Environmental and Social Management Framework for Tanzania ...

egional training centres like the African Centre for Integrated Laboratory
Training in Johannesburg will also be considered for providing training,
particularly for trainers. The Bank-funded regional project would support
training activities which have been agreed upon at national and regional levels
and are included in an annual training plan. These plans will be developed
and agreed upon in regional consultations convened by ECSA.
To support development of human resources capacity in the three countries, a
joint, comprehensive review of laboratory training and skills development
would be undertaken. This would involve:
a) needs assessment to revise the pre-service training curriculum to address
rapidly changing technological and laboratory quality management needs
and promote standardization where feasible;
b) establishment of standards of competence and education requirements for
different levels of laboratory practices, which are regionally standardized
where possible; and
c) development of a human resources plan for laboratory personnel.
The Bank would finance:
d) attendance in training courses at national and regional institutes;
e) laboratory attachments and regional exchanges at recognized centres of
laboratory excellence;
f) graduate training, as may be required to support the project objectives,
and based on established criteria to be spelled out in an operational
manual;
g) technical assistance to support review and revision of curricula and human
resources planning; and
h) operating costs for workshops and training events.
3. Joint Operational Research, Knowledge Sharing, and Coordination at
the Regional Level.
The Bank-funded regional project would support a joint operational research
and knowledge sharing agenda to be developed and conducted among the
participating countries. The need to support expansion of operational research
to encourage evidence based approaches to rolling out new diagnostic
technologies and new treatments in Africa is well recognized in the Better
Health in Africa report (World Bank, 1994)
The roll out of new diagnostic techniques and the expansion of treatment for
patients with multi-drug resistant forms of TB will be closely monitored and
evaluated. Particular attention will be given to cost effectiveness, equity, and
sustainability issues. Likewise, operational research will help inform practice
with regard to which specialized tests should be performed, on which patients
and how often. The evidence generated from the satellite diagnostic and
treatment sites will help inform the scale up of these interventions in the
participating countries and more broadly in the region. The knowledge
generated in carrying out this regional project will be systematically
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