AFENET Laboratory Strengthening
Overview
This report provides an expanded summary of laboratory strengthening achievements implemented by the African Field Epidemiology Network (AFENET) under CDC/PEPFAR support. The content is synthesized from submitted Annual Performance Reports and organized by year for publication on the AFENET website and use by partners and stakeholders.
During this foundational period, AFENET launched the AFENET-Lab initiative to support HIV-related laboratory networks and partnerships in PEPFAR-supported countries. The focus was on introducing innovative approaches to capacity building, mentorship, and continuous quality improvement.
Key achievements included:
- Introduction of Project ECHO® to strengthen HIV Rapid Test Quality Improvement (RTCQI) through virtual mentorship and peer learning platforms in Uganda, Malawi, and Tanzania.
- Implementation of TB diagnostic Continuous Quality Improvement (CQI) initiatives aimed at improving clinic–laboratory interfaces and strengthening the TB diagnostic cascade.
- Development of electronic laboratory equipment tracking tools to monitor equipment location, functionality, calibration status, and maintenance needs.
- Strengthening of laboratory workforce capacity through structured trainings, mentorship, and remote technical assistance models.
This phase laid the groundwork for scalable laboratory strengthening interventions across multiple regions.
Download pdf: Annual performance report 2019
In this phase, AFENET expanded laboratory strengthening activities to the Caribbean region, while continuing support in Africa. The emphasis was on viral load scale-up, laboratory quality management systems, and accreditation readiness.
Key achievements included:
- Support for HIV Viral Load (VL) and Early Infant Diagnosis (EID) scale-up through improved sample referral systems, procurement of laboratory supplies, and targeted mentorship at testing and referral laboratories.
- Expansion of Laboratory Information Systems (LIS) in Jamaica and initiation of LIS integration activities in Trinidad and Tobago to improve result turnaround times and data visibility.
- Implementation of External Quality Assessment (EQA) and Proficiency Testing (PT) programs for HIV VL, EID, TB diagnostics, and HIV rapid testing.
- Provision of LQMS-SIP assessments and mentorship toward ISO 15189 accreditation, including follow-up on corrective actions.
- Strengthening of biosafety, waste management, and equipment maintenance practices to support quality diagnostic services.
This period marked AFENET’s transition from pilot interventions to broader regional laboratory system strengthening.
Download pdf: Annual performance report 2020