FAO Laboratory Mapping ToolFAO-LMTFilip Claes, FAORAP

Regional Laboratory Coordinator

FAO LMT development

To aid laboratory assessment and

determine strengths and

gaps in laboratory functionality

To allow the generation of a laboratory profile

or “map”

Can be adapted to demonstrate

functionality and capacity status at the

national, regional and global levels.

It can also be used to establish a baseline

for laboratory status prior to an

intervention: progress and impact can be

measured against this baseline during and after the intervention

The FAO LMT • Is based on a standardized questionnaire

• Generates a laboratory profile that “maps’’ all key elements for an operational laboratory

• Allows for assessment of laboratory functionality in a systematic and semi-quantitative manner

• Allows data to be captured either by external evaluators or through self-assessment.

Laboratory mapping is an essential basis for:

Generating reliable and accurate data (quantitative) • support the development of strong animal disease

prevention and control systems by indicating the overall functionality of a laboratory

Generating a picture of laboratory functionality within and across regions

• underpinning regional and global approaches to laboratory strengthening

Analyzing needs • indication of the actions required to update and improve

the functionality of individual laboratories or of all the laboratories within a region

Laboratory mapping is an essential basis for:

Helping laboratories to assess their own functionality •identify priorities and gaps through comparisons with good practice scenarios

Providing a baseline •against which objectives can be set and progress monitored

Enabling development partners to recognize laboratory functionality and take appropriate and sustainable measures to support the improvement of laboratory capacities

On-site LMT assessment Protocols

• Assessment of lab capabilities using the FAO Lab mapping Tool (LMT)

FAO LMT released to the public in May 2014, available at: http://www.fao.org/ag/againfo/programmes/en/empres/news_130514.html

The LMT allows to assess 5 areas :

Within these five areas, 17 categories and 108 subcategories have been selected.

Laboratory performance

General laboratory

profile

Laboratory collaboration

and networking

QA & biosafety/

biosecurity

Infrastructure, equipment &

supplies

Results for the 17 sub categories

LMT Category01/10/2014 - LMT Results

for Lab A

Reliability **

Geographic location 66.7 100

Laboratory Budget 66.7 100

Basic supply 83.3 67

Organization 66.7 100

Infrastructure 95.2 78

Equipment 75.0 100

Reagent supply 29.6 100

Staff skil ls + availabil ity 76.2 100

Sample accession 25.0 100

Available technology 86.1 100

Training 85.7 100

Quality Assurance 51.5 100

Biosafety/Biosecurity 33.3 100

Staff Security/Health 22.2 100

Communication means 33.3 100

National lab networking 44.4 100

Laboratory collaboration 70.4 100

Grand total (%) Lab A 60.3 97

Current Assessment*

• Scoring based on the ideal situation: 100% being the ideal laboratory.

• Number in each cell = achieved percentage compared to the optimum

Results for 17 sub categories, from 2011 to 2014

Geographic location

Laboratory Budget

Basic supply

Organization

Infrastructure

Equipment

Reagent supply

Staff skil ls + availabil ity

Sample accession

Available technology

Training

Quality Assurance

Biosafety/Biosecurity

Staff Security/Health

Communication means

National lab networking

Laboratory collaboration

Grand total (%) Lab A

01/10/2011 - Self

Assessment A

01/10/2012 - Self

Assessment B

01/10/2014 - Current

assessment C

Progress 2011-2014

66.7 66.7 66.7 0.044.4 77.8 66.7 22.277.8 88.9 83.3 5.666.7 66.7 66.7 0.040.7 74.1 95.2 54.540.0 54.2 75.0 35.018.5 29.6 29.6 11.157.1 66.7 76.2 19.08.3 16.7 25.0 16.7

44.4 77.8 86.1 41.723.8 57.1 85.7 61.918.2 51.5 51.5 33.327.8 33.3 33.3 5.622.2 22.2 22.2 0.00.0 16.7 33.3 33.3

66.7 55.6 44.4 -22.255.6 74.1 70.4 14.835.6 54.3 60.3 24.7

Compilation LMT results * for Lab A

Allows to measure progress over time

Details of all LMT results* for Lab A

(for the assessor: please insert here any comment if needed)

0.010.020.030.040.050.060.070.080.090.0

100.0Geographic location

Laboratory Budget

Basic supply

Organization

Infrastructure

Equipment

Reagent supply

Staff skil ls + availability

Sample accessionAvailable technology

Training

Quality Assurance

Biosafety/Biosecurity

Staff Security/Health

Communication means

National lab networking

Laboratory collaborationAll LMT Results

01/10/2011 - AssessmentA01/10/2012 - AssessmentB01/10/2014 - Currentassessment C

General laboratory profileInfrastructure, equipment, suppliesLab performanceQA, Biosafety/BiosecurityLab collaboration and networking

Regional overview based on 17 sub categories of LMT

Visualize areas where countries and regions need to strengthen their laboratory capacities, for a better pathogen detection in a given region

LMT Category N1* G1 A1 L1* E1 B1 C1 F1 D1 J1Regional average

Geographic location 100 89 78 78 78 67 67 78 78 56 77Laboratory Budget 78 78 89 78 44 44 67 22 0 22 52Basic supply 100 89 100 100 56 89 78 56 44 22 73Organization 100 100 100 100 100 67 67 67 100 33 83Infrastructure 54 54 75 58 48 63 33 21 17 0 42Equipment 78 67 53 61 60 58 28 33 22 17 48Reagent supply 92 67 50 67 48 42 42 33 17 19 48Staff skills + availability 79 88 95 63 56 79 79 50 33 24 65Sample accession 67 89 60 72 87 44 61 25 39 17 56Available technology 59 59 63 59 60 59 26 7 22 0 42Training , including IATA 71 71 67 57 47 71 33 48 38 47 55Quality Assurance 88 83 88 100 67 63 8 58 75 42 67Biosafety/Biosecurity 56 67 67 44 73 67 39 33 56 27 53Staff Security/Health 56 67 67 56 33 33 56 0 0 0 37Communication means 75 50 50 75 83 50 75 8 8 25 50National lab networking 100 89 n/d 67 50 33 89 0 0 33 51Laboratory collaboration 67 93 73 73 87 80 67 47 40 17 64

Grand Total 2014 73 72 70 68 63 61 48 34 34 23 55General laboratory profile 93 87 90 87 63 67 70 53 47 33 69

Infrastructure, equipment, supplies 74 62 60 62 51 53 35 28 18 11 45Laboratory performance 68 77 73 64 67 62 54 25 30 13 53QA,Biosafety/Biosecurity 71 74 74 68 60 63 29 42 50 37 57Lab collaboration and networking 69 65 62 71 82 62 75 27 31 30 57

Africa

Current Assessments

• Asia– 4 rounds: 2011, 2012, 2014, 2015– 11 countries, 25 laboratories– Endorsed by ASEAN lab director forum– Thailand: national lab system (ongoing)

• Africa: – 15 countries

‘’Modular’’ approach• The LMT can be expanded thought LMT specific

modules:

Specific disease modules (eg AI, Ebola)Quality AssuranceAMR (under draft)Safety

The LMT- Safety allows to assess 4 areas:

Within these four areas, 20 categories and 98 subcategories have been selected.

Administration

Operational

Engineering

PPE

20 categories

Area Categorydd/mm/yyyy -

LMT-BM Results for Lab x

General 53.3Personnel Health & Safety 58.3Training & Competency 75.0Biosafety Manual/ SOPs 100.0Good Lab Practices 47.6Containment 61.1Containment BSL3 33.3Waste Disposal 44.4Shipping of Infectious substances 73.3Animal facilities 61.9Premises 33.3Chemical hazard containment 33.3Chemical Security 33.3Emergencies 41.7Fire hazard 66.7Electrical 66.7BSC 66.7General Situation 66.7Use of PPE 75.0PPE disposal 60.0

54.3Grand total (%) Lab x

PPE

Engineering

Operational

Administration

FAO LMT-Lab Portal• Database compiling all LMT assessments • Anonymized results published by category and subcategory,

for national, regional or global view.• Metadata management• Assessment management• Data analysis

• National LMT Portals willbe soon provided to countries

LMT Mobile application

• For core LMT and all LMT modules• Multi-platform (Android, Apple iOS)

• Multi-language support• Can work offline during the data collection • Onboard camera integration, pictures can be

included for any point of interest

LMT Mobile application

• Allows to see previous assessments scores and assessors comments for each sub category

• Results, tables and diagrams automatically generated

• If laboratory agrees, assessor can share data with FAO LMT Portal

• Generates excel file with results, sent instantly to the assessor by email