Laboratory Readiness and Response for SARS-Cov-2 in Indonesia.

Autor:	Aisyah DN; Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, United Kingdom.; Indonesia One Health University Network, Depok, Indonesia., Mayadewi CA; Indonesia One Health University Network, Depok, Indonesia., Igusti G; Aceso Global Health Consultants Limited, London, United Kingdom., Manikam L; Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, London, United Kingdom.; Aceso Global Health Consultants Limited, London, United Kingdom., Adisasmito W; Indonesia One Health University Network, Depok, Indonesia.; Faculty of Public Health, Universitas Indonesia, Depok, Indonesia., Kozlakidis Z; International Agency for Research on Cancer World Health Organization, Lyon, France.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2021 Jul 19; Vol. 9, pp. 705031. Date of Electronic Publication: 2021 Jul 19 (Print Publication: 2021).
DOI:	10.3389/fpubh.2021.705031
Abstrakt:	The laboratory diagnosis of SARS-CoV-2 infection comprises the informational cornerstone in the effort to contain the infections. Therefore, the ability to leverage laboratories' capacity in diagnostic testing and to increase the number of people being tested are critical. This paper reviews the readiness of Indonesian laboratories during the early months of the pandemic. It discusses the success of cross-sectoral collaboration among previously siloed national and sub-national government institutions, international development agencies, and private sector stakeholders. This collaboration managed to scale-up the COVID-19 referral laboratory network from one Ministry of Health NIHRD laboratory in the capital to 685 laboratories across 34 provinces. However, this rapid growth within 12 months since the first Indonesian case was discovered remained insufficient to cater for the constantly surging testing demands within the world's fourth most populous country. Reflecting on how other countries built their current pandemic preparedness from past emergencies, this paper highlights challenges and opportunities in workforce shortage, logistic distribution, and complex administration that need to be addressed. Competing Interests: GI and LM are affiliated with Aceso Global Health Consultants Ltd, which is a private company, we declare that this research project does not receive funding from Aceso Global Health Consultants. The company does not have a role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. LM is the director of the company, and GI is an employee of the company. However, both of them contributed to this paper on a pro bono basis. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Aisyah, Mayadewi, Igusti, Manikam, Adisasmito and Kozlakidis.)
Databáze:	MEDLINE
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