The Strengthening of Laboratory Systems in the Meningitis Belt to Improve Meningitis Surveillance, 2008-2018: A Partners' Perspective

J Infect Dis. 2019 Oct 31;220(220 Suppl 4):S175-S181. doi: 10.1093/infdis/jiz337.

Abstract

Laboratories play critical roles in bacterial meningitis disease surveillance in the African meningitis belt, where the highest global burden of meningitis exists. Reinforcement of laboratory capacity ensures rapid detection of meningitis cases and outbreaks and a public health response that is timely, specific, and appropriate. Since 2008, joint efforts to strengthen laboratory capacity by multiple partners, including MenAfriNet, beginning in 2014, have been made in countries within and beyond the meningitis belt. Over the course of 10 years, national reference laboratories were supported in 5 strategically targeted areas: specimen transport systems, laboratory procurement systems, laboratory diagnosis, quality management, and laboratory workforce with substantial gains made in each of these areas. To support the initiative to eliminate meningitis by 2030, continued efforts are needed to strengthen laboratory systems.

Keywords: Bacterial meningitis; MenAfriNet; capacity building; laboratory strengthening; sub-Saharan Africa.

Publication types

  • Historical Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Africa South of the Sahara / epidemiology
  • Clinical Laboratory Techniques* / methods
  • Clinical Laboratory Techniques* / standards
  • Disease Outbreaks
  • Health Workforce
  • History, 21st Century
  • Humans
  • Laboratories* / organization & administration
  • Laboratories* / supply & distribution
  • Meningitis, Bacterial / diagnosis
  • Meningitis, Bacterial / epidemiology*
  • Meningitis, Bacterial / history
  • Meningitis, Bacterial / microbiology
  • Population Surveillance
  • Quality of Health Care