1 HEALTH SERVICES DELIVERY
1.1 PROGRAMME FOR ORGANIZATIONAL DEVELOPMENT
1.1.5 Blood Safety (as of March 2008)
A Focal Point DDG/LS assisted by D/NBTS
B Implementing Agencies D/NBTS
C Target Areas & Beneficiaries Blood donors and patients requiring blood
Teaching, Provincial, Base & Private Hospitals
Hospital system in general and National Blood
Transfusion Service in particular to the benefit of the
patients
Project Summary:
The Blood Safety project aims to increase blood safety through provision of adequate amounts
of safe blood and blood products and better utilization of blood through use of blood
components and plasma fractions as well as appropriate clinical use.
The areas that will be strengthened under the project by the National Blood Transfusion Service
with help from Ministry of Health and local and international consultants are implementation of
Blood Policy in both state and private sectors, Improvement of testing, processing, storage and
transportation of blood and blood products and Introduction of plasma fractionation with help
from international partners. Further the project will establish an IEC unit on Blood safety,
improvement of Quality Assurance through introduction of quality systems and bio safety
techniques and improvement of Human Resource Development with introduction of training
programmes
1. Justification:
The health achievements of Sri Lanka are attributable to many factors, out of which the wide
spread availability of safe blood transfusion services are important. Over decades the blood
transfusion service of Sri Lanka has been developed and widely spread.
However with the spread of several blood borne diseases including HIV the need to have safe
blood in an geographically equitable manner has been emphasised.
Although the National Blood Transfusion Service – Sri Lanka has improved considerably during
the last few years and several other development projects are currently under way, some areas
still lag far behind. The major problem areas are;
Implementation of blood policy in both state & private sectors
Inadequate facilities for storage & transportation with cold chain maintenance
Non availability of adequate amounts of components and plasma fractions
Inadequate facilities for Publicity & awareness campaigns
Inadequate facilities for Bio-safety
Improving these areas are critical to make the best use of ongoing projects such as JBIC
funded ‘Blood Bank Development Project ‘and World Bank funded ‘Blood donor recruitment
& improvement of clinical use of blood and blood products’ projects.
2. Important Assumptions/Risks/Conditions:
Availability of adequate human resources, availability of adequate funds to meet the needs of
the Blood Transfusion Service and sustainability of Volunteer Donor System to meet the
demand are important assumptions.
The possible risks that need to be aware of are, private sector resistance to the Blood Policy,
trade union action affecting system and the lack of resources for sustaining the programmes
3. Project Objective:
Objective Indicators Means of Verification
To have a safe and adequate Annual total Donor Register
supply of blood products for the collection Relevant registers
entire population of Sri Lanka % of voluntary
donors
Percentage of
replacement donors
remaining
Cross match/ Issue
ratio
Request/Cross match
ratio
No. of samples tested
(+)ve for transfusion
No. of transfusion
transmitted infections
No. of unfulfilled
requests for blood & blood
products
Percentage of regular
donors enrolled
4. Project Output/Product:
Outputs Indicators Means of Verification
National Blood policy NBTS as the sole Availability of the policy
implemented organization for collection document
and supply of blood
Cold Chain maintained Decreasing outdating Reports and returns
Increased efficacy of
products
Contract fractionation introduced Availability of plasma Reports and returns
fractions
Improved Haemophilia
therapy
IEC unit established Increase in volunteer Reports and returns
donors
Increase in regular
donors
Bio Safety introduced Hospital infection Reports and returns
control procedures in place
Staff awareness
increased
Quality assurance system GMP/ISO certification Reports and returns
introduced
5. Related Projects:
Project No. Project Title
Blood Bank Development Project – JBIC
World Bank Project for the Improvement of Blood Donor Recruitment & for
the improvement of clinical use of blood & blood products
6. Relevant Agencies to be Coordinated:
MoH, NBTS
7. Monitoring & Evaluation:
1. Who? MoH & National Blood Transfusion Service
2. When? Annual & periodic surveys
3. What actions to be taken based on results of monitoring & evaluation?
Positive Results – Continue Improvements
Negative Results – Increase efforts
8. Activities:
Activities Expected Results Process Indicators
1 1.Formulate a National Committee Implementation of Identify members
National Blood Develop TOR
policy
2 Develop blood bank s at Kandy, Fully functioning Develop proposals
Matara, Anuradhapura, Ampara and Blood Banks in these
Jaffna districts
3 Develop a mechanism to promote Autologous Design method
autologous transfusions for planned transfusions carried
surgeries out
4 2. Phenotype group O donors Screening an Develop
identification panel specifications
production
5 3. Provide automated cell washing Improved sensitivity Identify the need
centrifuges to all Hospital Based in Antiglobulin x- Develop proposals
Blood Banks match
6 4. Provide automated grouping at Reliability of results Identify the need
NBC & centralization of Develop proposals
grouping
7 5. Develop a barcode system Barcode printers & Develop the system
scanners installed s Pilot test
required
8 6. Introduce automated documentation Interfacing software Develop the system
available Pilot test
9 Provide communication and other Compilation of donor Identify the need
equipment to mobile units database made easy Develop proposals
10 Signing contract for fractionation No. Of plasma Develop
components issued specifications
for fractionation
Types & no. Of
fractionated products
prepared from local
plasma under the
programme
11 Conduct workshops for all categories Human Resource Identify training
of staff Development needs
Develop training
materials
Design training
programmes
12 Make provisions for accommodation Human Resource Identify the need
of trainees from all over the country Development
