June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation.
This year’s theme focuses on how accreditation can support the delivery of health and social care.
the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
What international support for quality improvement is available to Lesotho national health care initiatives?
• To what extent do national governments around the world specify quality improvement in legislation and published policy?
• What are the distinguishing structures and activities of national approaches to quality improvement within countries?
• What resources (in the form of organizations, funding, training and information) are available nationally?
What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
Dear Students
We can help you to write total dissertation/project report.
Our 9 step method of project writing:-
Step 1) Helping you in Selection of topic.
Step 2) Group discussion / conference call with in team of professors.
Step 3) Helping you in Preparation of Synopsis/ proposal & sent to project guide
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
Dear Students
We can help you to write total dissertation/project report.
Our 9 step method of project writing:-
Step 1) Helping you in Selection of topic.
Step 2) Group discussion / conference call with in team of professors.
Step 3) Helping you in Preparation of Synopsis/ proposal & sent to project guide
Д.Маркс "Практическая ценность стандартов Jci в области качества оказания мед...Клиника "Медицина"
Москва, 20 ноября 2015г, - в ОАО «Медицина» прошла Первая международная конференция «Организация здравоохранения. Системы менеджмента качества в здравоохранении». Конференция предназначена для главных врачей медицинских организаций Российской Федерации и стран СНГ, представителей страховых компаний, руководителей здравоохранения всех уровней. В конференции приняли участие более 150 человек. Организационным партнером клиники ОАО «Медицина» в проведении конференции выступило Российское общество организаторов здравоохранения.
Приветствуя участников, президент клиники «Медицина», академик РАН, заслуженный врач РФ, д.м.н., профессор Григорий Ройтберг сказал: «Сегодняшний уровень развития медицины, ее возможностей обязательно должен предполагать критерии оценки качества. Кто и на основании чего будет решать: качественно оказана медицинская помощь или нет? Сам пациент оценить не сможет, это должны делать эксперты. Встает вопрос, какими стандартами руководствоваться? Надеюсь, сегодняшняя конференция даст на него ответ».
Ключевые темы, которые были обсуждены на конференции:
• Здравоохранение России: проблемы и решения
• Международная аккредитация как инструмент повышения качества медицинской помощи
• Перспективы развития управления качеством.
В своем докладе «Контроль качества медицинской помощи, как основа эффективного и современного управления клиникой» Григорий Ройтберг остановился на значении международной аккредитации в практическом здравоохранении. Рассказал о том, что дала международная аккредитация клинике ОАО «Медицина», чем руководствовалась медицинская служба клиники при выборе аккредитации по стандартам JCI, какой путь прошла клиника ОАО «Медицина» чтобы получить эту аккредитацию. «Joint Commission International – это система аккредитации, которой доверяют во всем мире: общественность, пациенты, страховые компании. Она содержит требования к организации оказания медицинской помощи с акцентом на качество и безопасность пациентов, требует от организации установления целевых показателей на основе примеров «лучшей практики», - отметил Григорий Ройтберг. - Кроме того, эта система уделяет большое внимание управлению рисками медицинс
"Quality Standards to Quality Assured Indicators: The End-to-End Process", presentation delivered by John Varlow (Director of Information Services - HSCIC) and Nick Baillie (Associate Director, Indicators, Health and Social Care Quality Team, NICE), at the Healthcare Efficiency Through Technology Expo 2013.
SICKELE CELL DISEASE MANAGEMENT INITIATIVE FOR LESOTHOSEJOJO PHAAROE
Sickle cell disease (SCD) is highly prevalent in sub-Saharan Africa, including Lesotho where it accounts for substantial morbidity and mortality. SCD is a life-threatening genetic disorder that is best managed when diagnosed early by newborn screening. The incidence and cases are not reported in Lesotho. Newborn screening which is paramount for early diagnosis and enrolment of affected children into a comprehensive care programme is not available in Lesotho. Up to now, this strategy has been greatly impaired in resource-poor countries, because screening methods are technologically and financially intensive; affordable, reliable, and accurate methods are needed. We aimed to test the feasibility of implementing a sickle cell disease screening programme using innovative point-of-care test devices into existing immunization programmes in primary health-care settings.
Goal; increase sickle cell disease awareness, diagnosis and management in Lesotho from 0- 20% by 25%
Mission: To improve care of all Sickle Cell Disease patients for their better future and to lower the prevalence of the disease through multi=sectoral, multi-faced coordinated approach towards screening and awareness strategies
Vision: Eliminate sickle cell disease as a public health problem in Lesotho. There is need for increasing the awareness about the disease in the community, implementation of mass screening activities for early identification, building a strong network of diagnosis and linkages, implementing robust monitoring system, strengthening the existing primary health care mechanism to incorporate SCD related strategies, capacity building of primary, secondary and tertiary health care teams and building cost-effective intensive interventions at higher care facilities.
SICKELE CELL DISEASE MODULE 3 SEJOJO.pptx TO BE PRESENTED. IN TRAININGS.pptxSEJOJO PHAAROE
Sickle cell anemia is a genetic disorder whereby red blood cells are abnormally shaped, causing problems with the flow of blood through the body as well as transport of oxygen throughout the body
inheritance is Autosomal because its a blood disorder and systemic disorder
its caused by mutation on B-chain of the globulin chain , where red blood cells (RBCs) become sickle/crescent shaped
Cells get destroyed in narrowed thin blood capillaries , RE system and cause anaemia Blockage in thin layers body
OVEARVIEW OF NON-COMMUNICABLE DISEASES IN LEOTHO SEJOJO PHAAROE
Chronic non infectious diseases that are silent and persecute mankind . non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, heart diseases, cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and other
Demands for Haemophilia tratment centres to fullfull universal health access...SEJOJO PHAAROE
Haemophilia ia a rare disease that affect 1: 10 000 people. Demands for services, medication and access to cheap effective clotting factors is a human right for people living with haemophilia. A haemophilia registry is a demand from the Government at large .. Essential drug list should also contain haemophilia medication.
we need to be contacted for more information
www.thinktankent.com
resilience is the order of the day when life knocks you down
If you have been experiencing some of the following signs and symptoms most of the day, nearly every day, for at least two weeks, you may be suffering from depression:
Persistent sad, anxious, or “empty” mood
Feelings of hopelessness, or pessimism
Irritability
Feelings of guilt, worthlessness, or helplessness
Loss of interest or pleasure in hobbies and activities
Decreased energy or fatigue
Moving or talking more slowly
Feeling restless or having trouble sitting still
Difficulty concentrating, remembering, or making decisions
Difficulty sleeping, early-morning awakening, or oversleeping
Appetite and/or weight changes
Thoughts of death or suicide, or suicide attempts
Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment
pump up your energy
www.thinktankent.com
info@thinktankent.com
‘Freedom from pain should be seen as a right of every cancer patient and access to pain therapy as a measure of respect for the right in Lesotho
There are several barriers to effective pain control in both A focus on essential pain medicationaccessibility and Pain management cancer and / or HIV/AIDS. Such barriers could be patient related; clinician-related; societal/health system; and political and/or legal-related.
Vector borne infectious diseases in the face of climate changeSEJOJO PHAAROE
To understand how climate might affect the incidence of vector-borne diseases, one must first examine the life cycles of the diseases and the environmental parameters associated with each stage
A vector-borne disease is one in which the pathogenic microorganism is transmitted from an infected individual to another individual by an arthropod or other agent, sometimes with other animals serving as intermediary hosts.
The transmission depends upon the attributes and requirements of at least three different living organisms:
- the pathologic agent,
-the vector, and the human host.
intermediary hosts such as domesticated and/or wild animals often serve as a reservoir for the pathogen until susceptible human populations are exposed
We recommend proactive planning
more surveillance of direct impacts, such as changes in the reproduction rate of the vector or the agent, the biting frequency of the vector, and the amount of time the host is exposed to the vector due to changes in temperature, rainfall, humidity, or storm patterns.
Even less information is available to evaluate the impacts of societal and individual activities on the transmission of vector-borne diseases.
Changes in hydrology, agriculture, forestry, and infrastructure in response to global warming may also indirectly affect the interrelationship among the disease agent, vectors, and hosts
Ist Think Tank Entreprenuers Forum in Lesotho ( invitation , call for papers ...SEJOJO PHAAROE
In front of the current main disruptive changes the world is facing, entrepreneurship, creating both wealth and social justice, is key for shaping the world.
It embraces the regionality of the entrepreneurial ecosystem
•Business Entrepreneurs
•Social Entrepreneurs
•Philosophers
•Policy Makers
•Experts
•Academics
•Youth empowerment
•Research scientists
•Health professionals
It is altogether a Think Tank and a Do Tank
•We will share the latest trends and issues about global entrepreneurship.
•We will develop ideas and recommendations aimed at promoting and spreading entrepreneurship regionally .
•We will facilitate and implement entrepreneurial initiatives on a local or global scale
•By Creating Innovative and High-Growth Companies, to generate millions of jobs around the planet;
•Developing Entrepreneurship at the Bottom of the Pyramid, to alleviate poverty and create new markets;
•Implementing Entrepreneurial Education, to disseminate entrepreneurial mindset, skills and competencies throughout society, on a lifelong basis
WE ARE CALLING FOR PAPERS, AND USE THE REGISTRATION FORM ATTACHED FOR YOUR TRAVEL , AND LEETES OF RELEASE AND ACCOMODATION
Post exposure prophylaxis- HEALTH SECTOR WELLNESS SERVICES SEJOJO PHAAROE
HIV and HIV transmission
Indicators for PEP
Pre—requisite for PEP
-baseline and follow up tests
Pre-requisite for PEP Provision
PEP package
ARV- Treatment and adherence
Formative study on hiv workplace for health workers - copySEJOJO PHAAROE
Heterogeneity of the HIV epidemic in Lesotho
Formative Assessment: MOHSW
SECTORAL RESPONSE -MOHSW
ACTIONS TAKEN AND TOOLS AVAILABLE - TO DATE
DISSEMINATION- tools
ADVOCACY FOR BUY IN- - PPP
WELLNESS CHAMPIONS AND STRUCTURES
ADVOCACY-WELLNESS ACTIVITIES
M/E Tools
Cost benefit analysis
Learning and sharing
Action Research : Sejojo Phaaroe
3D MEDIA
Overview of medical laboratory regulatory council, objectives 2013SEJOJO PHAAROE
There is an urgent need for professional regulation in the region , because of staff mobilty, and professional demands and aspirations for continous professional development and harmony in ethical practices. Lesotho Medical Regulatory Council is advocated , and this will operate within the Legal Framework of the Health Professional Council
Innovative Medicines Initiative, Call for Proposal 2013 for Health , Pharmacueticals, Nursing , and Laboratory Medicines in Lesotho- EU Horizon 2020 and FP7 Funding
Smart TV Buyer Insights Survey 2024 by 91mobiles.pdf91mobiles
91mobiles recently conducted a Smart TV Buyer Insights Survey in which we asked over 3,000 respondents about the TV they own, aspects they look at on a new TV, and their TV buying preferences.
Software Delivery At the Speed of AI: Inflectra Invests In AI-Powered QualityInflectra
In this insightful webinar, Inflectra explores how artificial intelligence (AI) is transforming software development and testing. Discover how AI-powered tools are revolutionizing every stage of the software development lifecycle (SDLC), from design and prototyping to testing, deployment, and monitoring.
Learn about:
• The Future of Testing: How AI is shifting testing towards verification, analysis, and higher-level skills, while reducing repetitive tasks.
• Test Automation: How AI-powered test case generation, optimization, and self-healing tests are making testing more efficient and effective.
• Visual Testing: Explore the emerging capabilities of AI in visual testing and how it's set to revolutionize UI verification.
• Inflectra's AI Solutions: See demonstrations of Inflectra's cutting-edge AI tools like the ChatGPT plugin and Azure Open AI platform, designed to streamline your testing process.
Whether you're a developer, tester, or QA professional, this webinar will give you valuable insights into how AI is shaping the future of software delivery.
The Art of the Pitch: WordPress Relationships and SalesLaura Byrne
Clients don’t know what they don’t know. What web solutions are right for them? How does WordPress come into the picture? How do you make sure you understand scope and timeline? What do you do if sometime changes?
All these questions and more will be explored as we talk about matching clients’ needs with what your agency offers without pulling teeth or pulling your hair out. Practical tips, and strategies for successful relationship building that leads to closing the deal.
GraphRAG is All You need? LLM & Knowledge GraphGuy Korland
Guy Korland, CEO and Co-founder of FalkorDB, will review two articles on the integration of language models with knowledge graphs.
1. Unifying Large Language Models and Knowledge Graphs: A Roadmap.
https://arxiv.org/abs/2306.08302
2. Microsoft Research's GraphRAG paper and a review paper on various uses of knowledge graphs:
https://www.microsoft.com/en-us/research/blog/graphrag-unlocking-llm-discovery-on-narrative-private-data/
Let's dive deeper into the world of ODC! Ricardo Alves (OutSystems) will join us to tell all about the new Data Fabric. After that, Sezen de Bruijn (OutSystems) will get into the details on how to best design a sturdy architecture within ODC.
LF Energy Webinar: Electrical Grid Modelling and Simulation Through PowSyBl -...DanBrown980551
Do you want to learn how to model and simulate an electrical network from scratch in under an hour?
Then welcome to this PowSyBl workshop, hosted by Rte, the French Transmission System Operator (TSO)!
During the webinar, you will discover the PowSyBl ecosystem as well as handle and study an electrical network through an interactive Python notebook.
PowSyBl is an open source project hosted by LF Energy, which offers a comprehensive set of features for electrical grid modelling and simulation. Among other advanced features, PowSyBl provides:
- A fully editable and extendable library for grid component modelling;
- Visualization tools to display your network;
- Grid simulation tools, such as power flows, security analyses (with or without remedial actions) and sensitivity analyses;
The framework is mostly written in Java, with a Python binding so that Python developers can access PowSyBl functionalities as well.
What you will learn during the webinar:
- For beginners: discover PowSyBl's functionalities through a quick general presentation and the notebook, without needing any expert coding skills;
- For advanced developers: master the skills to efficiently apply PowSyBl functionalities to your real-world scenarios.
"Impact of front-end architecture on development cost", Viktor TurskyiFwdays
I have heard many times that architecture is not important for the front-end. Also, many times I have seen how developers implement features on the front-end just following the standard rules for a framework and think that this is enough to successfully launch the project, and then the project fails. How to prevent this and what approach to choose? I have launched dozens of complex projects and during the talk we will analyze which approaches have worked for me and which have not.
Key Trends Shaping the Future of Infrastructure.pdfCheryl Hung
Keynote at DIGIT West Expo, Glasgow on 29 May 2024.
Cheryl Hung, ochery.com
Sr Director, Infrastructure Ecosystem, Arm.
The key trends across hardware, cloud and open-source; exploring how these areas are likely to mature and develop over the short and long-term, and then considering how organisations can position themselves to adapt and thrive.
The role of the government in strengthening accreditation ready
1. The Role of the Government in
strengthening accreditation and
Quality Heath and social care
delivery
Sejojo Phaaroe
SADCAS- Technical Advisory Committee Member
SANAS-SADCAS-EU trained Technical Assessor
MLS- REGULATORY BOARD FOCAL PERSON
2.
3. PRESENTATION OVERVIEW
• This presentation constitutes a snapshot –,
• What is accreditation
• Why- Remove Barriers' to free trade
• World accreditation day - Advocacy for quality,
and accreditation services support in health
care in
• structures and processes that are built help to
inform local improvement of health services
• Strengthening of accreditation activities
nandsscape
• What Lesotho has been doing in the Health
sector SUPPORTING ACCREDITATION
4. June 9, 2015 marks World
Accreditation Day
• June 9, 2015 marks World Accreditation Day as a global
initiative, jointly established by the International
Accreditation Forum (IAF) and the International
Laboratory Accreditation Cooperation (ILAC), to raise
awareness of the importance of accreditation.
• This year’s theme focuses on how accreditation can
support the delivery of health and social care.
• the day was celebrated across the world with the hosting
of major national events, seminars, and press and media
coverage, to communicate the value of accreditation to
Government, Regulators and the leaders of the business
community.
5. What is accreditation?
• Accreditation is defined as the procedure by
which an authoritative body gives formal
recognition that an institution/organization/body
or person is competent to carry out specific
tasks.
• The key words from the above definition in the
process of accreditation are “authoritative”,
• formal recognition”
• “competent”, there is NO national authority in
Lesotho for granting accreditation to conformity
assessment bodies involved in calibration,
testing, inspection and certification
6. Why accreditation?
• At the international level, the purpose
of Accreditation is to remove technical
barriers to trade by ensuring that the
results of conformity assessment are
accepted and recognized among
trading partners.
7. Why accreditation
• Accreditation also improves the quality and
reliability of services provided to local users
of conformity assessment bodies and is thus
important at the national level for the
protection of the health and safety of the
population and for the protection of the
environment.
• ISO STANDARD 15189
8. Client tale
• Insurances
• Drs
• Food Handlers
• Travellers
• Job SEEKERS
• Marriage couples
• New born
• ANC,
• FP,
• PATIENTS
• Private Doctors
• Community
• Criminal investigations
• Legal agencies
• Out patients
• Health programs
• Government
departments
• Health planners
• Development
partners
• Economic planners
• Health planners
• Donor agencies
• Bond contractor's
10. International and national structures
and activities for improving health
care
• What international support for quality improvement is
available to Lesotho national health care initiatives?
• • To what extent do national governments around the
world specify quality improvement in legislation and
published policy?
• • What are the distinguishing structures and activities of
national approaches to quality improvement within
countries?
• • What resources (in the form of organizations, funding,
training and information) are available nationally?
• What maintenance or implementation pathways are
available , to prove to the world that Lesotho health care
services are of excellence???
11. International - Multilateral Recognition
Arrangement Documents (ML Series)
• purpose of IAF is to establish Multilateral Recognition
Arrangements (MLA) between its accreditation body
members in order to contribute to the freedom of world
trade by eliminating technical barriers to trade.
• cover all accreditation bodies in all countries in the world,
• thus eliminating the need for suppliers of products or
services to be certified in each country where they sell their
products or services (certified once accepted everywhere).
12. • Quality and accreditation in health
care services:
• International Society for Quality in Health Care
(ISQua) under contract to the World Health
Organization.
• structures and activities at national and
international levels around the world to promote
quality in health care.
• catalogues quality concepts
• Gives representation in International Quality
Forum . ILAC. AMCOA , SADCAS and LFL
• African Centre for Integrated Laboratory
Training (ACILT- accreditation HAS BEED
IDENTIFIED BY DEVELOPING- SMLTA as an
assistance to developing countries like Lesotho
13. Pro-active
Quality Health
management
delivery
system
Patient Sales and
marketing
Accredit
ation
Infustructure
and
equipment
Finance
/budget
s
OUT REACH
AND Education
Policy makers
Laws ; vision,
mission, values,
norms, location
Environment
and climate
change
RISK
MANAGEMENT
REGULATORY
AGENCIES
COMMUNITY
INFORMATION
mngt
International
Collaborations
Human
Resource
Job seekers
Recruitment
Public
relations
Medic
al staff
14. Health systems and programs
MDG’s
Community
involvement
Competent
motivated Health
professionals
Quality
Patients
programs
15. Health Departments
1. Administration-
2. Clinical Services
laboratory ,
pharmacy,
dental,
nursing ,
mental health, and Medical, )
2. Health Planning
3. HIV/AIDS Directorate and disease control
4. Human Resource
5. Primary Health Care
6. Procurement
7. Social Welfare
16. Call for Government strengthening
Quality health care
• Government expenditure on health has in recent years
gone toward healthcare services, improvement and
refurbishment of clinics, and other activities aimed at
addressing the effects of HIV/ AIDS and tuberculosis
(TB) and improving access to healthcare services.
• Accessibility of good quality healthcare services is a
cornerstone of Lesotho’s Vision 2020 framework.
• This combination of funding and policy emphasis has
led to infrastructure improvement in the form of new
facilities, particularly in the primary healthcare sector
THROUGH MCC.
17. GOVERNMENT SUPPORT
New public health bill
• Developing new regulations and requirements
• Measuring compliance with regulatory and legal
requirements:
• Allocating resources, both technical and financial-
parliamentary cluster ASSESSING THE QUALITY
OF HEALTH SERVICES
• QUALITY ASSURANCE UNIT – MOH/COHSASA
• SECTOR WIDE APPROACH- Partners, suppliers,
CHAL, NGO’s
• SLMTA run by ACILT
18. COHSASA - Improving health care through standards & accreditation
The Council for Health Service
Accreditation of Southern Africa
(COHSASA)
19. Facilities and Safety - Module 2 19
Organization
Personnel
Licensed/certified
Equipment
Purchasing
&
Inventory
Process
Control
Information
Management
Documents
&
Records
Occurrence
Management
Assessment
Process Improvement
Customer Service
Facilities
&
Safety
The Quality Management System
20. Personnel
Performing specific Medical Laboratory tasks
Qualified Professional
Education
CBE Training
Professional
Experience
+
Demonstrated
Skills + Passed
Board Exam
MLS Regulatory Board License
21. Measurement of Quality health care
• Measurement Compliance with the above expectations
has been assessed by:
• questionnaires and medical examinations before and
during employment;
• staff satisfaction surveys;
• exit interviews when staff resign;
• routine indicators of sickness, absence and turnover;
• safety audits, such as handling of glutaraldehyde and
cytotoxic chemicals;
• quality circles;
• statutory inspectorates;
• external certification of personnel management
function.
22. Legislation within the workplace
LAW RIGHT
Employment Equity
Act (EEA)
a) Right not to be unfairly
discriminated against on the
basis of your HIV status
b) Right not to be tested for HIV
unless your employer ahs applied
to the Labour Court for
authorisation
c) Do not have to disclose HIV
status
Occupational
Health and Safety
Act
Right to a safe working environment
23. Accreditation of Southern Africa
(COHSASA)
The Council for Health Service is the only
internationally accredited quality
improvement and accreditation body for
healthcare facilities based in Africa. In the
past 20 years over 600 facilities
throughout the continent have entered the
COHSASA programme to improve the
quality and safety of the healthcare
services they provide to patients.
24. COHSASA
• Think Tank Trainings and motivation-
proposalscohsasa_hospital_standards_-
_certificate.pdf
25. LFL
• To encourage one-to-one interaction of all testing, calibration and inspection
laboratories in order to guide in workplace Laboratory capability, development of
skills , infrastructure and assessment necessary for accreditation
• To represent the experience, knowledge and formulated opinions of all Lesotho
laboratories on a technical, ethical and commercial level .
• To assist in the interpretation of accreditation requirements, to identify generic
national accreditation needs and to resolve issues on such matters for all
Laboratories in Lesotho
• To establish a singular interface of representation of its members with SADCAS and
ILAC.
• To establish effective communication channels for technology transfer with
organizations that have similar objectives to the NLA-L
• To provide and encourage International professional recognition for scientific work
and provide appropriate training in Quality management systems and all issues of
accreditation.
• Liaise with SADCAS and other International Organizations, for all government
Laboratories and private laboratory facilities in matters related to accreditation,
capacity building and on going personnel certification.
26. accreditation services for SADC Member States aimed at:
• Supporting regional and international trade;
• Enhance the protection of consumers and the
environment; and Improve the competitiveness of SADC
products and services in both the voluntary and
regulatory areas.
• SADCAS offers programmes for the accreditation of
testing/calibration laboratories, certification bodies
(management systems/product/personnel) and
inspection bodies
27. Structures of support• ISO
• International Accreditation Forum (IAF) and International Laboratory
Accreditation Cooperation (ILAC)
• AMCOA- , ASLM, AMLSA, AMLSCSA
• SADCAS is recognized by the SADC Council of Ministers as a subsidiarity
organization of SADC.
• to raise awareness of the importance of accreditation‐related activities IN
Lesotho
• make sure structures will be in place for Lesotho and other SADC
COUNTRIES to establish its own capacity state of art conformity
assessment body like Mauritas and SANAS
• ..ISO 15189 STANDART.doc- SADCAS ASSESSORS TRAININGS
• Review of new public health bill
• MLS -Regulatory board
• Lab policy , quality manual initiation and biosafety manaul
• ACILT
• SLMTA
• Readiness of laboratories to apply for SADCAS certificate= -
• Advocacy, awareness, Assessments and mentorship activities
28. REGIONAL SUPPORT
• SADC Member States aimed at:
• Supporting regional and international trade;
• Enhance the protection of consumers and the
environment; and
• Improve the competitiveness of SADC
products and services in both the voluntary
and regulatory areas.
29. The SADCAS MLAP
The SADCAS Medical Laboratories Accreditation
Programme (MLAP)
– Established in June 2010
– A multi-disciplinary accreditation program
operated in accordance with ISO/IEC 17011
– The fields of accreditation under the SADCAS
MLAP include: Biochemistry; Cytology;
Hematology; Histopathology; Immunology;
Microbiology; Pathology; Virology; Serology;
Andrology
29
35. Improve Systems and programs – to address MDG’s ,
PRD’s,
• International health
Regulation ,
regulators, policies,
laws, Biosafety and
biosecurity
• political science .
• Economics,
Acriculture
• trade stds,
accreditation, basic
living, income
diversification,
lifestyles,
• Environment
• Biodiversity ,
Biotechnology,
• Industry ,
hydrogeology, town
planning
• Community
• Culture ,
education,
sociology
Medical and nursing
Laboratory
medicine
Health planning, HR,
Administration
Pharmacy,
physiotherapy
Information mgt ( I C T)
43. Needs for applications
• Application for Good Clinical Practice (GCP) Compliance
Status
• Application for Good Laboratory Practice (GLP)
Compliance Status
• Application for Inspection Body Accreditation to ISO/IEC
• Application for Medical Laboratory Accreditation to ISO
15189:2012
• Application for Proficiency Scheme Provider
Accreditation to ISO/IEC 17043F
• Application for Reference Material Producer
Accreditation to ISO Guide 34F
• Application for Testing and Calibration Laboratory
Accreditation to ISO/IEC 17025
44. Way Forward and Call to Action
• Excellent medical laboratories AND OTHER
CLINICAL SERVICES are vital to ensure accurate
diagnoses and to identify pathology at early
disease stages.
• It is essential to embark on solid operational
research to identify the root causes of poor
laboratory service AND OTHER CLINICAL
SERVICES to develop practical models for not
only building, but also maintaining medical
laboratory capacity and services in developing
countries.
45. Recom
• Government officials and health care professionals
in these countries should agree on the importance
of creating strong medical diagnostic capabilities.
• The need for quality laboratories is often not
considered a priority in improving a struggling
health care system.
• A significant investment should be made in
laboratory systems and financial accountability to
ensure universal access to efficient, accurate
laboratory testing.
46. Laboratories Quality Systems
Laboratory quality systems are critical to the
success of any laboratory service.
The most important prerequisite for the
establishment of an effective laboratory quality
system is to create and/or adopt medical
laboratory standards and regulations specific for
each country’s unique setting. Currently, some,
follow international laboratory standards such as
the International Organization for
Standardization (ISO 15189), Good Clinical
Laboratory Practices (GCLP),
47. • A focus on strengthening laboratories could
change largely empiric algorithm-based
clinical care to rapidly confirmed diagnoses
with targeted curative treatment and cost
savings.
• . Building and maintaining a strong,
sustainable medical laboratory infrastructure
in RLS will help build and strengthen the
whole medical system by ensuring sufficient
diagnostic capacity to produce accurate and
reliable laboratory results that improve
patient outcomes
48. • “The Medical Laboratory is a place where ,
under rather difficult conditions , we create a
protected island where together with our
younger collaborators , we use all our mental
power and energy , to be an active part of
medical development and to enjoy the thrill of
new discoveries in modern science to benefit
mankind”. Sejojo Phaaroe 1997
49. Case 2
• It is Early January, Food handlers attend the
Public Health screening clinic before they could
receive the School feeding and Catering contract
and are sent to the Laboratory for Widal test,
VDRL and Stool culture . The Widal test of One of
the handler test Positive , so she bribes the
Laboratory Technologist to report it falsely as
Negative as she desperately needs to win a school
feeding tender.
• An out break of Typhoid erupts in one of the
schools when the school open late January and
vertical investigations continue.
• What would be the ethical case scenario and
consequences of the case. ?