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Malawi is among high TB/HIV burden country with annual TB co-infection rate of more than 46% over the past several years with HIV remains the most important risk factor for developing active TB disease. Malawi has made significant an improvement in term of TB expansion of TB care and prevention services across the country. The Global fund support through NFM I and NFMII grants take a lion share in the expansion of TB diagnostic services and building the capacity of HCWs. Currently the three are 392 health frailties providing microscopy services, and more than 81 GeneXpert sites and 3 culture and DST laboratories in the country.

In Malawi GeneXpert is the primary diagnostic test for all key and vulnerable populations (KVP), which account for nearly half of all presumptive TB patients nationally. All pulmonary TB cases are also eligible for full culture and first line DST. Full culture and DST are done at National and Regional reference laboratories. The country has been experiencing a low DR-TB notification compared to the estimated cases over the past several years. The low DR-TB detection is mainly due to low coverage in Drug Sensitivity Testing (DST)which is at 31% among all notified TB cases. Limited diagnostic coverage for GeneXpert, sub-optimal sample transportation system and low index of suspicion by Health Care Workers (HCWs) to identify presumptive DR-TB patients are some of the factors that contributed to the lower DR-TB detection. The national TB control and leprosy control program would like to improve the capacity at National and Regional culture laboratories through capacity building and technical support. As part of capacity building, the program would like to strengthen the human resource capacity at NTRL by hiring fulltime highly qualified laboratory Quality Coordinator at NTRL on contract basis.

The following are duties and responsibilities for the post:

Major Duties and Responsibilities

As the person in charge of ensuring results of the highest quality, the Lab Quality Coordinator creates systems to monitor data quality and performance. He/she is expected to confirm that procedures adhere to safety and compliance rules and regulations. The quality Coordinator is responsible to conduct testing in timely manner, personally reviewing any abnormal results to find out the root cause of the irregularity and troubleshoot.

Under direct supervision of NTRL Manager, the Lab Quality Coordinator will discharge the following duties and responsibilities:

  • Provide support to NTRL to improve the quality of smear microscopy, improve external quality assessment (EQA) for smear microscopy and GeneXpert, including implementation of EQA guidelines, analysis of the results of EQA, and strengthening the feedback mechanism to microscopy laboratories, review results of panel testing and rechecking, provide suggestions for corrective action
  • Develop/strengthen innovative protocols/SOPs for sputum transportation from the health facilities using triple packaging protocol to ensure viability of samples, timely testing in labs and prompt notification of results.3. Work with NTRL team and NTP PSM team in TB laboratory supply chain and inventory management system.
  • Support two regional culture laboratories and district laboratories through supportive supervision and on-site mentorship\/coaching of laboratory staff.
  • Support NTRL in the implementation of LQMS in selected district hospitals
  • Review quality control records for the laboratory and ensure that corrective actions are taken when necessary
  • Ensure that TB laboratory related records, data and documents are being timely reviewed, updated and properly kept
  • Perform other duties as specified by the NTRL and NTP Manager
  • Support NTRL, two regional TB culture and district laboratories in proper routine and scheduled equipment maintenances, calibration, and verification.
  • Coordinating all laboratory LQMS activities with relevant stakeholders and referral laboratories in monitoring their performance under the jurisdiction of NTRL Manager
  • Capacity building within NTRL- the coordinator is expected to build the capacity of laboratory staff at NTRL and sub-national level through on the job training, continuous mentoring /coaching NTRL team on their day-to- day tasks. He /She expected to prepare a capacity development plan within NTRL team with the goal of building effective communication, productivity, coordination, planning and analytical skill and the development plan to be implemented during each contract period

Working place: National TB Reference Laboratory, CHSU

Employment condition: Full time

Contractual basis: The post is open only for Malawian Nationality

Duration of contact: Initially for one year with possibility of extension annually based on merit and availability of funds


TB Lab Quality Coordinator is directly accountable to National TB Reference Laboratory and NTP.

The NTRL will supervise the performance of the coordinator and provide written report and recommendation for renewal or termination of the contract.

MOHP human resource management policy and regulations will apply to guide the day to day services of the coordinator.


  • BSc Degree in Laboratory Technology and Master\u2019s degree in medical laboratory sciences or equivalent from recognized university/Colleagues


  • Minimum Seven years qualification experience including experience in TB laboratory system support at National or subnational, or international NGO.
  • Sound knowledge of basic principles, techniques and safety procedures and Quality management in the laboratory system.
  • Knowledge in Laboratory Quality Control Assurance, and strong experience of instituting good laboratory practices.
  • Hands-on experience in new TB diagnostic Technologies such as Florescent Microscope (FM.), GeneXpert, Culture and DST
  • Experience in provision of trainings related to TB laboratory, demonstrated experience in mentoring, coaching, and enabling laboratory staffs in health facilities.
  • Excellent oral and written communication skills in English and Local language

Competencies and Skills

  • Strong interpersonal communication to run a laboratory accurately and efficiently is a must.
  • Organizational skills
  • Acts as a team player
  • Sound analytical skill
  • Ability to read and write policies or SOPs regarding safety and quality assurance for use in the lab.
  • Ability to read and analyses reports from laboratory equipment to ensure everything is operating in an efficient manner.

Submission of Application

Applicants should send their applications including a detailed Curriculum Vitae, copies of certificates plus names of three traceable referees. Inclusion of Telephone Numbers and email addresses will be desirable for ease of communication.

Completed applications must be clearly bear the title of the vacancy he/she is applying for and be submitted to:

The Secretary for Health

P.O Box 30377


(Attention: The Director for Human Resource Management and Development) Not later than 12th February, 2021.

Skills Required

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    Full Time
  • Positions
  • Apply Before
    13 Feb, 2021

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