laboratory accreditation schemes to ensure quality of laboratory tests and bridge the gap between clinicians and laboratory experts on the use of test results.
authors: International Laboratory Branch, Global AIDS Program, Center for Global Health, US Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
authors: John N
authors: JN
authors: Nkengasong
authors: Peter
authors: P
authors: Nsubuga
authors: Okey
authors: O
authors: Nwanyanwu
authors: Guy-Michel
authors: GM
authors: Gershy-Damet
authors: Giorgio
authors: G
authors: Roscigno
authors: Marc
authors: M
authors: Bulterys
authors: Barry
authors: B
authors: Schoub
authors: Kevin M
authors: KM
authors: DeCock
authors: Deborah
authors: D
authors: Birx
mesh_terms: D019411:Clinical Laboratory Techniques / Q000592:standards; D021821:Communicable Diseases, Emerging / Q000517:prevention & control*; D003906:Developing Countries; D014943:Global Health; D006295:Health Resources; D006801:Humans; D007753:Laboratories / Q000458:organization & administration*; D007857:Leadership; D017056:Medical Laboratory Personnel / Q000193:education; D009313:National Health Programs