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Mission Statement

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Title: Mission Statement Author: DELL Last modified by: Vini Created Date: 8/16/2006 12:00:00 AM Document presentation format: On-screen Show (4:3) Other titles – PowerPoint PPT presentation

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Title: Mission Statement


1
National Voluntary Blood Donation Program
Vinita Srivastava Program Officer, Blood Safety,
NACO
2
Introduction
  • Blood is a Precious life Saving resource
    obtained only from human donors
  • It is the responsibility of government to ensure
    that the blood supply is safe and adequate and
    accessible to meet the needs of patient
    populations .
  • Human blood is covered under the definition of
    Drug under Sec. 3(b) of Drugs Cosmetics Act
    Regulatory Authorities

3
Linkage Healthcare System
Hemophilia
Surgeries Procedures
Anemia
Obst and Gyn
Cardiac Neuro Cancer Ortho Dental
Blood
MMR
Shock/ Trauma
HIV/AIDS
Malaria
Organ Transplants
Thalasemia
4
Blood Safety under NACP
  • In 1992, 15.38 of HIV transmission was through
    contaminated blood
  • Accordingly, NACO was given the functional
    responsibility to implement Blood Safety
    activities
  • Key task was to
  • Modernize blood banks in the country
  • Promote Voluntary Blood Donation

5
Supreme Court Judgment
  • 1996 January Supreme Court Judgment Directions
  • Mandatory licensing for all blood banks
  • Establish National Blood transfusion Council
    (NBTC) and State Blood Transfusion Councils
    (SBTC)
  • Eliminate professional donors
  • Enact legislation for controlling blood bank
    operations
  • Strengthen enforcement machinery
  • Develop trained manpower
  • Strengthen voluntary blood donation programme
  • Conduct Research on B.T.S.

6
Evolution of Blood Safety Programme in India
  • Mandate Access to safe and quality blood blood
    Products
  • Launching of National AIDS Control Programme-I,
    implemented by NACO
  • Scheme for modernisation of Blood Banks
  • National Blood Transfusion Council 23rd May1996
  • State Blood Transfusion Council 1996
  • Banning of Professional Blood Donors 1st Jan
    1998
  • HCV testing made mandatory for all donated blood
    units (2001)
  • National Blood Policy in April 2002

7
Regulation of BTS
State Health Department
National Blood Transfusion Council / National
AIDS Control Organisation
8
Transfusion Chain
Human being (Donor) Human being (Patient)
Each link consists of several smaller
links (primary processes) The strength of the
chain depends on the strength of the weakest link
not the strongest link The quality of the BTS
is influenced by the quality of each of the links
Blood donors
Collection
Processing
Screening and testing
Blood cold chain
Transfusion
9
Quality of blood Depends on
  • A cohesive comprehensive national policy
  • Centralization/Regionalization/Hospital based
  • Blood donation donor strategy
  • Effective legislation licensing policy
  • Application of GMPs in Component preparation
  • Correct Blood grouping and compatibility
  • Provision of screening for all TTDs
  • Trained and dedicated staff
  • Clinician education and correct transfusion
    practice

10
National Blood Policy-2002
  • To reiterate firmly the Government commitment to
    provide safe and adequate quantity of blood,
    blood components and blood products.
  • To launch extensive awareness program for blood
    banking services including donor motivation, so
    as to ensure adequate availability of safe blood
  • To make available adequate resources to develop
    and re-organize the blood transfusion service in
    the country
  • To make latest technology available for operating
    the blood transfusion services and ensure its
    functioning in an updated manner
  • To encourage appropriate clinical use of blood
    and blood components
  • To strengthen the manpower through human resource
    development
  • To take adequate legislative and educational
    steps to eliminate profiteering in blood banks
  • To encourage Research and Development in the
    field of transfusion Medicine and related
    technology

11
Challenges in BTS in India
  • Fragmented Blood Transfusion services
  • Gap in the demand supply of blood
  • Varying Testing Technologies serology/Infection
    Markers
  • inadequate Blood Components Preparation
  • Lack of transparency in Regulation
  • Lack Of Trained Personnel
  • Lack of awareness amongst blood users
  • Haemovigilance
  • Change the mind set of all concerned

12
Regional Disparity in BTS
  • Reasons
  • Donor base VD/RD
  • Variable Standards DCGI/NACO/DGHS/NABH
  • Manual To Automated Technology
  • Varying Qualification of Manpower
  • Administration
  • Financial support Centre/state/pvt.
  • Categories of Blood Banks
  • Govt Vs Private
  • Hospital based Vs Stand alone
  • Urban Vs Rural and Peripheral
  • District Vs Major cities

13
NATIONAL BLOOD TRANSFUSION NETWORK
Ministry of Health and Family Welfare
Blood Bank Cell of DCG (I)
NBTC
SBTC
State level Blood Banks
Collection Processing
District Blood Banks
Testing Storage
Blood Storage Units
Distribution
14
Infrastructure
  • A network of 1151 blood banks have been
    strengthened, which includes
  • 34 model blood banks
  • 173 Blood components separation units
  • 169 Major Blood Banks
  • 775 District level blood banks
  • 745 Blood storage Centres have been made
    functional
  • 250 Blood Transportation Vans were supplied to
    State AIDS Control Society for transportation of
    Blood Units.
  • 32 Blood mobiles are issued to Model blood banks
  • NACP is implementing a scheme for modernization
    of blood banks by providing one time equipments
    for testing and storage as well as annual
    recurrent grant for support of manpower, kits and
    consumables.
  • Core committee formed for assessment of blood
    banks in states.

15
Country Requirement of Blood
  • Population based ( 1 )
  • For a population of 1.2 Billion (2012),
    estimated requirement of the blood is around 12
    million units, however collection in the year
    2011-12 was 93 lakhs units.
  • Requirement is estimated - Hospital bed based
    (3-30 units /bed /yr)
  • Mapping District-wise
  • Health Care Infrastructure
  • Prevalence of diseases needing blood transfusion
  • Surgical procedures performed and awareness
    amongst blood users for appropriate clinical use
    of blood.

16
Blood Collection in India
17
Total Blood Collection
  • Gap Demand Supply
  • 93 lakhs Vs. 12 Millions

Sector No. of Blood Banks Annual Blood units collection (in million)
Public 1007 5.7
Private blood banks 1528 4.6
TOTAL 2535 9.3
2.7 Millions
18
Objectives of Voluntary Blood Donation
  • Ensure availability of safe and quality blood and
    blood components round the clock, throughout the
    year, at affordable cost to the general public
    and free of cost to the poor.
  • Reduce the incidence of transfusion transmitted
    infections such as HIV, Hepatitis B, Hepatitis C,
    Syphilis and Malaria

19
Need for Voluntary Blood Donation
  • More than 25-30 of the blood collected in India
    comes from family/replacement donors.
  • Such donors are supposed to be associated with a
    significantly higher prevalence of
    transfusion-transmissible infections (TTIs)
    including HIV, hepatitis, hepatitis C, syphilis
    and malaria.
  • For a safe blood service in our country, where
    comprehensive laboratory tests are neither
    possible nor pragmatic, it is best to switch over
    to 100 voluntary donations.
  • As it is now established that only voluntary
    non-remunerated regular donation is the safest.
    Thus, one of our key strategies to enhance blood
    safety is focus on motivating non-remunerated
    blood donors and phasing out even replacement
    donors.

20
Key Strategies
  • Provide Safe and quality Blood and Blood
    Components collected from voluntary Donors
  • Increase awareness on the importance of VBD among
    general population
  • Motivate and maintain a permanent well-indexed
    record of voluntary blood donors.
  • Educate the community on the benefits of blood
    donation and harmful effects of collecting blood
    from replacement donors
  • Encourage voluntary blood donation and gradually
    eliminate replacement blood donors
  • Conduct motivational workshops ,trainings,
    organizing camps at public places ,recognition of
    blood donor organizations and blood donors
  • Assist various Organizations, Clubs, Colleges,
    Public Private Institutions and the public to
    conduct VBD drives

21
Voluntary Blood Donation Contribution
22
Proportion of Voluntary Blood Donation
National average 90
Source CMIS
NACO, MOHFW
23
Constraints of Voluntary Blood Donation Program
  • Paucity of regular voluntary Blood Donors
  • Lack of coordination from SACS/SBTC with NGOs
  • Non availability of support from NGOs
  • Less availability of blood collection mobile vans
  • Lack of commitment from blood banks
  • Lack of effective networking facilities

24
Efforts to Enhance Blood Collection
  • Aggressive IEC activities
  • Collaboration with IRCS, NSS, NYK, RRC, Govt
    bodies to organise Blood Donation camps
  • Rope in Religious bodies
  • Introduce Young donor clubs
  • Provision of Blood Mobiles for blood banks
    collecting more than 10,000 units
  • Inclusion of VBD in School Curriculum

25
VBD 2012 2013
  • Target - 67659
  • Financial support of Rs. 2500 per camp is being
    provided for holding these camps.
  • Guidelines have been made to augment VBD.
  • SACS to prepare district wise VBD plan including
    training, IEC, workshops, Motivation talks, and
    other necessary actions to augment VBD etc.
  • Donor directory to be available in all blood
    banks
  • Month long Campaign on World Blood Donors Day (14
    June) Voluntary Blood Donation Day (1 October),
    National Youth Day(12 January)

26
VBD 2012 2013
  • Rural blood donor forums being identified.
  • Feed back forms prepared by SACS for institutions
    holding camps.
  • Nodal committee formed under District Magistrates
    to monitor and evaluate the VBD programme.
  • Orientation and sensitization at schools and
    colleges by SACS.
  • Institutionalizing VBD activities in uniformed
    services.
  • Training modules for Donor motivators

27
VBD 2012 2013
  • Development of partnerships with non-governmental
    organizations, such as national Red Cross,
    voluntary blood donor organizations, national
    service organizations, Government departments and
    the media
  • Development of donor education and recruitment
    IEC materials
  • VBD programme clubbed with Anemia Programme
    through NRHM.
  • Details of all blood banks on the state website
    and on NACO web site.

28
VBD 2012 2013
  • Rare group directories maintained by the blood
    banks
  • Monitoring and evaluation of the blood donor
    programme on monthly basis by SACS
  • Optimum usage of blood mobiles as per the
    guidelines.
  • Linkages of Red Ribbon clubs with the hospitals
    in the districts.
  • IEC activities for World blood donors day,
    Voluntary blood Donation Day, Youth Day to be
    carried out efficiently.
  • Recruitment of voluntary blood donors through SMS
    services.

29
VBD 2012 2013
  • Developing new forum in rural areas with the help
    of NYKS.
  • Camps targeted as per the need assessment
    including epidemics (dengue)
  • School education programme with the help of
    education department.
  • Media sensitization workshops, sensitization
    through folk groups in rural areas and
    sensitization of school children with the help of
    puppet shows.
  • Sensitization of Vice chancellors of the
    universities, college principals, government
    officers and others, MNCs etc

30
VBD 2012 2013
  • E-Blood banking initiated in some of the States
  • Linkages plan between RBTCs and blood banks,
    mother blood bank and storage centres.
  • Regional level Training workshops for VBD for
    Medical officer in charge and donor motivators.
  • Involvement of stake holders in the SBTCs
    meeting.
  • A Guide book on Donor recruitment and retention

31
Range of Sero Reactivity in blood donors
HIV HBV HCV VDRL MALARIA
0.1 1.1 0.4 0.2 0.1
  • Seroreactivity for HIV has reduced from 3.2 in
    1991 to 0.1 in 2011-12

32
New Initiatives
  • Metro Blood Banks
  • State-of-Art Transfusion Centre
  • Processing Capacity gt100,000 units per annum
  • Access of Adequate safe and sustained Blood
    supply regionally
  • Designs Finalized
  • Plasma Fractionation Centre
  • Increase in demand of Plasma products
  • Facility to manufacture all Plasma derivatives
  • Processing capacity gt 150,000 litres of
    plasma/annum
  • Plant will be attached to Centre of Excellence at
    Chennai

33
New Initiatives
  • Publications- Training Modules for Medical
    officers and technicians by TRG
  • Training Module for Nurses
  • Implementation of Quality management systems in
    Blood banks

34
NRHM Support for Blood Programme
  • 3222 FRU in Sub districts to have Blood Storage
    Centres
  • Infrastructure
  • Manpower
  • Equipment
  • Training
  • Transportation Vans for Blood supplied by NACO
  • Provision of blood for Emergency obstetric Care,
    Trauma Cases
  • Surgeries/Hemorrhage
  • Reduce Maternal Morbidity/Mortality
  • Support Anemia program for RCH

35
Conclusion
  • A coordinated long range planning for the
    development and integration of such diverse
    activities together with careful considerations
    of priorities and optimal use of resources and
    funds to implement the blood program at the
    National level with their counter parts at the
    state level will ensure an effective functional
    program
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