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Previous Assessments
Global Health Security Partner Engagement : Expanding Efforts and Strategies to protect and Improve Public Health Globally- Mauritania- CDC
Health Care PPP Project, Albania, funded by the World Bank Group, International Finance Corporation (IFC)
Laboratory Quality Management systems- Training and mentoring- Centers for Disease Control and Prevention (CDC), India
Training on Biosafety & Risk assessment in Mali and Haïti, Fondation Mérieux
Tuberculosis Laboratory Management Training, Sudan
EQA Program on Tuberculosis diagnosis capacities in Belgium, Estonia, Latvia, Lithuania, Moldova, Peru, South Africa
Consulting services on Quality Management System for the National Center Disease Control, Georgia, CH2M Hill
Quality Management System at the National Reference Laboratory, Sudan

Feasibility study epidemiological services and health systems, ECOWAS - in consortium with m4Health- Study funded by KFW

Date: From Nov 05, 2015 to Apr 15, 2016
Country:Benin, Burkina Faso, Cape Verde, Cote d'Ivoire, Gambia, The, Ghana, Guinea-Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Togo

The Ebola outbreak has had substantial deleterious effects on the countries’ economies, public finances, and the health care system. WAHO and the member states in the ECOWAS region were not prepared to react adequately to respond to the emerging outbreak. In order to prevent future outbreaks WAHO identified a dominant weak point in the reaction to stop the epidemic: The deficiently equipped, underfinanced, and understaffed laboratories contributed widely to the inadequate reaction from the health sector. 

Based on the decision of the presidents of the ECOWAS member states to establish a Regional Centre for Disease Control and Prevention, the existing CDC in Abuja has been chosen for an upgrade to the Regional CDC. Furthermore reference institutions should be established consecutively in all 15 ECOWAS countries. Existing laboratories should be upgraded to serve as specialized reference laboratories for the region within the framework of the RCDC.

The objective of this assignment is to assess the need for upgrading of the existing specialized laboratories in the ECOWAS Region and the RCDC to be functional in the network structure and hence enabling them to better support the control of future epidemics. Secondly, the assignment will evaluate the envisaged interaction of these laboratories with the regional and with national CDCs and other institutional stakeholders and their positioning within the regional health sector. The focus is put on:

-  Reviewing the regional health sector and appraising the structure of project executing agency (PEA)
-  Assessing the Bio Safety Level (BSL) of the RCDC and 3 reference laboratories.
-  Assessing the communication and coordination between CDCs and laboratories.
-  Elaboration of a project proposal to upgrade the equipment, if required, of approximately three laboratories that are intended to have or to reach BSL 3.
- Assessing the need to improve communication equipment of the institutions (regional and country CDCs, laboratories and WAHO).