participation in the EPI Programme, Polio Eradication Programme, and HIV sentinel
survey. A series of JICA technical cooperation activities targeted Viral Diarrhoea, Acute
Respiratory Infections (ARI), Hepatitis, Polioviruses and other Enteroviruses, Measles,
HIV/AIDS, and TB.
As a result of the evaluation of the Infectious Diseases Control
Project, JICA judged that the Virology Laboratory and the TB Laboratory had already
acquired
the
diagnostic technology for the target diseases in the initial stage of
cooperation, namely, for diarrhoea, ARI, Hepatitis, polio, and measles. Thus, since 2001,
JICA has focused the targets of cooperation on HIV/AIDS and TB, which have
comprised the foremost public health problem in Zambia.
Both laboratories have worked to establish a national surveillance network for measles
through JICA assistance and have contributed to establishing the diagnostic capability
for infectious diseases in Zambia; for instance, by conducting external quality assurance
for HIV and tuberculosis tests. In addition, they contribute to infectious diseases
control with respect to health services, including the provision of training for medical
personnel in regional laboratories, the diagnosis of specimens, external quality assurance,
and so on. Moreover, the Virology Laboratory has an important role in infectious
diseases control as the WHO inter-country reference laboratory for Polio and a reference
laboratory for measles and influenza, not only for the nation, but also for the
surrounding countries. Through a series of analyses based on the positioning,
functions, and effects of JICA cooperation with the UTH Virology Laboratory and
Tuberculosis Laboratory, the expected roles of the UTH Virology Laboratory and
Tuberculosis Laboratory in the future can be summarized as follows in terms of three
functions. (1) To strengthen research on HIV and tuberculosis, which is a type of
opportunistic infectious disease, at a time when the diffusion of anti-retrovirus therapy
has become an increasingly critical issue, by adopting the global 3 by 5 ART, in addition
to its existing research on related diseases in the Expanded Programme on Immunization,
(2) To hasten the provision of medical personnel dealing with HIV testing in provincial
and county hospitals and VCTs as part of human resources development for HIV/AIDS
xviii
control, and, moreover, to establish an experimental and diagnostic system capable of
contributing to HIV/AIDS control with ART, in cooperation with the research and
human resources development mentioned above.
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