Questionnaire to be completed by specialized institutions willing to engage into a twinning project The questionnaire is to be sent in electronic format to Dr C. Mathiot or Dr S. Cognat at mathiotc@lyon.who.int or cognats@lyon.who.int or by fax (+33 4 72 71 64 71) or by mail to WHO Lyon Office, 58, avenue Debourg, 69007 Lyon, France Deadline: 20 April at the latest 1. Name and designation, address, telephone numbers, e-mail of the applicant: 2. Name and designation, address, telephone numbers, e-mail of the head of the laboratory/institution (if different from above): 3. Please attach a CV, including scientific bibliography, of the person who will be responsible for the implementation of the twinning project: 1 WHO Lyon Office for National Epidemic Preparedness and Response Laboratory twinning initiative 4. Short description of the laboratory (size, status, main activities, public health functions, etc.). Assessment criteria: clear understanding of the activities, public health role and current capacity and resources of the laboratory: 5. Given the objectives and ground rules of the laboratory twinning initiative, what justification can you provide to support your role as the specialized institution? Assessment criteria: evidence of international recognition (WHO Collaborating Centre, quality certification, scientific publications, international advanced training, etc.): 2 WHO Lyon Office for National Epidemic Preparedness and Response Laboratory twinning initiative 6. What is your experience in strengthening laboratory capacity for epidemic alert and response? Assessment criteria: examples of successful laboratory collaboration, especially with resource-limited public health laboratories: 7. Which areas of competence would you be ready to share with a resource-limited laboratory? Assessment criteria: such as technology transfer, diagnostic methods, quality control, management/procedures/quality assurance, microbiology, virology, research, etc.: 3 WHO Lyon Office for National Epidemic Preparedness and Response Laboratory twinning initiative 8. Do you know any resource-limited laboratories in developing countries likely to be interested in engaging in a twinning project with your institution? (optional) 9. Do you know any donors likely to be interested in financing the project? (optional) 4