NATIONAL TUBERCULOSIS REFERENCE LABORATORY FOR CULTURE/DRUG SUSCEPTIBILITY TESTING

BBLK SURABAYA

TB Lab Network
Supranational Reference Lab SA Pathology, Adelaide Australia

NRL for Microscopy BLK Bandung

NRL for culture/DST BBLK Surabaya

NRL for research & molecular

Microbiology UI

Provincial Reference Lab

Intermediate Lab

Microscopic Centre

Satellites

Minister of Health decree for appointment of BBLK Surabaya as NRL

SK MENKES No.1909 / Menkes / SK / IX / 2011 BBLK Surabaya as National TB Reference Laboratory for culture and DST M. tuberculosis

Main roles:
Reference lab for M. tuberculosis culture/DST Strengthening culture/DST network, capacity building, training and providing EQA (External Quality Assessment) across the network

Service provided

Routine diagnostic Culture (solid and liquid) DST (solid and liquid) for first- and second- line DST External Quality Assessment Training Surveys (Sentinel, National Prevalence, Drug Resistance)

BBLKs Achievements

Becoming the NRL for TB culture/DST. First quality assured lab in Indonesia for TB culture and first- and second-line DST.

First Indonesian lab to obtain 100% score for FL- and SL- DST EQA (not achieved by any lab as yet)

Lead laboratory for the Central and East Java DRS. Conducting in-house training program for TB culture, media preparation, and microscopy. Lead laboratory for the NPS. Organising the first EQA panel test in Indonesia (sent to BBLK Jakarta).

Old TB Laboratory

New TB Laboratory

Advantages of the new TB Lab

Additional space to accommodate all equipment More appropriate level of biosafety Specialised wet training area More staff able to work in laboratory Capacity to evaluate new diagnostic technologies Increased workload capacity Preparation of EQA panel tests for Indonesian laboratories

Main Strategy for BBLK Surabaya

Develop TB culture/DST lab base line data and mapping: number of culture/DST labs, distribution, performance etc Establish technical guidance, SOPs, equipment specifications, consumables & reagents, training materials Capacity building to expand TB culture/DST laboratories, strengthen networking and EQA Supervision and monitoring to improve and maintain culture/DST Lab performance including yearly certification Participate in EQA provide by SRL and to become active in the global TB Lab community

Activity plan for 2014-2016

Develop culture/DST training modules Develop technical skills for EQA panels Take on responsibility from Adelaide-SRL for certification of culture/DST Labs Supervision visits to all provinces each year Training to support expansion of quality assured culture/DST lab Improve both technical and management skills of NRL staff Provide EQA panel tests for culture/DST labs

Conclusion
The new laboratory will enable BBLK Surabaya to contribute even more to the national TB control strategy and to assist in development, maintenance sustainability, and quality assurance of the TB laboratory network across Indonesia

Thank You!