The NHLS 2018-2023 is a 5-years PEPFAR-CDC funded project that aims to strengthen operations and improve quality of health laboratory services in Tanzania. The project is implemented across all regions of Tanzania mainland and Zanzibar and followed successful completion of a prior 5-year External Quality Assurance Improvement project (EQA 2012-17). MDH led establishment of the national laboratory sample referral and transport network for HIV viral load (HVL) and EID. This system linked ART/PMTCT HFs, via the “309 hubs and 7,200 spokes” model, to the 17 regional/zonal VL testing labs in the country thereby facilitating efficient access to essential lab tests for all PLHIVs in Tanzania. MDH played a key role to facilitate the countrywide expansion of lab capacity for key diagnostic and patient monitoring tests including HVL, HIV DNA-PCR, TB-Gene Xpert, CD4, Haematology, Chemistry and ART Drug Resistance. Along with these efforts MDH supported capacity building of lab and other relevant staff; roll-out of guidelines, SOPs, checklists and reporting tools; renovations of lab infrastructure and equipment and strengthening supply chain of essential lab reagents. To date, MDH supports directly several VL/EID labs with a capacity to process up to 2M samples annually. Through the NHLS 2018-23 project MDH leads key national priorities in health laboratory services including: The Proficiency Testing/ EQA of HTS reaching coverage of over 8,000 Point of care testing points (POCT) countrywide; national certification of HCPs conducting HIV rapid tests; health laboratories quality improvement and international accreditation of at least 42 labs initiative countrywide; as well as supporting the National Blood Transfusion services (NBTS).


The HIS 2015-2020 is a 5-year PEPFAR-CDC funded project that aims at integrating, strengthening and improving the existing HIS and HIV services databases. The project capitalizes on MDH’s longstanding track record in supporting the national electronic, individual level data recording, aggregation, M&E and reporting system for HIV and related services. Through its HIV programs, MDH has - over the years - recruited, trained and deployed hundreds of data and IT officers across supported HFs and councils, supported establishment of over 150 DHIS-2 cascade nodes to decentralize and improve efficiency of DHIS-2 reporting; and supported infrastructure, equipment and supplies to facilitate electronic data systems. In the current HIS 2015-20 project MDH envisages to put in place integrated next generation HIS, including: Client Registry, Electronic Medical Records (EMR); interoperable HIV services electronic HIS; and biometric unique patient identification; to streamline, optimize and improve patient care, program M&E and reporting. Key successes to date include: updating CTC2 database to respond to current advances and priorities in HIV care (VL monitoring, differentiated SDM, tracking referrals and client movements); and established a digital national repository for all HIV CTC data (i.e. the CTC-3 Macro). Furthermore, MDH has successfully developed and deployed key systems i.e.: EMR system in 3 HFs in Dar es Salaam and Dodoma, with 7 other HFs in the pipeline and plans for scale-up across another 26 referral hospitals in discussion; as well as the biometric unique identification system in HIV services, in Zanzibar, to facilitate linkage, tracking and monitoring of patient services across systems and databases (i.e. HTS, CTC, Pharmacy) with plans underway for scale-up in Pemba and Tanzania mainland.

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