To provide insight about the impact of US funding cuts and inform advocacy to improve access to and quality of HIV diagnostic and laboratory services, the International Treatment Preparedness Coalition (ITPC) implemented a pilot CLM project on HIV diagnostic and laboratory services with its community partners in Burkina Faso, the Democratic Republic of Congo (DRC), and Sierra Leone and with support from the African Society for Laboratory Medicine (ASLM) through its Laboratory System Strengthening Community of Practice (LabCoP).

The pilot was designed to monitor whether health facilities followed WHO and/or national guidelines and to assess long standing systemic challenges, as well as impacts resulting from the 2025 funding reductions.

The 2025 CLM for Laboratories pilot project objectives were:

1.Monitoring availability and accessibility of HIV testing, with a focus on self-testing; early infant diagnosis (EID), CD4 cell count testing, HIV viral load monitoring, and TB screening

2.Identifying underlying causes of dysfunctions in these testing and screening services

3.Documenting impacts of the 2025 US funding cuts on the provision of these services

4.Using CLM data to advocate for improved diagnostic and laboratory services