SlideShare a Scribd company logo
Improving Access  To Diagnostics in the Developing World  Rosanna Peeling Professor and Chair, Diagnostics Research   London School of Hygiene & Tropical Medicine
Improving Access To Diagnostics in the Developing World  Global landscape of diagnostics Improving access to diagnostic innovation Fast-tracking the translation of evidence to policy
Diagnostics Landscape in the Developing  World  Lack of investment in diagnostics R&D  ,[object Object],Lack of Access to diagnostic services  - lack of investment in diagnostic laboratories  	- laboratories suffer from frequent stock-outs and critical shortage of staff Lack of regulatory transparency -Regulatory approval processes are lengthy and not quality based: 	   Tests are sold and used without evidence of effectiveness Lack of quality standards for test evaluations - Claimed accuracy on product inserts often misleading 	- Control programmes often misled into buying low quality products
Diagnostics are Under-valued In the US, while diagnostics comprise 	- less than 5% of hospital costs 	- about 1.6% of all Medicare costs,  	their findings influence as much as     60-70% of health care decision-making The Value of Diagnostics, Lewin Report, 2005
Inequity of Access to Diagnostics The 2004 Health Development Report cited the lack of access and unaffordability as two major reasons why services fail Distance to Nearest Medical Facility for the Poorest 5th of the population:  Country		Distance (km) Benin		7.5	 Bolivia		11.8	 Chad		22.9	 Haiti		8.0	 Madagascar	15.5	 Niger 		26.9	 Tanzania		4.7	 Uganda		4.7	 Zimbabwe		8.6 Selected from the 2004 World Health Report, p.22 ,[object Object],purchase drugs from vendors ,[object Object],drugs  ,[object Object]
 Clinics may not have drugs or diagnostics ,[object Object]
How Good are Dengue Rapid Tests? WHO Evaluation (%) SensSpec       23		  99       18		  98       63	            69         9	              100       65	                98       22		  99         6                   99 Test	         Claimed Accuracy (%) Sens	    Spec Test 1		100	    100 Test 2		NS	     NS Test 3		80	    >99 Test 4		 NS	     NS Test 5	               70	    100 Test 6		 93	    100 Test 7		100	    100 NS = not stated Blacksell et al. Clin Infect Dis 2006;42:1127
Product Development and Adoption Pathway for Diagnostics  Regulatory Approval Diagnostic Targets Proof of  Principle Product  Prototype Lab & field  evaluations Test adoption  Policy & Guidelines Product Specifications Technology platform Shared Resources Shared Risks Shared Rewards
Lab on a Chip Platform:  Integrated specimen  processing, amplification, and detection of MTB and  Rif resistance in sputum In < 2 hrs In 1,730 patients with suspected drug-sensitive or multi drug-resistant pulmonary TB at  centers in Peru, Azerbaijan, South Africa, and India, Xpert detected 98% of smear +, 90% of smear – ; 98% of RIF resist.  and 98% of RIF sens. TB.   Boehme et al NJEM Sept 6 2010
How many TB patients will die while we wait for this new technology to be affordable and available? ,[object Object]
9.27 million new cases in 2007
1.9 million deaths a year

More Related Content

What's hot

Bcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael MeulbroekBcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael Meulbroek
ReShape
 
10 most trusted clinical laboratories in 2021
10 most trusted clinical laboratories in 202110 most trusted clinical laboratories in 2021
10 most trusted clinical laboratories in 2021
Merry D'souza
 
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
CBRC
 
Overview of HIV self-testing
Overview of HIV self-testingOverview of HIV self-testing
Overview of HIV self-testing
Carmen Figueroa
 
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
E-Commerce Brasil
 
6 bronson state of virginia's hiv self-testing initiatives
6 bronson state of virginia's hiv self-testing initiatives6 bronson state of virginia's hiv self-testing initiatives
6 bronson state of virginia's hiv self-testing initiatives
SlidesShare_Foxtrot
 
The Kenya HIV Testing Services Guidelines 2015
The Kenya HIV Testing Services Guidelines 2015The Kenya HIV Testing Services Guidelines 2015
The Kenya HIV Testing Services Guidelines 2015
Cheryl Johnson
 
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...Sunil Nair
 
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
Carmen Figueroa
 
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
Carmen Figueroa
 
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
Hivlife Info
 
5 myers hiv self-testing in new york city
5 myers hiv self-testing in new york city5 myers hiv self-testing in new york city
5 myers hiv self-testing in new york city
SlidesShare_Foxtrot
 
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
HopkinsCFAR
 
Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
 Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and... Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
hivlifeinfo
 
Zimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentationZimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentation
SlidesShare_Foxtrot
 
Noninvasive prenatal testing_for_fetal_aneuploidy
Noninvasive prenatal testing_for_fetal_aneuploidyNoninvasive prenatal testing_for_fetal_aneuploidy
Noninvasive prenatal testing_for_fetal_aneuploidy
Asha Reddy
 
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
Fundación Ramón Areces
 
Rapid HIV Testing: Policy & Regulatory Issues
Rapid HIV Testing: Policy & Regulatory IssuesRapid HIV Testing: Policy & Regulatory Issues
Rapid HIV Testing: Policy & Regulatory Issues
Australian Federation of AIDS Organisations
 
Percepta sales aid pc133.1.1801
Percepta sales aid pc133.1.1801Percepta sales aid pc133.1.1801
Percepta sales aid pc133.1.1801
Phil J. Morrison
 

What's hot (20)

Bcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael MeulbroekBcn checkpoint - Michael Meulbroek
Bcn checkpoint - Michael Meulbroek
 
10 most trusted clinical laboratories in 2021
10 most trusted clinical laboratories in 202110 most trusted clinical laboratories in 2021
10 most trusted clinical laboratories in 2021
 
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
HPV infection and anal dysplasia in Vancouver: findings from the ManCount Survey.
 
Overview of HIV self-testing
Overview of HIV self-testingOverview of HIV self-testing
Overview of HIV self-testing
 
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
Congresso E-Commerce Saúde e Farma | Inteligência Artificial a favor da saúde...
 
6 bronson state of virginia's hiv self-testing initiatives
6 bronson state of virginia's hiv self-testing initiatives6 bronson state of virginia's hiv self-testing initiatives
6 bronson state of virginia's hiv self-testing initiatives
 
The Kenya HIV Testing Services Guidelines 2015
The Kenya HIV Testing Services Guidelines 2015The Kenya HIV Testing Services Guidelines 2015
The Kenya HIV Testing Services Guidelines 2015
 
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...
Healthcare Technology Assessment Gideon Presentation - Sunil Nair Health Info...
 
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
Cost of testing per new HIV diagnosis as a metric for monitoring cost-effecti...
 
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
Optimal HIV testing strategies to achieve high levels of HIV diagnosis in Sou...
 
CROI 2015 FINAL
CROI 2015 FINALCROI 2015 FINAL
CROI 2015 FINAL
 
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
Evolving Switch Strategies for Virologically Suppressed HIV-Infected Patients...
 
5 myers hiv self-testing in new york city
5 myers hiv self-testing in new york city5 myers hiv self-testing in new york city
5 myers hiv self-testing in new york city
 
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
Using Urine Point-of-Care Tenofovir Testing to Deliver Targeted PrEP Adherenc...
 
Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
 Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and... Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
Случаи и разногласия по ВИЧ в 2019 году: европейские перспективы / Cases and...
 
Zimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentationZimbabwe HIV Self-testing presentation
Zimbabwe HIV Self-testing presentation
 
Noninvasive prenatal testing_for_fetal_aneuploidy
Noninvasive prenatal testing_for_fetal_aneuploidyNoninvasive prenatal testing_for_fetal_aneuploidy
Noninvasive prenatal testing_for_fetal_aneuploidy
 
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
Ségolème Aymé - Infraestructuras de I + D para impulsar investigación en Enfe...
 
Rapid HIV Testing: Policy & Regulatory Issues
Rapid HIV Testing: Policy & Regulatory IssuesRapid HIV Testing: Policy & Regulatory Issues
Rapid HIV Testing: Policy & Regulatory Issues
 
Percepta sales aid pc133.1.1801
Percepta sales aid pc133.1.1801Percepta sales aid pc133.1.1801
Percepta sales aid pc133.1.1801
 

Similar to Launch of Policy Cures: Improving Access to Diagnostics in the Developing World - Professor Rosanna Peeling

n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docxn engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
rosemarybdodson23141
 
IMPROVING DIAGNOSTIC MICROBIOLOGY
IMPROVING DIAGNOSTIC MICROBIOLOGYIMPROVING DIAGNOSTIC MICROBIOLOGY
IMPROVING DIAGNOSTIC MICROBIOLOGY
Society for Microbiology and Infection care
 
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
Efe Clement Abel
 
How evidence affects clinical practice in egypt
How evidence affects clinical practice in egyptHow evidence affects clinical practice in egypt
How evidence affects clinical practice in egypt
Wafaa Benjamin
 
Drugs for rare diseases, Orphan Drugs
Drugs for rare diseases, Orphan DrugsDrugs for rare diseases, Orphan Drugs
Drugs for rare diseases, Orphan Drugs
Dr. Vishal Pawar
 
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
Canadian Organization for Rare Disorders
 
Rare Disease Drug Development Solutions Info Sheet
Rare Disease Drug Development Solutions Info Sheet Rare Disease Drug Development Solutions Info Sheet
Rare Disease Drug Development Solutions Info Sheet
Covance
 
UKADC System Partners Meeting
UKADC System Partners MeetingUKADC System Partners Meeting
UKADC System Partners Meeting
Scott Buckler
 
Conduct of clinical Trials during covid 19 a CTTI webinar
Conduct of clinical Trials during covid 19 a CTTI webinar Conduct of clinical Trials during covid 19 a CTTI webinar
Conduct of clinical Trials during covid 19 a CTTI webinar
Pamela Tenaerts
 
Spontaneous Reporting and Prescription Event Monitoring.pptx
Spontaneous Reporting and Prescription Event Monitoring.pptxSpontaneous Reporting and Prescription Event Monitoring.pptx
Spontaneous Reporting and Prescription Event Monitoring.pptx
DrRajeshHadia
 
Concepts of Screening for disease
Concepts of Screening for diseaseConcepts of Screening for disease
Concepts of Screening for diseaseMohan Jangwal
 
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...MedicineAndHealthUSA
 
Cellscan Stanford 2016
Cellscan Stanford 2016Cellscan Stanford 2016
Cellscan Stanford 2016
Stanford University
 
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-EmployerConfronting Diagnostic Error-Employer
Confronting Diagnostic Error-EmployerMelissa Kay Palardy
 
C04 P02 CRITERIA FOR SCREENING TESTS.ppt
C04 P02 CRITERIA FOR SCREENING TESTS.pptC04 P02 CRITERIA FOR SCREENING TESTS.ppt
C04 P02 CRITERIA FOR SCREENING TESTS.ppt
sanakhader3
 
Invest to End TB. Save Lives
Invest to End TB. Save LivesInvest to End TB. Save Lives
Invest to End TB. Save Lives
Stop TB Italia Onlus
 
Telenephrology
TelenephrologyTelenephrology
Telenephrology
Christos Argyropoulos
 

Similar to Launch of Policy Cures: Improving Access to Diagnostics in the Developing World - Professor Rosanna Peeling (20)

n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docxn engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
n engl j med 368;24 nejm.org june 13, 2013 2319s o u n d i.docx
 
IMPROVING DIAGNOSTIC MICROBIOLOGY
IMPROVING DIAGNOSTIC MICROBIOLOGYIMPROVING DIAGNOSTIC MICROBIOLOGY
IMPROVING DIAGNOSTIC MICROBIOLOGY
 
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
Adherence to Antiretroviral Therapy among HIVPositive Patients in Central Hos...
 
How evidence affects clinical practice in egypt
How evidence affects clinical practice in egyptHow evidence affects clinical practice in egypt
How evidence affects clinical practice in egypt
 
Drugs for rare diseases, Orphan Drugs
Drugs for rare diseases, Orphan DrugsDrugs for rare diseases, Orphan Drugs
Drugs for rare diseases, Orphan Drugs
 
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
STREAM THREE: Jeff Keefer, Inclusion in Clinical Trials
 
Wesat2003
Wesat2003Wesat2003
Wesat2003
 
journal.pone.0006828.PDF
journal.pone.0006828.PDFjournal.pone.0006828.PDF
journal.pone.0006828.PDF
 
Rare Disease Drug Development Solutions Info Sheet
Rare Disease Drug Development Solutions Info Sheet Rare Disease Drug Development Solutions Info Sheet
Rare Disease Drug Development Solutions Info Sheet
 
UKADC System Partners Meeting
UKADC System Partners MeetingUKADC System Partners Meeting
UKADC System Partners Meeting
 
Conduct of clinical Trials during covid 19 a CTTI webinar
Conduct of clinical Trials during covid 19 a CTTI webinar Conduct of clinical Trials during covid 19 a CTTI webinar
Conduct of clinical Trials during covid 19 a CTTI webinar
 
China v1
China v1China v1
China v1
 
Spontaneous Reporting and Prescription Event Monitoring.pptx
Spontaneous Reporting and Prescription Event Monitoring.pptxSpontaneous Reporting and Prescription Event Monitoring.pptx
Spontaneous Reporting and Prescription Event Monitoring.pptx
 
Concepts of Screening for disease
Concepts of Screening for diseaseConcepts of Screening for disease
Concepts of Screening for disease
 
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
 
Cellscan Stanford 2016
Cellscan Stanford 2016Cellscan Stanford 2016
Cellscan Stanford 2016
 
Confronting Diagnostic Error-Employer
Confronting Diagnostic Error-EmployerConfronting Diagnostic Error-Employer
Confronting Diagnostic Error-Employer
 
C04 P02 CRITERIA FOR SCREENING TESTS.ppt
C04 P02 CRITERIA FOR SCREENING TESTS.pptC04 P02 CRITERIA FOR SCREENING TESTS.ppt
C04 P02 CRITERIA FOR SCREENING TESTS.ppt
 
Invest to End TB. Save Lives
Invest to End TB. Save LivesInvest to End TB. Save Lives
Invest to End TB. Save Lives
 
Telenephrology
TelenephrologyTelenephrology
Telenephrology
 

More from LIDC

Lens on Development
Lens on DevelopmentLens on Development
Lens on Development
LIDC
 
Patricia Latter REF "Routes to Impact" presentation 26/05/2016
Patricia Latter REF "Routes to Impact" presentation 26/05/2016Patricia Latter REF "Routes to Impact" presentation 26/05/2016
Patricia Latter REF "Routes to Impact" presentation 26/05/2016
LIDC
 
Ian thornton REF "Routes to Impact" presentation 26/05/2016
Ian thornton REF "Routes to Impact" presentation 26/05/2016Ian thornton REF "Routes to Impact" presentation 26/05/2016
Ian thornton REF "Routes to Impact" presentation 26/05/2016
LIDC
 
GCRf: RCUK Global Challenges Research Fund
GCRf: RCUK Global Challenges Research FundGCRf: RCUK Global Challenges Research Fund
GCRf: RCUK Global Challenges Research Fund
LIDC
 
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
LIDC
 
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
LIDC
 
Distance Learning for Health Workshop: Open and distance learning for health ...
Distance Learning for Health Workshop: Open and distance learning for health ...Distance Learning for Health Workshop: Open and distance learning for health ...
Distance Learning for Health Workshop: Open and distance learning for health ...LIDC
 
Distance Learning for Health Workshop: Capability, Development and Open and D...
Distance Learning for Health Workshop: Capability, Development and Open and D...Distance Learning for Health Workshop: Capability, Development and Open and D...
Distance Learning for Health Workshop: Capability, Development and Open and D...LIDC
 
Distance Learning for Health Workshop: Evidence of Impact - Saville Kushner
Distance Learning for Health Workshop: Evidence of Impact - Saville KushnerDistance Learning for Health Workshop: Evidence of Impact - Saville Kushner
Distance Learning for Health Workshop: Evidence of Impact - Saville KushnerLIDC
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...LIDC
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...LIDC
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...LIDC
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...LIDC
 
Pauline horton
Pauline hortonPauline horton
Pauline hortonLIDC
 
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...Distance Learning for Health Workshop: Public Health Online Courses - Jessica...
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...LIDC
 
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...LIDC
 
Distance Learning for Health: Tana Wuliji
Distance Learning for Health: Tana WulijiDistance Learning for Health: Tana Wuliji
Distance Learning for Health: Tana WulijiLIDC
 
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...LIDC
 
The Use of Evidence in Developing Countries: (South African) Experiences and ...
The Use of Evidence in Developing Countries: (South African) Experiences and ...The Use of Evidence in Developing Countries: (South African) Experiences and ...
The Use of Evidence in Developing Countries: (South African) Experiences and ...LIDC
 
The Use of Evidence in Developing Countries: Experiences and Challenges -
The Use of Evidence in Developing Countries: Experiences and Challenges - The Use of Evidence in Developing Countries: Experiences and Challenges -
The Use of Evidence in Developing Countries: Experiences and Challenges - LIDC
 

More from LIDC (20)

Lens on Development
Lens on DevelopmentLens on Development
Lens on Development
 
Patricia Latter REF "Routes to Impact" presentation 26/05/2016
Patricia Latter REF "Routes to Impact" presentation 26/05/2016Patricia Latter REF "Routes to Impact" presentation 26/05/2016
Patricia Latter REF "Routes to Impact" presentation 26/05/2016
 
Ian thornton REF "Routes to Impact" presentation 26/05/2016
Ian thornton REF "Routes to Impact" presentation 26/05/2016Ian thornton REF "Routes to Impact" presentation 26/05/2016
Ian thornton REF "Routes to Impact" presentation 26/05/2016
 
GCRf: RCUK Global Challenges Research Fund
GCRf: RCUK Global Challenges Research FundGCRf: RCUK Global Challenges Research Fund
GCRf: RCUK Global Challenges Research Fund
 
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
Malcolm Potts Crisis in the Sahel: Where Population and Climate Change Are Co...
 
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
An Interdisciplinary Perspective on Global Health and the SDGs - Prof. Sir An...
 
Distance Learning for Health Workshop: Open and distance learning for health ...
Distance Learning for Health Workshop: Open and distance learning for health ...Distance Learning for Health Workshop: Open and distance learning for health ...
Distance Learning for Health Workshop: Open and distance learning for health ...
 
Distance Learning for Health Workshop: Capability, Development and Open and D...
Distance Learning for Health Workshop: Capability, Development and Open and D...Distance Learning for Health Workshop: Capability, Development and Open and D...
Distance Learning for Health Workshop: Capability, Development and Open and D...
 
Distance Learning for Health Workshop: Evidence of Impact - Saville Kushner
Distance Learning for Health Workshop: Evidence of Impact - Saville KushnerDistance Learning for Health Workshop: Evidence of Impact - Saville Kushner
Distance Learning for Health Workshop: Evidence of Impact - Saville Kushner
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
 
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...Distance Learning for Health Workshop: Programmes of Training for Health Mana...
Distance Learning for Health Workshop: Programmes of Training for Health Mana...
 
Pauline horton
Pauline hortonPauline horton
Pauline horton
 
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...Distance Learning for Health Workshop: Public Health Online Courses - Jessica...
Distance Learning for Health Workshop: Public Health Online Courses - Jessica...
 
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...
Distance Learning for Health Workshop: AMREF Kenya's e-Learning Nursing Progr...
 
Distance Learning for Health: Tana Wuliji
Distance Learning for Health: Tana WulijiDistance Learning for Health: Tana Wuliji
Distance Learning for Health: Tana Wuliji
 
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...
Using Randomized Control Trials to Inform Development Policy - Dr Rachel Glen...
 
The Use of Evidence in Developing Countries: (South African) Experiences and ...
The Use of Evidence in Developing Countries: (South African) Experiences and ...The Use of Evidence in Developing Countries: (South African) Experiences and ...
The Use of Evidence in Developing Countries: (South African) Experiences and ...
 
The Use of Evidence in Developing Countries: Experiences and Challenges -
The Use of Evidence in Developing Countries: Experiences and Challenges - The Use of Evidence in Developing Countries: Experiences and Challenges -
The Use of Evidence in Developing Countries: Experiences and Challenges -
 

Recently uploaded

S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
tarandeep35
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
Special education needs
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
MysoreMuleSoftMeetup
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
EverAndrsGuerraGuerr
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
TechSoup
 
Multithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race conditionMultithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race condition
Mohammed Sikander
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
Celine George
 
Honest Reviews of Tim Han LMA Course Program.pptx
Honest Reviews of Tim Han LMA Course Program.pptxHonest Reviews of Tim Han LMA Course Program.pptx
Honest Reviews of Tim Han LMA Course Program.pptx
timhan337
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Nguyen Thanh Tu Collection
 
Chapter -12, Antibiotics (One Page Notes).pdf
Chapter -12, Antibiotics (One Page Notes).pdfChapter -12, Antibiotics (One Page Notes).pdf
Chapter -12, Antibiotics (One Page Notes).pdf
Kartik Tiwari
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
DeeptiGupta154
 

Recently uploaded (20)

S1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptxS1-Introduction-Biopesticides in ICM.pptx
S1-Introduction-Biopesticides in ICM.pptx
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
 
Introduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp NetworkIntroduction to AI for Nonprofits with Tapp Network
Introduction to AI for Nonprofits with Tapp Network
 
Multithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race conditionMultithreading_in_C++ - std::thread, race condition
Multithreading_in_C++ - std::thread, race condition
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
 
Honest Reviews of Tim Han LMA Course Program.pptx
Honest Reviews of Tim Han LMA Course Program.pptxHonest Reviews of Tim Han LMA Course Program.pptx
Honest Reviews of Tim Han LMA Course Program.pptx
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
 
Chapter -12, Antibiotics (One Page Notes).pdf
Chapter -12, Antibiotics (One Page Notes).pdfChapter -12, Antibiotics (One Page Notes).pdf
Chapter -12, Antibiotics (One Page Notes).pdf
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
 

Launch of Policy Cures: Improving Access to Diagnostics in the Developing World - Professor Rosanna Peeling

  • 1. Improving Access To Diagnostics in the Developing World Rosanna Peeling Professor and Chair, Diagnostics Research London School of Hygiene & Tropical Medicine
  • 2. Improving Access To Diagnostics in the Developing World Global landscape of diagnostics Improving access to diagnostic innovation Fast-tracking the translation of evidence to policy
  • 3.
  • 4. Diagnostics are Under-valued In the US, while diagnostics comprise - less than 5% of hospital costs - about 1.6% of all Medicare costs, their findings influence as much as 60-70% of health care decision-making The Value of Diagnostics, Lewin Report, 2005
  • 5.
  • 6.
  • 7. How Good are Dengue Rapid Tests? WHO Evaluation (%) SensSpec 23 99 18 98 63 69 9 100 65 98 22 99 6 99 Test Claimed Accuracy (%) Sens Spec Test 1 100 100 Test 2 NS NS Test 3 80 >99 Test 4 NS NS Test 5 70 100 Test 6 93 100 Test 7 100 100 NS = not stated Blacksell et al. Clin Infect Dis 2006;42:1127
  • 8. Product Development and Adoption Pathway for Diagnostics Regulatory Approval Diagnostic Targets Proof of Principle Product Prototype Lab & field evaluations Test adoption Policy & Guidelines Product Specifications Technology platform Shared Resources Shared Risks Shared Rewards
  • 9. Lab on a Chip Platform: Integrated specimen processing, amplification, and detection of MTB and Rif resistance in sputum In < 2 hrs In 1,730 patients with suspected drug-sensitive or multi drug-resistant pulmonary TB at centers in Peru, Azerbaijan, South Africa, and India, Xpert detected 98% of smear +, 90% of smear – ; 98% of RIF resist. and 98% of RIF sens. TB. Boehme et al NJEM Sept 6 2010
  • 10.
  • 11. 9.27 million new cases in 2007
  • 13.
  • 14. Fast-tracking the translation of evidence to policy