Judith Mzyece, currently based at MOH HQ, is a laboratory specialist with 14 years of experience in TB diagnostics, research and laboratory systems strengthening. She has overseen successful Implementation of Diagnostic network optimization and integrated testing on Point of Care system (GeneXpert). She has spearheaded the Implementation of child friendly TB diagnostic specimen in Zambia and set up a functional cost effective national integrated sample referral system.
Geospatial analysis showed there is good GeneXpert coverage in urban areas but gaps remain in rural areas. Improving specimen referral networks to existing GeneXpert facilities and placement of new machines in underserved areas could be impactful. The results highlight the need for follow up geospatial analysis every two years to keep track of changes in diagnostic network.
Source: Conference 2024Integration of TB, HIV infant diagnosis, HPV and VL for priority groups increased device use without affecting TB services. The increased testing volumes reduced the cost of service and maintenance. This indicates that integration of services on TB diagnostic platforms is key to sustainability while maintaining quality TB care and improving overall system efficiency in resource-limited settings.
Source: Conference 2024The WHO Benchmarks checklist proved effective in assessing both system capacity and programmatic requirements for TB diagnostics in Zambia. Zambia identified specific gaps in the diagnostic cascade and targeted resources to strengthen the TB diagnostic network. Continued application of these standards will be essential for monitoring progress toward ending TB in Zambia.
Source: Conference 2024