American Society for Clinical Pathology

Lesotho

Previous Activities

CD4, Clinical Chemistry, and Hematology Training: July 15 – 26, 2007
In collaboration with Ministry of Health and Social Welfare-Lesotho, the Clinton Foundation HIV-AIDS Initiative, and the National Health Training College, ASCP conducted two CD4, Clinical Chemistry, and Hematology trainings at the National Health Training College in Maseru, Lesotho. The training sessions consisted of extensive didactic lecture during the morning sessions, and hands-on instrument training during the afternoons. Thirty-seven laboratory professionals from across Lesotho participated in the two sessions. The didactic sessions were facilitated by Tom Alexander, PhD, Cindy Johns MSA, MT(ASCP) SH, Sherrie Hyder MT (ASCP), Amy McGranahan, MT(ASCP), Karen Brown MS, MT(ASCP), and Perthena Latchaw MS, MT(ASCP). Shannon Heard and Toria Shaw provided staff support and training coordination.

Module Customization/Preservice Training Curriculum Revision: November 6 – 11, 2006
In Maseru, Lesotho, a team of ASCP consultants met with laboratory leaders in that country from November 6 – 11 to customize the chemistry, hematology and CD4 testing training modules for use in Lesotho. The ASCP consultants that traveled to Lesotho included Linda Fell, MS, MT(ASCP)SH, Vicki Freeman, PhD, MT(ASCP)SC, and Thomas Alexander, PhD. The meeting also included discussions on the revision of the country’s diploma program curriculum for laboratory professionals.

The consultants reported that they could see Barb McKinney’s work in action, as they observed data collection techniques, standard operating procedures, and temperature charts.

Technical Assistance: June 19 – July 7, 2006; September 18 – October 6, 2006; June 6 – 22, 2007
From June 19 – July 7, 2006, Barbara Chase McKinney, MD, MPH, FASCP traveled to Maseru, Lesotho to conduct an assessment of laboratory services and offer technical assistance in laboratory quality. Dr. McKinney visited medical laboratories at Butha-Buthe, Leribe, Mohale’s Hoek, Mafeteng, Scott Hospital (CHAL), Queen Elizabeth II, and Blood Bank at QE II in Maseru. Dr. McKinney assessed the facilities in these laboratories and offered recommendations on a quality assurance system, space, equipment, consumables, data collection and management, laboratory safety, and human capacity.

Dr. McKinney returned to Lesotho September 18 – October 6, 2006 to continue her work. While in Lesotho, Dr. McKinney visited Maluti Adventist Hospital, Berea, Mantsonyane-St. James, Roma-St. Joseph’s, Qacha’s Nek-Maatebeng Hospital, Tebellong Hospital, facilitated a quality assurance seminar, and made more recommendations for better laboratory management. The seminar, titled A Jumpstart to the Quality Assurance Program, was a collaboration with the Ministry of Health and Social Welfare-Lesotho, CDC, the Clinton Foundation, and Johns Hopkins School of Public Health. Thirty-nine participants spent 2 days learning about the five principles of quality assurance, specimen management, the quality assurance cycle, internal and external quality control, standard operating procedures, and record keeping. Dr. McKinney also gave suggestions on how to prioritize the current quality assurance program implementation.

Dr. McKinney returned to Lesotho June 6 – 22, 2007 to continue her work. On her third trip, Dr. McKinney’s assignment was to develop and implement a quality assurance program for rapid HIV testing. Dr. McKinney worked with all aspects of the Know Your Status campaign including facility-based counseling and testing as well as community counseling. The work involved on-site assessment of facilities and the testing process, collation and analysis of findings, and provision of recommendations and an action plan for moving forward in the future. Developing a shared vision with stakeholders was initiated at the beginning of the visit. Dr. McKinney closed her trip with a working round table stakeholder discussion to elicit ownership of the action plan items. Dr. McKinney will return to Lesotho in August 2007 to continue work on the action plan developed in June.

Phlebotomy Training: August 22 – 24, 2006
ASCP sponsored a Phlebotomy training workshop for 19 non-laboratorians in Maseru, Lesotho. The 3 day event consisted of didactic and hands on venipuncture experience. The workshop was facilitated by ASCP consultants Kathleen Finnegan, MS,MT(ASCP)SH and Catherine Murphy-Vetter,MS,MT(ASCP)SCT. Following the training, discussions were held between Ms. Mosilili, Lesotho MOH, David McAlister, PhD, CDC, Trevor Peter, Joy Sun and Aaron Choi, Clinton Foundation, and Barbara Hoffman, ASCP. The discussions involved further exploration of ASCP’s scope of work with regard to supporting training in the areas of chemistry, haematology, CD4 testing and laboratory management, as well as working with the National Health Training College faculty in revising/updating the curriculum for medical technologist diploma program.

CCCLW Addresses Growing Workforce Shortage
The Coordinating Council on the Clinical Laboratory Workforce (CCCLW), a broad-based coalition of national laboratory associations, industry partners and other health care organizations, held a two-day strategic planning session to discuss the serious workforce shortage facing the clinical laboratory profession. more...

ASCP Announces Resident Council Subspecialty Grant Recipients
The American Society for Clinical Pathology has awarded a total of $20,000 in resident grants during the academic year 2008-2009 to defray the cost of doing elective rotations at outside institutions in fields of pathology in which the resident desires intensive exposure, especially in the form of consult material. more...

Update on Pod Lab and Pathology Anti-Markup Lawsuit
A Federal judge has issued a temporary injunction in a lawsuit brought against the U.S. Department of Health and Human Services for its efforts to prohibit clinicians from marking up the professional or technical component of anatomic pathology services they order but do not perform. more...

Angiogenesis Measurement Using Digital Pathology
Whether for predicting patient prognosis or for measuring the efficacy of anti- or pro-angiogenic therapies, there is an urgent need for more accurate and reproducible measurements of microvessels that do not rely on tedious human measurements under a microscope. more...

Diagnosis of Hydatidiform Moles Using p57...
Diagnosis of hydatidiform moles highlights this month’s issue of AJCP. more...