Regional Workshop on Improving Laboratory Services and Infection Prevention and Control in the GMS


4-5 June 2018, Mandalay, Myanmar



Quality laboratory services is one of the key factors for prevention and control of emerging infectious diseases and other communicable diseases in the Greater Mekong Sub-region (GMS). Cambodia, Lao PDR, Myanmar, and Vietnam (CLMV) have invested considerably to improve the laboratory capacity at their central level. However, a Joint External Evaluation (JEE) of IHR core capacity revealed that laboratories at provincial and district levels are unable to comply with internationally acceptable biosafety standards or to generate data of known quality.

According to the Asia Pacific Strategy for Emerging Infectious Disease (APSED) 2017, establishing effective infection prevention control (IPC) practices in health-care settings is essential to reduce the risk of transmission of EIDs to health-care workers, patients, their families and the community. However, systematic establishment of good IPC practices is a challenge in the GMS. Hospital hygiene, and medical waste management are often unsatisfactory. Inadequate IPC practices have resulted in widespread nosocomial transmission as demonstrated during the outbreaks of severe acute respiratory syndrome (SARS), Ebola virus disease and MERS.

Internationally acceptable standard of laboratory services and good IPC practices are especially important in health-care settings. Those issues are basic needs for prevention and early detection of communicable diseases. According to the lessons learned from ADB supported projects, laboratory quality services and IPC at district/ township hospitals is essential for effective prevention and rapid response during the outbreaks.


In order to improve the capacity of laboratory services and IPC in the GMS, the Asian Development Bank (ADB) support Regional Capacity Development Technical Assistance (RCDTA) Malaria and the GMS Health Security Project in CLMV countries. According to the findings of initial rapid assessment conducted during the inception phase of the project, needs for training staff, insufficient equipment and supplies, poor quality management system, incomplete external quality assurance and inadequate bio-safety practices and poor compliance with IPC measures at districts health care facilities are the key challenges.

Therefore, ADB encourage the development of evidence based policies for laboratory and IPC, strengthen capacity and routine practices, timely supply of laboratory and IPC equipment, and mobilize the laboratory and IPC experts in the GMS. In addition, ADB support the laboratory and IPC working groups in the GMS as part of regional health cooperation strategy. During the Project Manager’s Meeting conducted in December 2017, priority regional workshop for laboratory capacity building were identified. The working groups for IPC and Laboratory in the GMS is formulated during the second Project Managers’ Meeting in Yangon in May 2018 to facilitate the regional lab and IPC activities efficiently. This is the first working group workshop to discuss detail technical matter to strengthen the capacity for laboratory service and Infection Prevention Control.


The overall objective of the workshop is to improve the quality of laboratory services and infection prevention control capacity related to EIDs and communicable disease control in the GMS.

Specific Objectives:

  1. Update the status of establishment and endorsement of laboratory and IPC working groups in the GMS.
  2. Update the status and finding of country specific baseline assessment for lab and IPC for GMS-Health Security Project.
  3. Share the findings of pilot model of laboratory quality assurance system development by RCDTA project.
  4. Update available information on laboratory quality service and IPC system development by Development Partners
  5. Identify gaps, challenges, enablers and priority issues to improve laboratory services and IPC within the GMS.
  6. Develop the strategies and approaches to achieve the targets of laboratory quality improvement and IPC.
  7. Explore the available funding and key support among development partners for improving laboratory services and IPC in the GMS.

Expected outputs

  • Laboratory working groups and IPC working groups are endorsed by GMS countries.
  • Baseline assessment findings of GMS Health Security project and pilot model of laboratory quality assurance system of RCDTA is disseminated.
  • Regional strategies, priority activities and approaches for improving laboratory quality services and IPC are identified.
  • Available funding resources and key support on laboratory and IPC capacity development are identified.

Proposed list of participants

Countries (28 person)

  • Two laboratory focal persons from each countries (CLMV)
  • Two IPC focal persons from each countries (CLMV)
  • Laboratory focal person from Thailand and China
  • IPC focal person form Thailand and China
  • Laboratory Expert for GMS-Health Security Project (CLMV)
  • IPC Expert from GMS-Health Security Project (CLMV)

Development Partners (8 person)

  • WHO Regional advisor for laboratory
  • WHO Regional focal person for IPC
  • Representative from the World Bank
  • Representative from DFID/UK aids
  • Representative from US-CDC/ USAIDs
  • Representative from JICA
  • Representative from URC
  • Representative from FEDRIC
  • Representative from FAO

ADB (6 persons)

  • ADB staff: Project Officer RCDTA
  • ADB consultants: Public Health Specialist, Knowledge management Specialist, CDC2 coordinator, Procurement Specialist, MMP specialist

Day 1

Time Topics/Content Presenter Moderator

8:30 — 9:00



9:00 — 9:30 Opening Speech
  • Welcome remarks by MOHS Myanmar
Dr Htay Htay Tin MOHS
9:30 — 9:45 Workshop objectives
Administrative announcements
9.45 — 10:15 ADB support for laboratory services and Infection Prevention in the GMS ADB ADB
10:15 — 10:30 Group photo and Tea break

10:30 — 12:30

Country presentations:

Updates of the base line assessment findings for IPC and laboratory (GMS-Health Security)

(10 min for IPC and 10 min for laboratory)

  • Current situation
  • Gap and challenges
  • Priority activities based on country context
  • Discussions and remarks:

Senior Officials from 6 GMS countries
  • Cambodia
  • Lao People's
    Democratic Republic
  • Myanmar
  • Peoples Republic
    of China
  • Thailand
  • Viet Nam
Chair and Co-chairs (Heads of Delegation)
12:30 — 13:30 Lunch
13:30 — 13:45 Global strategy and update for laboratory quality improvement (WHO) WHO Regional Advisor for Laboratory ADB
13:45 — 14:00 Global strategy and update for Infection Prevention Control (WHO) IPC focal WHO ADB
14:00 — 14:30 Laboratory Services and IPC required for Mobile, Migrant, Ethnic and Vulnerable Population (MEV) Knowledge products on laboratory and IPC ADB ADB
14:30 — 15:30

Group work on formulation of GMS strategies and approaches for laboratory and IPC

  • Group A: Laboratory services
  • Group B: Infection Prevention Control
Country representatives DPs ADB/WHO
15:30 — 15:45 Tea Break
15:45 — 16:45 Group Presentations:
Plenary Discussion:
Group Representative ADB
16:45 — 17:00 Closing of the day Dr. Htay Htay Tin

Day 2

Time Topics/Content Presenter Moderator
9:00 — 10:00

Update on the status and proceeding of laboratory and
IPC working groups in the GMS

  • Working group on laboratory
  • Working group on IPC

Discussion: based on regional strategies
Endorsement of the working groups

Kyi Thar ADB
10:10 — 10:15 Tea Break
10:15 — 12:00

Presentation of development partners

  • World Bank
  • JICA
  • DFID/Flamming Funds
  • US-CDC
  • URC

Discussion on presentations:

Representative from DPs ADB
12:00 — 13:30 Lunch
13:30 — 15:00

Group works on Resource mapping:

Identification of DPs resource for regional strategy and priority actions:

Group A: Laboratory services

Group B: Infection prevention control

15:00 — 15:30 Presentation of the group works Group Representative ADB
15:30 — 15:45 Tea Break
15:45 — 16:15 Recommendation and way forwards All partcipants ADB
16:15 — 16:30 Closing session

–– Remarks by Head of Delegations

–– Closing Remark by Host Country
GMS countries

Last Updated: 31 July 2019