1. HuQAS Journey The Past….Present…Future 2015 By Antony Jaccodul HuQAS – C.E.O

2. HuQAS (Human Quality Assessment Services) is a not-for-profit Kenyan registered Non-Governmental Organization that has been offering Proficiency Testing (PT) Services to medical laboratories in the region for the last fifteen years.

3. ISO 17043:2010

4. To be the proficiency testing provider of choice, internationally, for all medical and related laboratory diagnostic test parameters and methods.

5. To offer, professionally and with integrity, Proficiency Testing Services to clinical laboratories, with an aim of helping them produce accurate, reliable and comparable test results at all time, while working towards improving and standardizing clinical laboratory testing to international standards. HuQAS endeavor to enhance knowledge on technical and scientific developments, to participating laboratories, staff and other stakeholders, through training and scientific conferences."

6.  To identify specific problems within participating laboratories that may relate to instruments, reagents or personnel and initiating remedial actions.  To build confidence in the quality status of the laboratories among doctors and patients.  To assess laboratories’ ability to perform tests competently as per their stated internal quality goals and the requirements of regulatory and/or accreditation bodies.

7. What necessitated? Acknowledged lack of confidence with laboratory diagnostic test results by most of the Physicians High cost of available international EQA schemes A desire by HuQAS Pioneers to play a positive role in enhancement of quality laboratory services in the health sector.

8. 3R’s Principle Essential to all aspects of health care are laboratory results that are: Reliable Reproducible Rapid All the above are attainable through PT/EQA

9. Why HuQAS EQA Accredited to ISO17043:2010 for the last 7 years. Over 15 years Experience in EQA/PT Services Availability of Qualified and Competent Staff for technical support. 135 Different PT Programs (visit: www.huqas.org) Global Benchmarking of Laboratories' performance through International EQA Collaboration.

10. PT/EQA Benefits The Lab As A whole Measure of laboratory quality performance and tells “where we are” i.e. measures gaps or deficiencies System for Early Detection of Laboratory errors. Laboratory mistakes are prevented A MUST for Accreditation

11. Laboratory personnel Educational value (Identify training needs) Identifies skills gap and possible areas of improvement PT/EQA Benefits

12. Physician TAT is reduced ie No repeat testing Increases confidence in the lab’s results PT/EQA Benefits

13. Patient Increases patient confidence in participating labs Customer expectations are met i.e. quality care. Reduces cost of medical care through reduced repeat testing in other laboratories.

14. PT/EQA Benefits Nationally and Regionally Enhanced confidence in the Regional's Health institutions Improves Medical Tourism and Global Competitiveness Improves on actual man-hours devoted to working due to good health and grows the economy

15. Taking Quality Steps Together

16. Historical Perspective

17. Enrolment by Country

18. Enrollments

19. 2016 Into Perspective……CPDS Advanced Root Cause Analysis and CAPA ISO 15189 Implementation course Internal Audit Training based on ISO 19011:2012 Good Clinical Laboratory Practices

20. 2016 Into Perspective…..EQA Introduction of Monthly EQA programs 4cycles of EQA

21. MEMORIES WASEE ….HUKUMBUKA

22. Road to our vision – Yr. 2000 1ST HuQAS workshop (2000). The beginnings were humble but the participants exuded determination

23. A group photograph of the participants to a HuQAS workshop (2001) in Mombasa, Kenya Road to our vision – Yr. 2001

24. Road to our vision – Yr. 2002 Former KMA Chairman and current Director of Medical Service, Ministry of Health, Dr. Nyikal with Chem-labs Limited M.D, Mr. Wambura during the the 2002 HuQAS workshop at the Panafrique Hotel, Nairobi, Kenya

25. Road to our vision – Yr. 2003 A group photograph of the participants to 2003 HuQAS workshop in Mombasa, Kenya

26. Road to our vision – Yr. 2004 Dr. Rajab, one of the 2004 HuQAS workshop facilitators, presenting a certificate to a participant at the Nairobi Safari Club, Lilian Towers, Nairobi

27. Road to our vision – Yr. 2005

28. Road to our vision – Yr. 2006 The Nairobi Safari Club, Lilian Towers; keen participants during the 2006 HuQAS workshop.

29. Road to our vision – Yr. 2008

30. Road to our vision – Yr. 2010 Mr Milgo of KENAS presents the accreditation certificate to Mr. Wambura, HuQAS chairman. Looking on is Industirilization PS Prof. Lonyangapuo.

31. Working closely with other partners to make available HuQAS EQA programs to ALL Public and Private laboratories in the Entire region Roll out regular and comprehensive post EQA test events workshops focusing on report analysis and general root cause analysis of documented laboratory errors. Customize current training programs for laboratory technicians and technologists to meet current needs Lobby for use of EQA reports in national policy making Lobby for inclusion of EQA/IQC programs in pre-service training Future Prospects

32. HuQAS and other Partners… Together we can take the next exit…