Building and Rebuilding: The National Public Health Laboratory Systems and Services Before and After the Earthquake and Cholera Epidemic, Haiti, 2009-2015
| Autor: | Eva Antoine, Mary C. Nagel, Mireille Kalou, David W. Lowrance, Robert Burris, Barbara J. Marston, Stanley Juin, Magalie Stanislas, Varough M. Deyde, Chunfu Yang, John Vertefeuille, Josiane Buteau, Frantz Jean Louis, Jacques Boncy, Macarthur Charles, Renette Anselme |
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| Rok vydání: | 2017 |
| Předmět: |
Economic growth
medicine.medical_specialty media_common.quotation_subject 030231 tropical medicine HIV Infections Quality of results Decentralization Dysentery Disasters 03 medical and health sciences 0302 clinical medicine Cholera Environmental protection Virology Earthquakes Medicine Humans Tuberculosis Quality (business) 030212 general & internal medicine Epidemics media_common Strategic planning Government business.industry Public health Articles Clinical Laboratory Services Investment (macroeconomics) Haiti Malaria Infectious Diseases Molecular Diagnostic Techniques Workforce Parasitology Public Health business Laboratories |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene |
| ISSN: | 1476-1645 |
| Popis: | Before the 2010 devastating earthquake and cholera outbreak, Haiti’s public health laboratory systems were weak and services were limited. There was no national laboratory strategic plan and only minimal coordination across the laboratory network. Laboratory capacity was further weakened by the destruction of over 25 laboratories and testing sites at the departmental and peripheral levels and the loss of life among the laboratory health-care workers. However, since 2010, tremendous progress has been made in building stronger laboratory infrastructure and training a qualified public health laboratory workforce across the country, allowing for decentralization of access to quality-assured services. Major achievements include development and implementation of a national laboratory strategic plan with a formalized and strengthened laboratory network; introduction of automation of testing to ensure better quality of results and diversify the menu of tests to effectively respond to outbreaks; expansion of molecular testing for tuberculosis, human immunodeficiency virus, malaria, diarrheal and respiratory diseases; establishment of laboratory-based surveillance of epidemic-prone diseases; and improvement of the overall quality of testing. Nonetheless, the progress and gains made remain fragile and require the full ownership and continuous investment from the Haitian government to sustain these successes and achievements. |
| Databáze: | OpenAIRE |
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