National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024
Introduction: In July 2023, the WHO Joint External Evaluation (JEE) assessed Kyrgyzstan's national laboratory system, scoring it on four indicators: specimen referral and transport system (2), laboratory quality system (3), laboratory testing capacity (3), and effective national diagnostic netw...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | International Journal of Infectious Diseases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S120197122400746X |
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| author | Mr Azat Bodoshov Kyial Arabaeva John Macom Sandeep Meharwal Olga Samoilova Daniiar Saliev Aisuluu Kubatova |
| author_facet | Mr Azat Bodoshov Kyial Arabaeva John Macom Sandeep Meharwal Olga Samoilova Daniiar Saliev Aisuluu Kubatova |
| author_sort | Mr Azat Bodoshov |
| collection | DOAJ |
| description | Introduction: In July 2023, the WHO Joint External Evaluation (JEE) assessed Kyrgyzstan's national laboratory system, scoring it on four indicators: specimen referral and transport system (2), laboratory quality system (3), laboratory testing capacity (3), and effective national diagnostic network (3). The Ministry of Health (MoH) sought a comprehensive evaluation of the diagnostic network's core capacities, including zoonoses, specimen referral, policy framework, human resources, biosafety, quality and data management, and commodities. In 2024, FHI 360, through the USAID-funded EpiC Project for Global Health Security, led an assessment focusing on pandemic preparedness and the One Health approach to identify gaps and recommend improvements. Methodology: The Diagnostic Network Assessment (DNA) covered nine core capacities across six laboratory services: HIV, Tuberculosis (TB), Sanitary and Epidemiological Service (SES), Clinical and Diagnostic Service (CDL), Quarantine and Dangerous Infections, and Veterinary Services. The DNA process included pre-assessment, self-assessment, and verification visits to 44 laboratories at various levels. The assessment spanned from February to August 2024. Results: Kyrgyzstan's diagnostic network includes over 340 public health laboratories, but coordination is poor, especially for pandemic preparedness. Private sector laboratories are minimally engaged with the public health system. SES, TB, and HIV labs have better networks than CDL and veterinary services. Key guidelines and policies are outdated, and the network lacks trained staff, adequate infrastructure, data management, and supply chain management. There is no emergency service continuity plan or formal cross-sectoral data sharing. Conclusions: The DNA team provided priority recommendations including enhancing cross sectoral coordination, developing 7-1-7 strategy and emergency operational plans for laboratory services, update outdated policies and guidelines amongst others. The EpiC Kyrgyzstan team will collaborate with local stakeholders to address these gaps and strengthen the country's preparedness and response capacity to infectious disease outbreaks. This will include: supporting the development of guidelines and SOPs on biosafety and biosecurity, especially on specimen transportation system and medical waste management; technical assistance to conduct cascade trainings for laboratory staff to improve their skills and knowledge to use the developed guidelines and integrating this training programme into the curriculum of the national postgraduate education center. EpiC will also work to strengthen the local engineers' capacity on laboratory equipment maintenance to enable timely innovative laboratory testing such as genomic sequencing within One Health approach. |
| format | Article |
| id | doaj-art-bec800e599cf415381e6f5e4b95288a4 |
| institution | DOAJ |
| issn | 1201-9712 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj-art-bec800e599cf415381e6f5e4b95288a42025-08-20T02:55:14ZengElsevierInternational Journal of Infectious Diseases1201-97122025-03-0115210767110.1016/j.ijid.2024.107671National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024Mr Azat Bodoshov0Kyial Arabaeva1John Macom2Sandeep Meharwal3Olga Samoilova4Daniiar Saliev5Aisuluu Kubatova6Fhi360Fhi360Fhi360Fhi360Fhi360Fhi360Fhi360Introduction: In July 2023, the WHO Joint External Evaluation (JEE) assessed Kyrgyzstan's national laboratory system, scoring it on four indicators: specimen referral and transport system (2), laboratory quality system (3), laboratory testing capacity (3), and effective national diagnostic network (3). The Ministry of Health (MoH) sought a comprehensive evaluation of the diagnostic network's core capacities, including zoonoses, specimen referral, policy framework, human resources, biosafety, quality and data management, and commodities. In 2024, FHI 360, through the USAID-funded EpiC Project for Global Health Security, led an assessment focusing on pandemic preparedness and the One Health approach to identify gaps and recommend improvements. Methodology: The Diagnostic Network Assessment (DNA) covered nine core capacities across six laboratory services: HIV, Tuberculosis (TB), Sanitary and Epidemiological Service (SES), Clinical and Diagnostic Service (CDL), Quarantine and Dangerous Infections, and Veterinary Services. The DNA process included pre-assessment, self-assessment, and verification visits to 44 laboratories at various levels. The assessment spanned from February to August 2024. Results: Kyrgyzstan's diagnostic network includes over 340 public health laboratories, but coordination is poor, especially for pandemic preparedness. Private sector laboratories are minimally engaged with the public health system. SES, TB, and HIV labs have better networks than CDL and veterinary services. Key guidelines and policies are outdated, and the network lacks trained staff, adequate infrastructure, data management, and supply chain management. There is no emergency service continuity plan or formal cross-sectoral data sharing. Conclusions: The DNA team provided priority recommendations including enhancing cross sectoral coordination, developing 7-1-7 strategy and emergency operational plans for laboratory services, update outdated policies and guidelines amongst others. The EpiC Kyrgyzstan team will collaborate with local stakeholders to address these gaps and strengthen the country's preparedness and response capacity to infectious disease outbreaks. This will include: supporting the development of guidelines and SOPs on biosafety and biosecurity, especially on specimen transportation system and medical waste management; technical assistance to conduct cascade trainings for laboratory staff to improve their skills and knowledge to use the developed guidelines and integrating this training programme into the curriculum of the national postgraduate education center. EpiC will also work to strengthen the local engineers' capacity on laboratory equipment maintenance to enable timely innovative laboratory testing such as genomic sequencing within One Health approach.http://www.sciencedirect.com/science/article/pii/S120197122400746X |
| spellingShingle | Mr Azat Bodoshov Kyial Arabaeva John Macom Sandeep Meharwal Olga Samoilova Daniiar Saliev Aisuluu Kubatova National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 International Journal of Infectious Diseases |
| title | National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 |
| title_full | National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 |
| title_fullStr | National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 |
| title_full_unstemmed | National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 |
| title_short | National Diagnostic Network Assessment (DNA) in Kyrgyzstan to assess the country's preparedness and response capacity and infrastructure to infectious disease outbreaks, 2024 |
| title_sort | national diagnostic network assessment dna in kyrgyzstan to assess the country s preparedness and response capacity and infrastructure to infectious disease outbreaks 2024 |
| url | http://www.sciencedirect.com/science/article/pii/S120197122400746X |
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