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    In order to implement a mentored laboratory quality stepwise implementation (LQSI) programme to strengthen the quality and capacity of Cambodian hospital laboratories, we recruited four laboratory technicians to be mentors and trained them in mentoring skills, laboratory quality management practices and international standard organization (ISO) 15189 requirements for medical laboratories. Separately, we trained staff from 12 referral hospital laboratories in laboratory quality management systems followed by tri-weekly in-person mentoring on quality management systems implementation using the LQSI tool, which is aligned with the ISO 15189 standard. The tool was adapted from a web-based resource into a software-based spreadsheet checklist, which includes a detailed action plan and can be used to qualitatively monitor each laboratory’s progress. The tool – translated into Khmer – included a set of quality improvement activities grouped into four phases for implementation with increasing complexity. Project staff reviewed the laboratories’ progress and challenges in weekly conference calls and bi-monthly meetings with focal points of the health ministry, participating laboratories and local partners. We present the achievements in implementation from September 2014 to March 2016. As of March 2016, the 12 laboratories have completed 74–90% of the 104 activities in phase 1, 53–78% of the 178 activities in phase 2, and 18–26% of the 129 activities in phase 3. Regular on-site mentoring of laboratories using a detailed action plan in the local language allows staff to learn concepts of quality management system and learn on the job without disruption to laboratory service provision


    Additional Publications, 2015-2016


    Presentations, 2015-2016

    • 6th Botswana International HIV Conference. Gaborone, Botswana, August 24-27, 2016.
    • I-TECH Zimbabwe. Implementing the PEPFAR Pivot: Experiences from Zimbabwe's Voluntary Medical Male Circumcision Program. International AIDS Conference. Durban, South Africa, July 18-22, 2016.
    • I-TECH Zimbabwe. Adverse Event Profile of a Mature Voluntary Medical Male Circumcision Program. International AIDS Conference. Durban, South Africa, July 18-22, 2016.
    • Kgwaadira BT, Katlholo T, Fiebig L, Boyd R, Kuate L, Agegnehu D, Mosime W,4 Wuhib T, Dikobe W, Petlo C, Nkomo B, Avalos A, Skiles M, Philips H, Finlay-Vickers A. Anticipated Reductions in Long-Term Tuberculosis Incidence and Associated Cost Savings with Adoption of the Treat All People Living with HIV Policy in Botswana, 2016–2035. 21st International AIDS Conference. Durban, South Africa. July 18-22, 2016.
    • 7th Annual CUGH Global Health Conference. University of California, San Francisco. April 8-11, 2016. 
    • Jornadas de Saúde" [posters in Portuguese]. Maputo, Mozambique. September 16-18, 2015.
    • Nyodeny J, Akinyi J, Odipo W, Otieno B. Improving ART Data Quality through use of KenyaEMR at Matoso Health Centre in Nyatike Sub-County, Nyanza, Kenya. Ministry of Health Regional eHealth Conference. Naivasha, Kenya. August 3, 2015.
    • 8th International AIDS Society Conference on HIV Pathogenesis. Vancouver, Canada. July 20-11, 2015. 
    • 6th Annual CUGH Global Health Conference. Boston University, Boston. March 26-27, 2015. 
    • Liku N, Wanyee S, Puttkammer N. Improving the quality of data available in KenyaEMR for Clinical Decision Support, Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.
    • Muthee V, Puttkammer N, Wanyee S, Davisson M, Kang’a S, Owiso G, Waters C, Akhwale W. Development of an Automated Electronic Medical Record-Based Report on Continuous Quality Improvement Indicators in HIV Care and Treatment. Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.
    • Atelu C, Antilla J, Puttkammer N, Muthee V, Wanyee S, Davisson M, Kang’a S, Owiso G, Waters C, Akhwale W.  Kenya Electronic Medical Records Training Proposition for system users. Kenya Medical Association Conference. Eldoret, Kenya. April 23, 2015.



    Publications and PResentations, 2014

    Publications and Presentations, 2013

    PUBLICATIONS and presentations, 2012

    PUBLICATIONS and presentations, 2011

    PUBLICATIONS and presentations, 2009-2010

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