From data to motion: Constructing the capability and abilities of laboratory technicians to remodel Rwanda’s healthcare system

Three laboratory technicians from Kibungo Hospital
Francine Kayitesi, Epiphanie Nyirabansinga, and Ancille Mukaneza (from left to proper), laboratory technicians from Kibungo Hospital

Inside the sterile, brightly lit, and meticulously organized laboratory of Kibungo Hospital, three devoted girls, clothed in white coats and gloves, are sowing the seeds of a wholesome Rwanda.  A younger girl, Francine Umubyeyi Kayitesi, attentively analyzes blood samples along with her microscope, her eyes gleaming with confidence. She and her two colleagues are a part of a rising community of laboratory technicians who acquired intensive coaching on medical bacteriology organized by World Well being Group (WHO) and Rwanda Biomedical Centre (RBC), funded by the European Union (EU).  Since 2023, by means of this partnership, 222 laboratory technicians from each private and non-private laboratories have been skilled on pattern assortment, administration, processing, along with fundamental bacteriological testing, antimicrobial susceptibility testing and antimicrobial resistance knowledge administration. 

“Earlier than the coaching, blood tradition used to take us 7 days, which might delay prognosis for sufferers who required a blood tradition to information remedy, thus placing them susceptible to not getting the correct medicines on time.” says Francine.  Equally, from the opposite facet of the nation, Jacqueline Mukanshuti, a laboratory technician at Butaro Hospital, provides: “We used to get inaccurate outcomes, making the affected person keep longer within the hospital, as a result of we needed to redo the checks.” The laboratory technicians defined how the prolonged period for acquiring laboratory outcomes stemmed from insufficient laboratory capability giving rise to inadequate samples being collected, contaminated samples, or not isolating micro organism accurately throughout laboratory testing. 

Dr Isabelle Mukagatare, Head of Biomedical Companies at Rwanda Biomedical Centre highlighted that laboratory technicians confronted challenges previous to the coaching reminiscent of restricted data on micro organism identification and the usage of worldwide requirements for interpretation of outcomes. “We wanted to bolster the capability of laboratory technicians to make sure high quality assurance in laboratories and lift consciousness on the difficulty of antimicrobial resistance.” she provides.

The coaching they acquired has now enabled the laboratory technicians to provide extra accurate outcomes, obviating the necessity for repeated checks, and considerably decreasing turnaround time. “Due to the coaching, the turnaround time for acquiring laboratory outcomes at our hospital is now decreased from about 7 days to solely 3-5 days, as a result of we learnt learn how to precisely acquire samples and extra effectively establish the micro organism answerable for the illness in a affected person.” shares Jacqueline.

Jacqueline Mukanshuti, a laboratory technician at Butaro Hospital
Jacqueline Mukanshuti, laboratory technician from Butaro Hospital

Past Diagnostics: Constructing Experience inside Rwanda’s NHLS

With help from the European Funding Financial institution, the European Union and technical help from WHO, Rwanda has launched into a groundbreaking enterprise to construct a pioneering Nationwide Well being Laboratory System (NHLS) designed to ship extra correct diagnoses and empower clinicians for higher affected person care.  Rwanda’s NHLS will convey collectively 4 chosen divisions from the Rwanda Biomedical Centre (RBC): The Nationwide Reference Laboratory (NRL); Medical Know-how (MTD); Nationwide Centre for Blood Transfusion (NCBT) and Analysis, Innovation & Information Science (RIDS). 

Recognizing the essential position that expert personnel play in reaching long-term success, RBC and WHO in collaboration with the EU are constructing the capability of the Nationwide Reference Laboratory workers to make sure error-free outcomes and reliability in prognosis for years to come back. The primary goal of the coaching was to scale back the turnaround time of bacterial identification by decentralizing bacteriology providers to subnational ranges to be in line of the NHLS imaginative and prescient and mission.   

“This partnership between RBC, WHO and EU to coach workers from the Nationwide Reference Laboratory (NRL) aligns with Rwanda’s well being care objectives. Rwanda seeks to boost all its bacteriology labs, and thru this initiative, NRL workers not solely acquired coaching but additionally handed on their data to different technicians, thus strengthening the laboratory community and selling data change.” says Dr Isabelle Mukagatare. 

Laboratory technicians during the training in Huye in November 2023
Laboratory technicians throughout the coaching in Huye in November 2023

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