Since 2017 the Centre Hospitalier Regional (CHR) Guiglo in Côte d’Ivoire is better supplied with bacteriological laboratory diagnostics capacities (see report “Laboratory set up Guiglo”). Due to this expansion of lab capacity, further diagnostics can now also be offered in the Centre de Sante Rural (CSR) in Tai, a small rural hospital near the Tai National Park at a distance of ca. 80km from Guiglo.

The CHR Guiglo and the Centre Hospitalier Universitaire (CHU) in Bouaké have been in constant training exchange to establish the necessary methodology and workflows in the laboratory. For this purpose, several training exchanges have been organized since mid-2017, during which laboratory staff from Guiglo was trained for several weeks in Bouaké as well as experienced staff from Bouaké accompanied the work in the bacteroiology lab in Guiglo. In April, May and July 2018 Prof. Chantal Akoua-Koffi and Dr. Abdulaye Diarrasouba (Postdoc) organized several visits to Guiglo and Tai  against the background of establishing work processes in diagnostic stewardship in close cooperation with local personnel. This included the correct sampling of patients, sample storage and diagnostic processing in Guiglo as well as the safe transport of samples for further analysis from Tai to Guiglo and from Guiglo to Bouaké respectively.

Through the project and training activities, conveyed by local expertise, not only the cooperation between the hospitals but also the internal working methods within the hospitals have improved. Medical and laboratory personnel at CHR Guiglo now meet every two weeks to coordinate their activities, discuss innovations and problems concerning the projects as well as the hospital routine. A similar development had already taken place at CHU Bouaké, where representatives from all services meet with laboratory personnel on a monthly basis. It has been shown that within these meetings, in addition to project-relevant topics, a general exchange takes place. Developments of this kind can contribute to a sustainable improvement of communication even after the end of the project and thus to the early detection of problems and their management.