Short Term Technical Advisor for the CTB Indonesia Project

KNCV Tuberculosis Foundation is looking for a

Short Term Technical Advisor for the CTB Indonesia Project

Laboratory Quality Management System (LQMS) Training

Terms of Reference
KNCV Tuberculosis Foundation
KNCV Tuberculosis Foundation is an international non-profit organization dedicated to the fight against tuberculosis (TB), still the second deadliest infectious disease in the world.
KNCV is an international center of expertise for TB control that promotes effective, efficient, innovative and sustainable tuberculosis control strategies in a national and international context. We are an organization of passionate TB professionals, including doctors, researchers, training experts, nurses and epidemiologists. We aim to stop the spread of the worldwide epidemic of TB and to prevent the further spread of drug-resistant TB.
Over the past century we have built up a wealth of knowledge and expertise, initially by successfully controlling TB in the Netherlands. Since the 1970s, we have also shared our knowledge and expertise with the rest of the world. We operate from a central office in The Hague in the Netherlands, a regional office in Central Asia and country offices worldwide. KNCV raises funds from private, institutional, corporate, and government donors

Challenge TB
KNCV is the lead partner in Challenge TB (CTB), the USAID-funded 5-year global program to decrease TB mortality and morbidity in high burdened countries. We lead an international consortium with eight partner organizations: American Thoracic Society (ATS), FHI 360, Interactive Research & Development (IRD), Japan Anti-Tuberculosis Foundation (JATA), Management Sciences for Health (MSH), PATH, The International Union Against Tuberculosis and Lung Disease (The Union), and the World Health Organization (WHO).
The overarching strategic objectives of Challenge TB are to improve access to quality patient centered care for TB, TB/HIV, and MDR-TB services; to prevent transmission and disease progression; and to strengthen TB platforms.

Background on the Indonesia culture reference laboratory network
The Indonesian National TB culture laboratory network is undergoing some major changes and the number of laboratories with competency in TB culture, and drug susceptibility testing (DST) has rapidly increased in the past five years. At present, there are four National reference laboratories, and in total 13 laboratories certified for culture/DST. Four other laboratories are in the certification pipeline, currently undergoing the proficiency testing process for culture DST. The four NRL’s have different levels of experience in their national roles.

Strengthening laboratory services and systems is essential for universal access to high quality laboratory diagnostic services. One of the best methods for effective and efficient strengthening of medical laboratories is the implementation of a laboratory quality management system (LQMS) based on the international quality standard ISO 15189. One of the tools for this process recommended by WHO Global Laboratory Initiative (GLI) is the GLI Stepwise Process towards TB Laboratory Accreditation tool (GLI tool). This tool is a web-based tool specifically for medical laboratories to guide them with a very practical step wise implementation of the Quality Management System.

One of the CTB five year Strategies in Indonesia is developing and following a step-wise plan to implement TB laboratory quality management systems toward accreditation. This is also one of the mandatory indicator in CTB project. This indicator measures whether the country has started a continuous quality management assessment of National TB Reference Laboratories or Regional Reference Laboratories, and whether the progress is being made towards accreditation.

Purpose of the Assignment

The CTB project is looking for a consultant to conduct a five-day training for National Reference Laboratory (NRL) staff, on the GLI recommended LQMS based on the international quality standard ISO 15189. The training will be conducted based on the GLI tool “Stepwise Process towards TB Laboratory Accreditation”.

In addition to the five day training on the LQMS, the consultant is expected to give a three day training to the mentors who will follow up on LQMS and guide the laboratories along the way.

a. General Objectives

  • After completion of this training, participants will not only understand the concept of quality, the role and structure of quality management systems, but will also be able to start implementation of an ISO 15189 quality management system in their own laboratories.
  • After completion of the training, mentors have the capacity to mentor the NRLs during LQMS implementation

b. Specific Objectives

  1. Participants have a practical understanding of the role of the different components of the quality management system in creating quality controlled and quality assured laboratory processes.
  2. Participants of this training are familiar with the GLI tool, have the skills and expertise to use this tool for the implementation of a quality management system in their own laboratories.
  3. Mentors are able to provide clear direction and guidance to the laboratories to successfully implement LQMS.


  • At least two weeks before the training starts the consultant will send the preparatory materials to the training organizers, for participants to prepare for the training;
  • All training materials;
  • A summary mission report within five days of the end of the trainings;
  • Debriefing PowerPoint;
  • A full training report within two weeks after the end of the trainings.

Follow up and mentoring
The Ministry of Health in collaboration with in-country partners will support the laboratories to implement LQMS, in close collaboration with the National Institute of Health Research Development (NIHRD) and the National TB Program, under the supervision of the head of medical services.

Timeframe & locations
Training for all participants (approx. 18 persons) 15 – 19 May 2017, Jakarta Indonesia
Training for the mentors, KNCV/CTB and Bantu staff (approx. 6 persons): 22 – 24 May 2017, Jakarta Indonesia


  • A degree relevant to the assignment;
  • Proven experience in Facilitating LQMS training, using the GLI Stepwise Approach Towards TB Laboratory Accreditation (;
  • Excellent oral and written skills in English and preferably in Bahasa Indonesia ;
  • Self-starter, team player, dynamic, solid, open, flexible, integrity, organizational awareness;
  • Understanding of cultural differences.


  • A consultancy contract for the period of the assignment;
  • An international environment where initiative is appreciated;
  • A fee that is reasonable for the scope of the assignment.

Application and information
Your application (curriculum vitae, proof of experience and proficiency in the stated assignment) should be sent before 17 March 2017 to:
Evy Akmal at

For further information on KNCV Tuberculosis Foundation, please see