Laboratory facility level | Test users | Country examples | |
Nigeria30 31 | Sierra Leone32 | ||
0 Community level | Community members, healthcare workers | Local community | Local community |
1 Primary care setting | Healthcare workers | Primary health centre at the village and local level | Primary health centre at the local level |
2 District laboratory | Laboratory technicians | Secondary health facilities at the state level | District health centre/hospital |
3 Regional, provincial, specialised laboratories | Senior laboratory specialists/technicians | Tertiary health facilities at the federal level, for example, ILFRC at ISTH, Irrua | District health centre/hospital, for example, KGH, Kenema |
4 National reference laboratory | Senior laboratory specialists | Nigeria Centre for Disease Control, Abuja | Central Public Health Reference Laboratory, Freetown |
*Adapted from the WHO Consultation on Technical and Operational Recommendations for Clinical Laboratory Testing Harmonization and Standardization.17
ILFRC, Institute of Lassa fever Research and Control; ISTH, Irrua Specialist Teaching Hospital; KGH, Kenema Government Hospital.