Enhanced laboratory capacity development: a boost for effective tuberculosis control in resource-limited settings

- The challenge of tuberculosis (TB) laboratory diagnosis in Sub-Saharan Africa is described.
- Investment in laboratory capacity building is a must for successful TB control-the CERMEL Lambaréné experience is reported.
- Active collaboration between stakeholders is a must for effective TB research and control.

SummaryBoth routine and research tuberculosis (TB) laboratory capacity urgently need to be expanded in large parts of Sub-Saharan Africa. In 2009, the Centre de Recherches Médicales de Lambaréné (CERMEL) took a strategic decision to expand its activities by building TB laboratory capacity to address research questions and to improve routine diagnostic and treatment capacity. Over the past 7 years, a standard laboratory has been developed that is contributing significantly to TB diagnosis, treatment, and control in Gabon; training has also been provided for TB research staff in Central Africa. CERMEL has a cordial relationship with the Gabon National TB Control Programme (PNLT), which has culminated in a successful Global Fund joint application. This endeavour is considered a model for similar developments needed in areas of high TB prevalence and where TB control remains poor to date.