Critical gaps in laboratory leadership to meet global health security goals

Albetkova, Adilya; Isadore, Jocelyn; Ridderhof, John C.; Ned-Sykes, Renée; Maryogo-Robinson, Lucy; Blank, Eric; Cognat, Sebastien; Dolmazon, Virginie; Gasquet, Philippe E.; Rayfield, Mark; Peruski, Leonard F.

doi:10.2471/blt.17.195883

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…A number of international training frameworks highlight the need for training and education programs that use a One Health approach to equip the labor force with the skills necessary to combat zoonotic diseases (Supplementary Table S2 , 2.2). Examples from several global programs with a focus on training health professionals using a One Health approach exist, including Field Epidemiology Training Programs (FETPs) 77 , 78 , the Global Laboratory Leadership Program (GLLP) 79 , the In-Service Applied Veterinary Epidemiology Training Programme (ISAVET) 80 , and the One Health Workforce project 81 . Through hands-on training, the cadre of health practitioners created through these and other One Health programs can amplify One Health-based training and curriculum messaging, are more likely to meet previously defined One Health Core Competencies 82 , and demonstrate improved ability to collaboratively respond to threats at the human–animal–environment interface 37 , 83 .…”

Section: Methodsmentioning

confidence: 99%

A generalizable one health framework for the control of zoonotic diseases

Ghai

Wallace

Kile

et al. 2022

Sci Rep

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Effectively preventing and controlling zoonotic diseases requires a One Health approach that involves collaboration across sectors responsible for human health, animal health (both domestic and wildlife), and the environment, as well as other partners. Here we describe the Generalizable One Health Framework (GOHF), a five-step framework that provides structure for using a One Health approach in zoonotic disease programs being implemented at the local, sub-national, national, regional, or international level. Part of the framework is a toolkit that compiles existing resources and presents them following a stepwise schematic, allowing users to identify relevant resources as they are required. Coupled with recommendations for implementing a One Health approach for zoonotic disease prevention and control in technical domains including laboratory, surveillance, preparedness and response, this framework can mobilize One Health and thereby enhance and guide capacity building to combat zoonotic disease threats at the human–animal–environment interface.

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Section: Methodsmentioning

confidence: 99%

A generalizable one health framework for the control of zoonotic diseases

Ghai

Wallace

Kile

et al. 2022

Sci Rep

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“…Although massive open online courses offer exciting opportunities to distribute knowledge on a massive and global scale, a full understanding of their effectiveness to deliver competency-based training to healthcare professionals remains limited and further research is warranted. 47 The value of laboratory leadership programmes such as the one we describe here are starting to receive greater attention from the public health practice community 48 and should be supported alongside other efforts to strengthen national laboratory systems. 49 …”

Section: Discussionmentioning

confidence: 99%

Improving laboratory quality and capacity through leadership and management training: Lessons from Zambia 2016–2018

Gopolang

Zulu-Mwamba

Nsama

et al. 2021

African Journal of Laboratory Medicine

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Background: Competent leadership and management are imperative for delivering quality laboratory services; however, few laboratory managers receive job-specific training in organisational management and leadership.Objective: To develop and evaluate participants' competencies in organisational leadership and management as measured through learner and laboratory quality improvement assessments.Methods: This professional development programme employed a mentored, blended learning approach, utilising in-person didactic and online training, with the practical application of a capstone project in the laboratories. Programme impact was evaluated through a series of pre-and post-laboartory assessments using the Stepwise Laboratory Improvement Process Towards Accreditation checklist, as well as learner-competency assessments through online quizzes and discussions.Results: From 2016 to 2018, 31 managers and quality officers from 16 individual laboratories graduated from the programme having completed capstone projects addressing areas in the entire laboratory testing process. Laboratories increased their compliance with the International Organization for Standardization 15189 standard and all but two laboratories significantly increased their accreditation scores. Two laboratories gained three stars, two laboratories gained two stars, and five laboratories gained one star. Five laboratories subsequently achieved International Organization for Standardization 15189 accreditation in 2019. Conclusion:This programme taught leadership theory to laboratory managers and allowed them to implement leadership and management practices in the laboratory setting. Programmes such as this complement existing laboratory quality management training programmes such as Strengthening Laboratory Management Toward Accreditation.

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“…Furthermore, WHO, the United States Centers for Disease Control and Prevention and the Association of Public Health Laboratories developed a Global Laboratory Leadership Programme. 26 All of these steps may contribute to a new commitment for better quality testing globally.…”

Section: Discussionmentioning

confidence: 99%

A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone

Mesman¹,

Bangura²,

Kanawa³

et al. 2019

Afr. J. Lab. Med.

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BackgroundThe 2014–2016 Ebola outbreak exposed the poor laboratory systems in Sierra Leone. Immense needs were recognised across all areas, from facilities, diagnostic capacity, supplies, trained personnel to quality assurance mechanisms.ObjectiveWe aimed to describe the first year of a comprehensive intervention, which started in 2015, in a public hospital’s general laboratory serving a population of over 500 000 in a rural district.MethodsThe intervention focused on (1) supporting local authorities and healthcare workers in policy implementation and developing procedures to enhance access to services, (2) addressing gaps by investing in infrastructure, supplies, and equipment, (3) development of quality assurance mechanisms via mentorship, bench-side training, and the introduction of quality control and information systems. All work was performed alongside counterparts from the Ministry of Health and Sanitation.ResultsWe observed a strong increase in patient visits and inpatient and outpatient testing volumes. Novel techniques and procedures were taken up well by staff, leading to improved and expanded service and safety, laying foundations for further improvements.ConclusionThis comprehensive approach was successful and the results suggest an increase in trust from patients and healthcare workers.

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Critical gaps in laboratory leadership to meet global health security goals

Cited by 9 publications

References 6 publications

A generalizable one health framework for the control of zoonotic diseases

A generalizable one health framework for the control of zoonotic diseases

Improving laboratory quality and capacity through leadership and management training: Lessons from Zambia 2016–2018

A comprehensive district-level laboratory intervention after the Ebola epidemic in Sierra Leone

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