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Regulatory [Regulated Pathways](/ecosystems/regulated-pathways)WHO PQ Dx 

# WHO Prequalification (Diagnostics)

WHO assessment of IVDs to support procurement by UN agencies and low- and middle-income countries.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

The WHO Prequalification programme evaluates the quality, safety, and performance of priority IVDs (e.g., HIV, malaria, TB, hepatitis) through dossier review, performance evaluation, and manufacturing site inspection. 

What the regulation says

The World Health Organization (WHO) Prequalification of  [In Vitro Diagnostics](/terms/ivd) (IVDs) programme assesses IVDs intended for high-burden diseases in resource-limited settings. This assessment ensures these IVDs meet international standards for quality, safety, and performance, facilitating their procurement and use by international agencies and national programs. The program involves a comprehensive evaluation process that includes dossier review, performance verification, manufacturing site inspections, and a  [post-market surveillance plan](/terms/pms-plan), as detailed in various WHO technical guidance documents for IVD prequalification. 

## What this means in practice

WHO PQ status is a de facto requirement for Global Fund and Gavi procurement and increasingly referenced by national regulators in low-resource settings. 

## Examples

-   A diagnostic kit for HIV receives WHO Prequalification, making it eligible for purchase by organizations like UNICEF for distribution in African countries.
-   A malaria rapid diagnostic test (RDT) with WHO Prequalification is adopted by a national malaria control program in Southeast Asia as part of its diagnostic strategy.
-   A manufacturer of a tuberculosis diagnostic submits its product for WHO Prequalification to increase its market access in countries supported by the Global Fund.

Common pitfalls

-   • A common pitfall is misunderstanding that WHO Prequalification is a regulatory approval in itself, rather than an assessment program that informs procurement and national registration processes. 
-   • Manufacturers sometimes underestimate the rigor of the dossier requirements and the on-site audit process, leading to delays or failure in prequalification. 
-   • Assuming that a device prequalified for one intended use is automatically suitable for all uses, without considering specific labeling and performance claims, is a mistake. 
-   • Failing to maintain the quality management system and post-market surveillance commitments after prequalification can lead to suspension or withdrawal of PQ status. 
-   • Another pitfall is not engaging with WHO guidance documents early in the product development process, which can result in significant rework to meet prequalification requirements. 

## Frequently asked questions

Is WHO Prequalification a mandatory regulatory requirement? 

While not a mandatory regulatory approval in the same vein as FDA clearance or EU CE marking, WHO Prequalification is often a de facto requirement for procurement by major international bodies like the Global Fund and Gavi, and it influences national regulatory decisions in many countries. 

What types of IVDs are prioritized for WHO Prequalification? 

What is the scope of a WHO Prequalification assessment? 

How long does the WHO Prequalification process typically take? 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Regulatory

EU In Vitro Diagnostic Regulation(IVDR) 

Regulation (EU) 2017/746 governing in vitro diagnostic medical devices in the EU.





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510(k) Premarket Notification(510(k)) 

FDA submission demonstrating a device is substantially equivalent to a legally marketed predicate.





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510(k) Summary vs 510(k) Statement

Two alternative disclosure mechanisms in a 510(k) submission, a Summary is public on FDA's website; a Statement promises to share Safety & Effectiveness info on request.





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513(g) Request for Information(513(g)) 

Formal mechanism to ask FDA whether a product is a device and, if so, its likely classification.





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510(k) variant that relies on FDA guidance, special controls, or recognized consensus standards.





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Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Regulated Pathways](/ecosystems/regulated-pathways)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

WHO· 1 European Commission· 1 IMDRF· 1 

1.  [1 
    
    WHO Prequalification of IVDs
    
    Verified 
    
    WHO · extranet.who.int 
    
    
    
    ](https://extranet.who.int/prequal/vitro-diagnostics)
2.  [2 
    
    European Commission - Medical Devices
    
    Verified 
    
    European Commission · health.ec.europa.eu 
    
    
    
    ](https://health.ec.europa.eu/medical-devices-sector_en)
3.  [3 
    
    IMDRF Documents
    
    Verified 
    
    IMDRF · imdrf.org 
    
    
    
    ](https://www.imdrf.org/documents)

Inline markers like \[1\]  jump to the matching reference above.

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On this term

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WHO PQ Dx

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WHO assessment of IVDs to support procurement by UN agencies and low- and middle-income countries.

-   · WHO PQ status is a de facto requirement for Global Fund and Gavi procurement and increasingly referenced by national regulators in low-resource settings. 

Remember this

Watch out: A common pitfall is misunderstanding that WHO Prequalification is a regulatory approval in itself, rather than an assessment program that informs procurement and national registration processes.

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-   [EU In Vitro Diagnostic Regulation(IVDR) ](/terms/ivdr)

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