Tag: Lab

  • National Genomics Sequencing Reference Laboratory SOPs Development Workshop

    National Genomics Sequencing Reference Laboratory SOPs Development Workshop

     National Genomics Sequencing Reference Laboratory (NGSRL) under Public Health Institute of Malawi (PHIM) is mandated to conduct genome sequencing of all pathogens of public health importance. Genome sequencing is a molecular method that is used to determine the entire genome makeup of a specific organism or cell types. It facilitates detection of mutations and the tracking of transmission patterns back in history.  In that way, scientists understand how outbreaks are disseminated from place to place and the possible interventions to be implemented. Genome sequencing, when used in active surveillance, may also help to detect early, pathogens with potential to cause outbreaks… Furthermore, genomic sequencing helps to diagnose and treat diseases.

    For NGSRL to standardize its activities, it requires policies and standard operating procedures (SOPs) that  guide  sequencing  procedures. With funding from World Bank,  the NGSRL organised a  document writing workshop that was held at Linde Hotel in Mponela from 7th to 12th October 2024. The workshop drew scientists from Genomics, Microbiology, Biochemistry, TB, HIV and Parasitology reference Laboratories. The workshop was offiacially opened by The Deputy Director of PHIM responsible for National Public Health Laboratories (NPHL),Mr Joseph Bitilinyu Bangoh.

    Mr. Joseph Bitilinyu-Bangoh, Deputy Director of PHIM.

    In his opening remarks, he  emphasized the need to have SOPs to guide quality services within the laboratory. He pointed out that genomic sequencing laboratories are crucial in facilitating global interventions through epidemiology and disease surveillances. The DD lamented the lack of space for NGSRL  at PHIM despite the importance of the laboratory. By inviting   laboratory personnel from different sections, NGSRL showed the working harmony within the NPHL. The DD thanked Dr Mirriam Nyenje, the Chief Laboratory Scientist, who is also the head of NGSRL for this gesture and encouraged the heads of other sections to emulate  

    Dr Mirriam Nyenje Chief Laboratory Scientist and head of NGSRL

    He also thanked Dr Nyenje for the effort she has invested in developing NGSRL for Malawi, taking it from scratch to the level of sequencing outbreak prone pathogens like Vibrio cholera, Tuberculosis, SARs-CoV2, HIV drug resistance, Cox virus 21. The DD re-iterated that he works tirelessly to avail  the NPHL with  opportunities for NPHL to be a centre of excellence, citing tuberculosis as a low-hanging fruit. At that point, he took opportunity to congratulate Shenton Kacheche and Chifundo Banda for their success in bio-risk management training for southern African countries.

    He emphasized  that the development of good laboratory documents is a road towards achievement of the center of excellence. He encouraged other NPHL sections like Biochemistry and Parasitology to follow suit in developing documents. He  suggested the integration of  laboratory staff outside PHIM to the future document writing exercises to facilitate knowledge and skill sharing.

    Participants actively engaged on inputs and suggestions for the development of documents.

    Dr. Mirriam Nyenje echoed the DD’s remarks by thanking the  heads of sections of NPHL sections for releasing hardworking members for the job,, She emphasised that  documents to be developed will not be for the genomics section only but entire NPHL,whereby others may use them as templates. 

    In line with  the same, Mr Alex Mwanyongo the Quality Officer for NGSRL humbly told the group to take the remarks from DD and the comments from Dr Nyenje seriously.

    Participants working in groups

    During the document writing process, participants worked on tasks, in  groups.Progress of work was  shared in plenary,daily.

    The documents fully developed included the quality manual, safety manual and mandatory SOPs. The participants promised to continue helping NGSRL develop the rest of the remaining documents.The participants developed 50 per cent of the required documents surpassing the target of 25 per cent. This was hailed as a great achievement.

    At the end of the meeting, Dr. Mirriam Nyenje thanked and congratulated the participants for their efforts in helping NGSRL come up with  prestigious documents. She encouraged other sections like Biochemistry and Parasitology to quickly follow what NGSRL had achieved.

  • Solar power improves preparedness at PHIM

    Solar power improves preparedness at PHIM

    In a significant step towards sustainable development, the National Public Health Emergency Operations Centre of the Public Health Institute of Malawi (PHIM) now has sustainable power solutions. This initiative aims to improve preparedness of PHIM, ensuring uninterrupted power supply for critical health services and surveillance data management systems.

    Solar panel for seamless power supply for the NPHEOC

    The introduction of solar power is expected to mitigate the challenges posed by frequent power outages, thereby improving the overall health service delivery in the region. The investment was supported by the Norwegian Institute of Public health who has a long standing collaboration with PHIM focusing on strengthening public health infrastructure and disease surveillance systems in Malawi. The procurement process of the solar panels was supported by a technical team from the Ministry of Energy.

    Dr. Trude Arnesen

    Dr. Trude Arnesen, a senior doctor at NIPH seconded to PHIM, emphasized the importance of this initiative: “Reliable energy is crucial for the effective functioning of the emergency operating center. By providing solar power solutions, we aim to support PHIM in its mission to deliver quality health services to the people of Malawi.
    This project underscores the potential of renewable energy in transforming healthcare systems in developing countries.

    Officers from Ministry of Energy, MERA and Inspecting the solar project.

    How do you feel about this initiative? Do you think renewable energy could be a game-changer for other health sectors in Malawi as well?

  • Mentorship and Supportive Supervision for Laboratories that support Surveillance of disease outbreaks for Emergence preparedness and readiness.

    Mentorship and Supportive Supervision for Laboratories that support Surveillance of disease outbreaks for Emergence preparedness and readiness.

    Clinical laboratories in Malawi form the foundation of evidence-based patient treatment and care. They are a fundamental component of disease surveillance, diagnosis and monitoring at every level of the healthcare system. Microbiology is one of the services offered by clinical laboratories to guide clinicians in antibiotic prescription and monitoring of antimicrobial resistance trends among pathogens of medical importance.

    Laboratories require competent human resources, material support, continuous supervision and mentorships to carry out tests and produce good-quality and reliable results. In Malawi, the District Public Hospital and Christian Health Association of Malawi (CHAM) laboratory services have suffered from inattention and chronic under-development with minimal resources for microbiology services.

    Recently the Government of Malawi, Ministries of Health through the Public Health Institute of Malawi (PHIM) has increasingly prioritised the quality of microbiology testing services by incorporating the implementation of quality management systems improvement and capacity-building activities into laboratory service work plans.

    Laboratory officer happily showing the intended result from culture.

    One of the improvement strategy is to train more laboratory staff in basic microbiology and to scale up number of laboratories that could conduct microbiology testing.

    Mr Yollam Chavula , Principle Laboratory Scientist responsible for technical microbiology work at NPHL and team.

    Miss Khumbo Maseko a microbiologist at NPHL demonstrating culture and sensitivity tests at one of the laboratories in Malawi

    Mr. Hurry Milala observing how a mentored laboratory staff performs drug sensitivity testing.

    PHIM through National Microbiology Reference Laboratory (NMRL) holds a critical role in rapid response to infectious diseases. Among its mandates, the NMRL leads Malawi’s laboratory microbiology-based surveillance and disease control services through the detection of pathogens using microbiology techniques. It has a plan to have a network of district and Mission laboratories capable of conducting culture and sensitivity testing to confirm disease outbreaks.

    It is for this reason that NMRL planned to conduct supportive supervision and mentorship for 9 laboratories including Machinga, Chiradzulu, Phalombe, Mulanje DHO, Mulanje Mission, Nsanje, Chikwawa, Malamulo mission and Nguludi (ST Joseph mission).

    The activity involved the preparation of culture media, doing quality checks for the prepared culture media, and culturing patients’ samples. The activity also involved organism identification, drug sensitivity testing (AST) and how to report results.

    Staff from NPHL attending morning handovers as a means of sensitisation to utilise microbiology results in the patients’ management.

    The team also had an opportunity to attend daily district hospital morning reports as a means of sensitizing clinicians and nurses to use laboratory as evidence in the management of patients.

    Commenting on the activity, the deputy director Mr Joseph Bitilinyu Bangoh who is also the head of the National Public Health Laboratory, highlighted that microbiology activities play a crucial role in patient management, outbreak investigations and disease surveillance. He again said that no surveillance is complete without a laboratory and that laboratory workers need to be vigilant when it comes to disease investigations. He sympathetically said that sometimes Public Health issues go without answers, citing a recent Neno outbreak and conjunctivitis that cost mortality and morbidity among children attending primary schools. He further said that emergency outbreaks like the Neno disease need to be responded to rapidly by the laboratory so that intervention are mitigated and implemented promptly.  He encouraged those who went for mentorship and supervision to work hard and provide quality mentorship skills so that microbiology in Malawi gives proper answers to outbreaks and other health needs. He promised the team that he was in support of the activity and in his capacity as deputy director PHIM, he would make sure that NPHL is involved in all disease surveillance and outbreak investigations.