Strengthening of Nationally-Coordinated Blood Transfusion Services : Recommendations

Strengthening of Nationally-Coordinated Blood Transfusion Services in South-East Asia

For Member countries

1. All Member countries should formulate a national blood policy and implement it in all the blood banks through a nationally-coordinated blood transfusion service and allocation of adequate resources.

2. Member countries should constitute a national blood transfusion committee to manage the national programme.

3. Member countries should, as far as possible, initiate regionalization of testing centres on the pattern of Egypt and Sri Lanka to enhance safety and cost-efficiency of testing of blood.

4. Member countries should develop a national blood programme to augment voluntary donors with focus on increasing the number of regular donors.

5. Member countries should integrate quality in all aspects of blood transfusion services by formulating a quality policy, and plan and implement it to strengthen the quality system.

6. Member countries should strengthen interface between the supplier of blood and its users and develop national guidelines and assure appropriate use of blood.

For WHO

1. WHO should continue to provide advocacy and technical support to all Member Countries through intercountry capacity building activities in the field of promotion of VNRD, regulation of blood services, implementation of quality system and preparation of components.

2. WHO should provide technical support for country-specific activities to strengthen nationally-coordinated BTS.

3. WHO should widely disseminate all its publications related to blood safety.

4. WHO should assure continuous technical support to Member countries in the implementation of the quality system.

5. WHO should develop guidelines for the establishment of component production units in developing countries.

6. WHO should organize periodic meetings of national programme managers to review the progress made and develop strategies to improve blood transfusion services.

CONCLUDING SESSION

The concluding session was chaired by Dr Sujudi. He thanked the organizers and facilitators for making the consultation a success and hoped that the participants would be able to translate the knowledge gained in strengthening quality assurance practices in their own settings. Dr Rajesh Bhatia assured WHO’s continued support in this area. He also thanked the local organizers for their excellent support for the conduct of this consultation.

Annex 1

PROGRAMME

Tuesday, 20 April 2004
0900 hrs	Registration Inauguration RD’s address Objectives Introduction of participants Election of chair and rapporteur
1030 hrs	WHO global strategies for blood safety - Regional status	Dr Rajesh Bhatia
1100 hrs	Country presentations 15 minutes each including discussion
1330 hrs	Country presentations contd
1500 hrs	Reorganization of BTS in Egypt	Dr Faten
1545 hrs	Organization and management of National BTS	Dr Rachanee
1615 hrs	Experience in Sri Lanka with revamping of BTS	Dr Bindusara
1645 hrs	Briefing for Group work 1 Formulation of national blood policy and plan Structure of nationally-coordinated BTS Functions of various organs of nationally-coordinated BTS Regulation of national BTS Costing and cost recovery Requirements and development of human resource
Wednesday, 21 April 2004
0900 hrs	Group Work 1 Presentation of group work :
1330 hrs	Establishing a voluntary non-remunerative blood donor programme and experience in Thailand	Dr Chaivez
1415 hrs	Group Work 2 and presentation National Blood Donor Programme Structure of programme Functions of programme Donor education and motivation Donor recruitment Donor selection Donor retention
Thursday, 22 April 2004
0900 hrs	Testing and processing of blood: policy and strategic planning and Thai experience	Dr Rachanee
0945 hrs	Group Work 3 and presentation Testing and processing of blood Selection and quality of test kits for screening and reagents for immunohaematology HIV/viral hepatitis testing strategies Technology and equipment Guidelines for national agencies Appropriate strategies and test methods Storage and transport methods Biosafety & disposal of wastes
1330 hrs	Quality system in BTS	Dr Rajesh Bhatia
1415 hrs	Group Work 4 and presentation Integration of quality system in BTS Organizational management Standards Documentation Training Assessment
1645 hrs	Development of Plan of Action	Dr Rajesh Bhatia
Friday, 23 April 2004
0900 hrs	Clinical interface and experience in Indonesia	Director, PMI
1000 hrs	Group Work 5 and presentation Clinical interface National guidelines Monitoring of adverse reactions Awareness of prescribers Availability of components Regulations of components
1330 hrs	Major constraints and draft recommendations
1430 hrs	Presentation and discussion of model plan of action
1530 hrs	The way forward
1630 hrs	Conclusion and finalization of recommendations
1700 hrs	Closure

Annex 2

LIST OF PARTICIPANTS

Bangladesh

Dr AKM Shamsuddin

Director (Administration)

Directorate of health Services

Mohakhali, Dhaka

Dr Mir Sayeedul Hoque

Deputy Director (Hospital) and

Programme Manager, Blood Safety

Directorate of Health Services

Mohakhali, Dhaka

Bhutan

Dr Mahruk Getshen

Programme Manager, Blood Safety

JDWNRHospital

Thimphu

DPRK

DrRi Chol Jun

Manager, National Blood Safety Programme

Ministry of Public Health

Pyongyang

Mr Jang Song Chol

Interpreter

Ministry of Public Health

Pyongyang

India

Dr. P. Salil

Joint Director(Blood Safety)

National AIDS Control Organisation

Ministry of Health and Family Welfare

9th Floor, ChandralokBuilding

36 Janpath

New Delhi – 110001

Ph. No: 23731805(Off)

Dr. M.K. Jeevan

Additional Director(Blood Safety)

KeralaState AIDS Control Society

IPPBuilding, Red Cross Road

Thiruvananthapuram – 695037

Ph. No: 0471-2304882(Off)

9447116625(Mobile)

2327582(FAX

Indonesia

Dr Petrus Maturbongs, M.Kes

Directorate of Basic Medical and

Dental Care

Ministry of Health

Jakarta

Dr Yuyun M Sudarmono

Indonesian Red Cross Society

PMI

Jakarta

Myanmar

Dr Thanda Aung

Deputy Director

National Health Laboratory

Department of Health

Yangon

Dr Khin Mar Swe

Pathologist

Central Women’s Hospital

Mandalay

Nepal

Dr Geeta Shakya

Consultant Pathologist

National Public Health Laboratory

Department of Health Services

Teku

Kathmandu

Dr Manita Rajkarnikar

Chief

Blood Transfusion Service

Nepal Red Cross Society

Kathmandu

Sri Lanka

Dr UA Mendis

Deputy Director-General

Laboratory Services

Ministry of Health,

Nutrition & Welfare

Colombo-10

Dr RM Bindusara

Director

National Blood Transfusion Services

No. 555/5, Elvitigala Mawatha

Colombo-5

Thailand

Miss Phanawan Khuntisuk

Pharmacist

Quality Control Section

National Blood Centre

Thai Red Cross Society

Nonthaburi

Timor-Leste

Mr Stanislau da Cruz

Head of Lab and Blood Bank Services

Ministry of Health

RDTL, Dili

Temporary Advisers

Dr Rachanee O’Charoen

Director, National Blood Centre

The Society of Thai Red Cross

Henri Dunant Road

Bangkok 10330

Thailand

Prof. Chaivej Nuchprayoon, M.D.

Assistant Secretary-General in charge of

Academic Affairs

Thai Red Cross Society

Administration Office

TerdprakiatBuilding

1871 Henri Dunant Road

Bangkok 10330

Thailand

Dr Faten M. Moftah Mohamed

Director General of National Blood

Transfusion service Ministry of Health

& Population

9, Al-Gazaer st.,

Flat 4 – Mohandseen, Giza

Egypt

Local Organizers

Dr Ria Syafitri

Ag. Director, PMI

National Blood Transfusion Services

Jl Joe No. 7 Lenteng Agung

Jakarta 12610

Tel: 62-21-7815464

e-mail: cbts@cbn.net.id)

WHO Secretariat

Dr Rajesh Bhatia

STP-BCT

WHO, SEARO, New Delhi

e-mail: bhatiaraj@whosea.org