Ou-cc Laborotol)' Scientists \\ho spccilllizcd in hemotology and ,,ere 1.hra:lly involved in HlV- tc:.llng were intcn•iC\\CU. They \\� no Assl.stant Director Medical (.uborJlOry
Sc,cnlisl (ADMl.S). o Clucr �icd1col Laboratory Sc1cnlis1 (C?\,1LS) and o Sc:n,or :'vlcdic-.nl Lnboratol)' Scicnti,t (S�tLS).All of them hod one training or lhe other in HIV counselling und test (liCT). \Vhcn o.skcd oboul their troin1n11 nnd c .. pcnaice. they
responded, "l'e.f / l,ud lonrr trul,11ng Irr Abu10 and UCJI, Jbudun. around 2006. In 1007
"·c did .fon1e at UC/f. u11d we I ro n: been ltm·lng prugrun1111e here 01 Ad�o>-O �,nee that time on HCT. · (TI,c ADMLS). ''/ aJtendctl 1rorh/111,» at UCJI, Jbadan and l,crt too,··
(The CMLS) · rts sen1inar:s and .tcrfrs u/ ,,ork..,lwps at 4Jeoyo and LJCH. lbadan.
TIiey art• prngr,1n1111e sponsored h> PEPF. fR." (The S�U.S) On the time the HCT programme �U1rtcd o.l Adcoyo, the !'C!-(lOOdc:nlS slllrtcd. ·11 s1ar1etl sum.- J,·u� cJgo. uho1,t
jll'I! year, ugt1.' (rho Cl'IH-5) "/ Jon 't llally knon but II Lf should� more than tMo y11urs """· (fire SU.IS). "It tt11rtcJ 1n 1005 fro"' ( Cl/. /,y th<Jt llmi: Wt' i,ere unJ,:r U<.:J I a,\ a soJtllite, 11·r wtrt 11111/111(1' resp<inslble, but lwt Jt:ar 1011 ar-tb ltl08, M·t becume
/11/ly quull(icd to n 111 /{(7' .,en·1ccs ot .�cl<'O}'fl \(aJernil)· Tcl.ll·h1njt H,1.1plt<1l her, ,, ,<11/ it PE.Pr IR progrnmn1c (1bc AO�U S) On the: numb.:rS of the pn:&Jlllnl "omen th3.l hll"c:
been 1cs1cd since the prosrumme ,uutc:d, nil of them agreed 1h41 lhc:y Ylcn: rrumy but mnJoril) could nol �tolll tlie nu,nbcf, / can $In' 1100111 10. 000, btcawr .,,. , .. ,, a/,cJut 100 pt'r week. ll'hlch ,s rc,u�hly JO, ()()0 ptr ytur II Jhoulil n..-n b..• mare 1/1011 1/1u1, • (Inc ADfl.tLS) 'Inc oiher t\\-O sc,c:ntistS ,,ere not wrc, '/ ,l,,n 't h.J,·e the d.Jta. bw '"'"!Y h.ne been tcJtcd • (Oic Cl'ltl.S). c,,n1p.,nng lhc: posi11,·c �ult� \\ith t.be nq;;s11,c rcsuh.s. the
�· · 1 ll 1 ·�y J ,·,u1 sin· about JOO ha>·r b<l'II I'"'"""' 111,1 of c1b(Ji.111 000
-u:nusts mve 10C o - , • . •
te,te,I, urnund 7 000 pllt• ,,,re n,·1-.,1t11'i' whllt tM ri'trklln/11� ''""' 111<kttrm1n.1111 resu/1, I" ho 1 ,1,- 11 11/ ,iJ1n' 70¾ t,, ,'ion. IJl,J pos, 11 ,,e LWI b. cJOOut 1°" to
re can 1a1· I t t " fl•'f</r:l � ·
JO'}{,, •• ( I he /\0!'111 S), n,, ,,.,.11111� ,rJu/t• lltt fi·'1<f tMII ,� 11rga 11 ,..- (/1<.: IHIIU 10
II l>c an>lll'ICI �°" t,• M' Jvr /M ne)!'11l•'C' "h/1,, obo,;1 /"" ,,,
put II 111 p;:rcentui,:t /I ,,1
, I I rt ult• " tC� tl.Sl -,��a11,·t" N'.iull.< art n1<•r(' t>wn th"
1U • 11 JI/ j/11 tu 1/11• fJO' t ,..- 1
UNIVERSITY OF IBADAN LIBRARY
-1.17 Fintlings from ln-<leptb lottrvit l\�S conduclNI with tbt Lahontor) · scicoti!ls at Adto) o l\htcrnlty Teaching Llospltal, Yc:mctu, lb1d11n.
Training antl EJ.pcricncc
Three Laboratory Scientists who spc:cillliz.cd in hemntology and \\C:re Jircclly invoh·cd in HTV- le.<.ting were intcr.•icwcd. ·niey ...,-er,: an Assisl4111 Director Medic.al f.aborntory Sc1en1ist (ADMLS), n Clucf t-.1cdicLll Lnborotory Sc1cnlis1 {Ct-.lLS) nnd I Senior �1cJicnl Laboratory Sclcnti,1 (SMLS).AIJ of them hod one troi.ning or the other in Inv
counselling and lest (l-tCl). \Vhcn nskcd about their tnunins nnJ c::,;pcriencc.. they responded. '' Yes I /,ud �on1c tralflirtg in Abuja and l.:CH. Jbudu11 around 2006. i11 2(>07 11·c tlld sorr1t! at UCII. (llld II e /,m·c �en hm•l11g prt1!,.,,.umn1t htrt: ut Adeoyo since that time on HCT.' (The ADMLSi "/ aLtonded worksl,ops ut UC/I. /1,adm, and /,ere too,"
(The C�ll.S) "l'e.1 1tn1inars, and serits of 11urA..thups of 4deoyo and U<.'H, Iba.Jan.
7'1,ey arc progr(ln1111e sponsored by PFPFAR." (The S�lLS). On the time the liCT progn,nunc MUJ'1ctl 01 ,\dcoyo, lhe �pondc:nL, sltlrted. · II started somr J\'t1rs ago. a/HJut /h'<' )'l!UT\ ago, (Tho Ct.11..S) "I tl<1rr'f rcall>· aiou• but II Is should be mort! than '"CJ y.:ur.\ 11011," (f/11! SU.IS) It .1111rttJ i11 20QJ Jron1 l,'C/1. hy that lime we -.-en under t'C..'11 as ,, saJcllile 11·e w.-r, not fully rcsponJlble, but la.11 >·tar toll'ards 21108, M-'t' became fully qualified to run HCT .ftn·lccs aJ A1l. :O)'CI .\luter11it)' Tcac:hin>: Ho.rpllal her, Me ,:<11/ It J>L::l'l-i1R progrummc (llic AD�ILS) On lhc number.I of the rrcsn11nt ...,omen tlw h11\c been testcu since the prognunme �uu1cJ. iall or them u� tha.t lh<:) "'Cl'C =Y but mnJPrily could 001 slate the number I can JU), abotlf 10, 000, because ... , tr:fl oltou1100
""' ll'tt!.l 11•/1/ch is ro11ghl> /0, ()IJO ,..., )t'Ul It ,1,ou/d l'\'01 M more tfijln th.ll
M rn,c ADI\ILS) Inc other'"" scientists \\Cl': not sure. "/ Jan 't lun·c IM J.ita. bui m,un• hcn·c been te.stcJ ... (T11c C�tLS). Componng the po\ill\-C �ults i\llh lhc ncp t hc rcsul�. the
,r' 1• h ll t say / •"n sa• oba11t JOO lune been J'(>J llh -c 0111 uf,11'H111t 12. (}(}() -1cn 1slS ave tc:5C o ,
t J .. , 7 """ 1., 11 �,A nt••,1111'1' 1• hilt tM rYm.llfliflg "",... 111,ktcnnil'llllt rt.1ults t:1t,: tlrtll/lJU uvv p �• • • ,.
· ill .,,.., 7tm to liOY«.. onJ pcui111-c .-an b. c100111 1°" to ll't Cll/1 .fCI)' that tl,f ll<'Jlalll't' I< Ct • .,
. ., "l1 n1uitl\� rt.111/t1 1iri' fi.,.c, than,� ncgatl\'C (f 1rt 1111111 to J(J'Jr. ( Ilic /\0!',11 :.}. Jf! r ·
I �Off to IJf}'n for the Mgati,-c "hi/" aholll I tl¾ to put It #11 ,xrcr11ttJ�C ii "Ill M< c1n 111"' '
• ult " (CJ\11 S) ·,· .- gatn'C' r('.Juh•
flrt' 111orC" thi1n th,•
10¾ 11'/(I go ta the pc> .1//fn• rti J �
•
12.l
UNIVERSITY OF IBADAN LIBRARY
AFRICA DIGITAL HEALTH REPOSITORY PROJECT
positi\•c results. It co,r be 80"/4 ta 11egatii-e. J .S¾ ta poJiti\� and .S¾ ta i11detcrmi11are result. "(Sl',,11.,S).
On lhc steps involved i n the actual 1 UV tci.ling, the laboratol) scicntisu responded, "The ,,tcps i,n·olvcd ore that when IH' rak" the blood san,plt, we l,u,·e rwo kiu to be used, 11 e
ltu1·11 rapid test ldts to be used. like "dttt!rmint" u11d unotlrt·r 011t //,at we art using. Afltr tllut, 1vlte11 the result i.r positi1•c II e "''II ask thr pc11/e11t /IJ c1Jn1t bock 11101 ,n.• ,,·ant ro collect u11atller blood sample for co11firmotOI')' test. A/lt!r the conflrn1otol')' test, tht!re are ct•rtt1/11 tc.1u l\'C need ta run /flt is rcall> pos11/1'C, ,,e 11'111 talk ro tllc fam,I>, ,,·e ,,111 talk tn tllc /11ubu11d on l,o-..• to use co11doni how to /01·e this patient and that he cannot Jfiuun lu:r It I.� In Jorn, of co1111sclli11g th� family tl,ut ii 11n-o/1·cd Also ll't' "ifl gi,•c• 1/11ne ,ln1J:i beco"·'e 11•c are 111011flori11g thtm C\'CI')' tlvet 11ccks. 9n1on1/is and Jy,.ar . .. (ADl',,fl.S). TilC
\\�o other 1>C1cntist, ,cspondcd in o �11nil11r ,wy," \Ve II'/// collect rhctr h/oc,J ,ariples and
"" tire le.\/ II c use rapid test I.it uflcr 11hich we ,uc another typ,:for t/1<· cunjirnuJ/ory test if tht rcl11lt II as posililY, · (TI1c CMI.S), Ille lllbor:itory scicnli�t.5 \\ere nslcd questions on ho,v they usually hondlc tc:.t rcsullS nnd all of them rc:-pondcd in o common ""''IIY,
Sc:c:r1.•tl)'; and "'''" co11f11l.•ntlolit), ii (J 1101 an opc:n tiring. w/rtthtr II i., negati,-r or po.fiti,·c: Tesr re.rulu pa"-f tlvougJ, stuff ru .11off (Le. fro111 w 10 the i:uun.,,·llors) not from patlc,11 to .\(UjJ Nobcxi)· 1, //I Jft II �ccpl tire roun.,tllort that Ore' go i ng to do the:
cuu1ut'lllng. • (AD,\ILS) "TJr, rtftase of the rtJulr IJ absol11ttly conjidtnllul," ('The St.1l.S). lltc LobortllOf)' Scic:111is1S ,1111cd thJl the) don't u.sullll) llll�c Wl) further interaction ,vith the prcl!Jlllllt "'11men IL,l!Jc the tct:ting �urc, s,rx.c JK:y ho,c � counscled by the counsellors. "No fartl1cr 1,11cruc111111. If m<l) not (S.\fl..\) "Oni:c thc, · hu,·t· dtJt1l• the cuu,utlllng for them. our 01..i1 tu 1,-tl tht t>iooJ a,-J lt.>I a11J g11 c then, fi I I I ( Al) •tl S) ·Our h1u1m:u iS to,,., IM '"'' unJ ,:er the re1ult s,·111
lit( 11:r 11.1/rtu:I OIi ;. • tl ir u11xh proper c/1111111,I . . (C!', 1l S}
0 h · .... . 1 JOb 11.� ii relates 10 1 UV c,,unsc!lh� nnJ let-ling llC1' i-'Clt.
11 the r,u:tur.. en Mc1nQ ""''
I fi • ;s 1 1 , , ... ,, p£rf:�R II sll·l"ll 1.i htfpi,ig fkuw/ 1ht1 ,upp l ,· ,� AJ,,
n uc:I 11 c tl1<JIIA ut)( I '" •• '
I ii<•' t,nwttht ,nochr M fi•r 1u 01.J u• fiir ,.u n1t11Cnul, arc I/wt 11 e arc 1u/11g t1'tr>' 11ntl', ., •
,- (the ,\t)�ll.<;) •u ' r /wrl-c tn01tr1al1 10 ,..,.,.,l ,..ith t, 111
(fl/lC-.-r111'd · II&' (l,C ju/I)' Ct/
lJ/fpt' 1 , ,., '"" ,n11th • 11or1/,,.,.,�, (the Sl\.11..S)
"" 11/w11y1 /,.i1't! m11111 ,,,11,nts g h ''-'=
UNIVERSITY OF IBADAN LIBRARY
"The inf111cnc11 of PERF'AR that b 11 i/l new loborCJlory for 1u wilhfull uir-{:011dlt/011crs and matcrtals ta curry 0111 11,c test ca1111ot be ow:rtmplwstzcd (CML.S) On the factors 1ha1 mililDlc ogo.i.ns\ their Job, oll the sciwlislS shnre the same opinion. "light -..atcr and 1llurtugc of personnel CJlld much llorlc loo,l ·· (AD�U..S). "IJ'hat / can HJ}' l.'f t/,ot 1/1.: /If.I/JI problc111, the n•utcr und fNTJ01u1cl problem are the dwllengc� we ar.: factnR, (l',\fl-'\)
"There Is r1111ch work loa,l that Is the way Adtoyo Juu bren. In spite of tht .rtate Jlosp,tal Rl11g Road and 1/ 11 • /{o�pltals at Jencho wilt fXOplt still rwh J1J1t1n '" Adt:O)'O; t/14)' will 1101 be satl.iflccl ·· (SMLS). \Vhco lhc quesllon "� oskcd \\hcthcr the scicnlists ,,,en:
sousfie<l ,vi1h ihe HCT scl'\'ICC> on ground al Adeoyo t.fntcm1\) TC11Chiog llosp11.al, lhl..-y oll expressed their sutisraction based on thesuppl) of the 1tU1ttria.ls ror the test pn,ecc.iurcs :md lhc counsellin" �\.111 or the counsellor.., l'e.1. rhLy an g,,·mg thrm go<>J counselltng onJ ,re or•' g/1•/ng thcr11 good scn·lcc.s IOQ. w.- arc Jalisf,td t,ccausc tMJ' ""'"' bun
'
s11pplyl11f.1 ,u "'"'' n1uteriols wt need for our !\Or.I: to RO on smoothly,• (11ie AD.\(IS} "/
an, Jatl.ifltcl ll'lf/, the /c,-rl of our :Jtn·lcc htrc: de.spite 1h,• M-ork l,HJJ. 11c s11II hm·c ,, hat
10 work ll'ilh If you don '
1 hO\'t: wlwt )'OU wi/l 1uirkn'11h )'OU wn t,cjrustrcre.J. bw then ls ruun, for ir11pro1-cmcn1, (C.\fl.�) "Tlit Jtn·/cc lr 11n Jun and •• • a.re sco: 1 ng t:tX>d rau/1 frun1 11 1/Jut Ls cnougl1 satl.1fuctlo1t /Jui II can Jtill be l,clltr lSl'llLS) \\'hen \he) "'a,:
Mkcd to mokc n:commcnJnuon for belier HCT �ice at A�)" �i;itcmtt) TC1Cb1ng I lo�pilol. tlic Ltlbomtory scientists rcspon,1':d. • Ire on JWJt �,ng. to our cmp/o·J cr tu 1:h·c uf ,norl" rtt1/f. 1ra111cd mid 1/rtiL•<'J to 1tw-k . . uh .._, IJc CUNW1 rcdu.x lM men.1xr patll!nl\ cuniing 10 u.s .. JlflC'<' tht)' come from all ang/t.J 1ndl,·li11M1fh un,r�cdrdh bur -run 1,u,r,·,uc .JICJ.t/. "" clln 111114.- surl" f/l&JI ,,., ... er h supplf�I :,1v, and IINIV- s1lppl) t<.>o
for 14/irs, • (J\1)�11 S) Jh,• gcnvr11n1t11I J,,11Jd not rcJ,nJ in dwu ,ffuro t s'"" us
1
&. • , I ou/J t,u, ,n,Jt"h!M, atkl ,,..Jun \i:qK1ptm:N cJi.u
11clequut" sup11ly ,,f m,,,,,,,, J '"' I J '
JI I h 1·- 1«vl. • (Cl'ltl....'i\ Tru� f stqff Jhat:!d within :il 1 1>rt tln1e 11<' full " 1 1
-.-,1/ fl,.1t /IJl't' b<NI truJMJ b,i-_f\.)tt ..,.,J n-,TII ,.,
11t1K11l11g Retr11ini111: ,,f 1/1111 11'1<1'
• Jht,ul,I nm IN- IL""1td t ' a,rl,.m � alont:"
