Abstract
A major concern in scaling-up health programs in Sub-Saharan Africa is the lack of quality laboratory services. This is mainly due to the limited availability of well-trained laboratory personnel in both technical and managerial areas. More effective in-service training can be achieved by including on-site and off-site training modules tailored to trainees' specific needs and background. The key step of the proposed approach is an action plan, to be implemented at site level, developed by each trainee during an off-site module. The on-site training module is based on the implementation of the action plan within a specific timeframe that is essential for transferring theoretical knowledge from individuals to practical skills at the laboratory level. Based on the level of implementation of the action plan and completion of objectives, a proficiency training certificate is then awarded. To improve the retention of knowledge among laboratory staff, and hence the quality of laboratory operations, it is crucial that this approach is ingrained into a broader strategy for human resource management at the facility level, including clear job descriptions, salary adjustment policies and professional development strategies.
Key words: in-service training, clinical laboratory, professional development, human resource management