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 To Participants
 The participants should develop standard
operating procedures (SOP) for priority procedures, validate and use these in
undertaking the procedure.
The participants should use internal quality
control sera while screening for TTI.
To Member Countries
Member Countries should formulate a quality
policy and implement it in all the blood banks.
The Blood Transfusion Services should screen
the donated blood for HIV using one reliable screening kit as per WHO
strategy. The management of donors whose blood is reactive should be
undertaken only through a well defined national policy and with adequate
infrastructure.
The procurement of the quality kits should be
assured based upon the recommendations of a technical expert group. Bulk
purchases make it economical and facilitate quality assurance by national
authorities. Blood banks should preferably be supplied the same kit for long
periods so that confidence in use of these kits is built up and data
regarding their utility generated. Frequent replacement of makes and types of
kits adversely influence the quality of screening.
Member Countries should strengthen
infrastructure and skills to produce and distribute internal quality control
sera.
Member Countries should impart training to
their staff in BTS in quality aspects as a priority. WHO support may be
sought in those areas where expertise and infrastructure are not available
within the respective countries.
To WHO
WHO should support supply of internal quality
control sera for HIV and hepatitis B and C to national laboratories/centres through regionally identified institutions for a
period of two years.
Guidelines for the proper disposal of blood
units that renders its disposal safe and environment-friendly should be
developed.
Through a recognized centre in Region, WHO
should assure continuous technical support to Member Countries in the quality
of BTS.
WHO should develop a strategy for screening
and testing of hepatitis B and hepatitis C in various settings and
disseminate the same through national programme
managers.
WHO should orient the national programme managers in proper use of WHO strategies for
testing for HIV to bridge the existing gaps in use of these strategies.
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