Original Research

Global health: Integrating national laboratory health systems and services in resource-limited settings

Linda M. Parsons, Akos Somoskovi, Evan Lee, Chinnambedu N. Paramasivan, Miriam Schneidman, Deborah Birx, Giorgio Roscigno, John N. Nkengasong
African Journal of Laboratory Medicine | Vol 1, No 1 | a11 | DOI: https://doi.org/10.4102/ajlm.v1i1.11 | © 2012 Linda M. Parsons, Akos Somoskovi, Evan Lee, Chinnambedu N. Paramasivan, Miriam Schneidman, Deborah Birx, Giorgio Roscigno, John N. Nkengasong | This work is licensed under CC Attribution 4.0
Submitted: 09 December 2011 | Published: 11 June 2012

About the author(s)

Linda M. Parsons, Global AIDS Program, US Centers for Disease Control and Prevention, Atlanta, United States
Akos Somoskovi, Foundation for Innovative New Diagnostics, Geneva, Switzerland
Evan Lee, Foundation for Innovative New Diagnostics, Geneva, Switzerland
Chinnambedu N. Paramasivan, Foundation for Innovative New Diagnostics, Geneva, Switzerland
Miriam Schneidman, The World Bank, Washington, DC, United States
Deborah Birx, Global AIDS Program, US Centers for Disease Control and Prevention, Atlanta, United States
Giorgio Roscigno, Foundation for Innovative New Diagnostics, Geneva, United States
John N. Nkengasong, Global AIDS Program, US Centers for Disease Control and Prevention, Atlanta, United States


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Abstract

Laboratory systems worldwide are challenged not only by the need to compete for scarce resources with other sections of national health care programmes, but also with the lack of understanding of the critical role that laboratories play in the accurate diagnosis and monitoring of patients suffering from high-burdens of disease. An effective approach to establishing cost-effective laboratory systems that provide rapid and accurate test results for optimal impact on patient care is to move away from disease-specific programmes and establish integrated laboratory services. An integrated laboratory network provides all primary diagnostic services needed for care and treatment without requiring patients to go to different laboratory facilities for specific tests. Such a network focuses on providing quality-assured basic laboratory testing through the use of common specimen collection, reporting and diagnostic platforms that can be used across diseases. An integrated laboratory system also provides specimen transport to specialised laboratories and an environment conducive to the introduction and use of new and more complex technologies that would benefit the patient population and public health systems as a whole. As such, this article described various strategies for, and practical examples of, the successful integration of laboratory services.

Keywords

diagnosis; health system strengthening; infectious diseases; national laboratory systems; public health

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