Organisation Nationale des Donneurs de Sang Association d’utilité publique Décret n° 2013/100/PR du 05 Avril 2013 Membre consultatif des Nations Unies / ECOSOC/6456 B.P. 5715 Yaoundé. Tél. : (237) 99 90 40 79 / 79 59 17 63 Web: www.nvbdo.org Email: yusumali@yahoo.fr PROJECT FOR THE CREATION AND FUNCTIONNING OF THE BLOOD PRODUCTS AND BLOOD DONATION CENTER YAOUNDE Project Sponsor: National Voluntary Blood Donor organization (NVBDO) Coordinator: Veronique MOLO, Biologist Type of project Support for blood transfusion security. Current level of performance Project running requires support. Beneficiaries: All patients in our health centers. Location - Direct intervention area: in the initial phase the health facilities in Yaoundé. - Area of influence throughout Cameroon. SUMMARY PRESENTATION OF THE NVBDO .............................................................................................................. 3 ACTIVITIES LEAD BY NVBDO .................................................................................................................... 3 JUSTIFICATION OF THE PROJECT ............................................................................................................. 4 BACKGROUND ......................................................................................................................................... 4 GENERAL PURPOSE.................................................................................................................................. 4 Indicators ................................................................................................................................................. 4 METHODOLOGY....................................................................................................................................... 5 STAFF AND SUPPORT POSSIBILITIES ........................................................................................................ 6 DETAILED ORGANIZATION CHART OF BLOOD DONATION CENTER ........................................................ 7 PERPETUATION OF THE ACTIVITIES OF THE CENTER............................................................................... 8 Planning for the implementation of services .......................................................................................... 9 Particular specifications to the activity of the pilot Blood Donation Center of Yaoundé ..................... 10 Administrative services. ........................................................................................................................ 11 REQUIREMENTS FOR SUPPLIES AND REAGENTS ................................................................................... 12 NEEDS FOR OFFICE EQUIPMENT AND FITTING OUT OF ROOM ............................................................ 12 REQUIREMENTS FOR MOBILE CLINICS .................................................................................................. 13 EQUIPMENT REQUIREMENTS ................................................................................................................ 13 TERMS OF REFERENCE .................................................................................................................... 14 PRESENTATION OF THE NVBDO The National Voluntary Blood Donors Organization is under the supervision of the Ministry of Public Health of Cameroon. Founded in January 1990, it is officially recognized and authorized by the letter N° D60/L/MSP/IG of 26 July 1990 of the Minister of Public Health. Its main mission is to ensure a national self-sufficiency in blood products with optimal conditions for quality and safety. The NVBDO is an advisory member of the United Nations ECOSOC/6456.ONG/710 since August the 1st 2011. By Decree N° 2013/100/CAB/PR of April 5, 2013, signed by His Excellency the President of the Republic, the association called < National Voluntary Blood Donors Organization >, abbreviated NVBDO is recognized of public utility. ACTIVITIES LEAD BY NVBDO The NVBDO ensures public health mission at the service of all citizens. It is the vital link between the generosity of donors and the needs of recipients. Daily blood donation activities allow NVBDO to have blood products in sufficient quantities to meet the needs of patients in health centers. Educate the public in voluntary benevolent and free blood donation, Manage the collection, preparation and qualification of blood donations ensuring their quality and safety. Ensure the distribution of blood products to health centers across Cameroon Provide to the public the services of biological medical laboratory Conducting scientific research to improve knowledge, treatment of blood diseases and techniques of preparation and qualification of blood. JUSTIFICATION OF THE PROJECT BACKGROUND Lack of a National Blood Transfusion Centre, inability of health centers to provide blood in quality and quantity for people who need it in our health centers. The Access to health centers for a voluntary blood donation is difficult. Lack of equipment and supplies (blood bags) to receive blood donors because of the growing demand for blood products (anemia due to malaria, postpartum hemorrhage, road accidents, patient under chemotherapy etc. .). By the standards of the transfusion, the patient will receive the fraction of blood it needs. In this case, a blood bag secured could serve at least three applications. Yet, we do not have the capacity (personnel and equipment) to manufacture Labile Blood Products. Therefore, most of the transfusions are made with whole blood, in a country where the importance of blood donation is still poorly known and rare blood donors. GENERAL PURPOSE Make available in health centers, blood products, in optimum conditions of quality and safety. Specific Objectives Increase of 10% the public awareness for voluntary and unpaid blood donation in the community by 2016. Recruit 3600 voluntary blood donors and volunteers each year and retain at least 5%. Promote the creation of at least 01 blood donation center per region by 2016. Provide at least 1000 safe blood products to health centers per year by 2016. Indicators Number of messages developed, distributed and disseminated through various channels Number of voluntary unpaid donors and loyal Many recruiters trained Total collected blood bag Number of blood donors loyal Number of blood product secured Number of blood donation centers established Number of blood products delivered to the blood bank for transfusion METHODOLOGY Develop and operate the pilot blood donation Centre in Yaoundé Strengthen the capacity of staff in transfusion medicine (communication, sampling, biological qualification, conservation, distribution, etc.). Develop, produce awareness messages. Develop partnership agreements (Medias, transportation, Universities, associations, businesses, Churches, Schools. Mosques, etc..) to broadcast messages Equipping the Pilot Centre in Yaoundé with vehicles, medical-technical equipment, reagents and consumables, office equipment Organize the launching of the pilot blood donation center Yaoundé Organize awareness campaigns and collecting blood donation. (Universities. Businesses, Churches, Mosques, Associations, mobile sites and fixed sites) Prepare blood products in the Pilot Centre in Yaoundé Ensure the biological qualification of blood products Ensure the conservation of blood products Ensure the blood supply Ensure medical biology service to the public: Join an external evaluation program Laboratory Perform research Monitoring and evaluation STAFF AND SUPPORT POSSIBILITIES Permanent staff, will consist of: Four (04) health professionals trained in transfusion medicine, six (06) samplers nurses, ten (10) laboratory technicians. two (02) secretaries, one (01) communicator with knowledge of community mobilization, two (02) drivers and support staff (DAF. Cashier, Architect. Lawyer, Engineer, Guardian), the remuneration must be provided by the project and the National Voluntary Blood Donors Organization. Volunteer staff, simply receive allowances for travel, accommodation and food in the form of monthly premium paid by the project. The volunteer staff is recruited from among the project participants. Resource persons, who are advisors to provide technical support. They will ensure the monitoring of the project, with various officials, and respect for medical ethics and the standards of quality management in blood transfusion. (ISO 900). It is intended for the various resource persons a subsidy that will be allocated every year, and that will depend on the activity of the center. The Minister of Public Health would appoint the project coordinator, who will ensure that the quality system in blood transfusion in all its aspects is respected. DETAILED ORGANIZATION CHART OF THE PILOT BLOOD DONATION CENTER DIRECTION Coordinator: Dr MOLO Secretariat Quality Transport Communication Quality control Legal service TRANSFUSIONAL MEDECINE Dr ETOGO YAOUNDE Education Swab Blood products preparation Donation qualification Delivery and transfusion Distribution of Blood products and supply of health centres in the regions LIMBE EDUCATION BUEA EDUCATION MEDICAL BIOLOGY LABORATORY Dr OMBGWA Histocompatibility Hematology and haemostasia Clinical immunohématology Microbiology Parasitology Biochemistry RESEARCH Pr Dora MBANYA and Dr GANDJI Haemostasia and thrombosis ADMINISTRATION AND GENERAL SERVICES Accountant Purchase/store Customer service Standard reception Accounting/Finances Management control Staff service Computing Maintenance PERPETUATION OF THE ACTIVITIES OF THE CENTER The functioning of the center will be assured by the income generated by the biological medical laboratory and other paid services delivered. Qualified and safe blood products will be distributed to health centers upon presentation of an order issued by the head of the transfusion service of the health center. (Social tariffs) Promotion activities for safe blood donation and biological monitoring of persons excluded from donation will comply with the policies and standards of the Ministry of Public Health of Cameroon. These activities will benefit of the support of the French Blood Establishment (EFS), the World Health Organization, the Centers for Disease Control and Prevention (CDC), the Chantal Biya International center for Research (ICRW), the British Blood Transfusion (BTS), the health centers in the country, in particular the General Hospital of Yaoundé, Yaoundé Central Hospital. Partnership with all components involved in the field of health. Centre Pasteur of Cameroon (CPC), National Central Supply of Essential Drugs (CENAME), pharmaceutical companies, firms specializing in the distribution of laboratory reagents and other consumables will be necessary to carry out this work of social action, humanitarian and development. Planning for the implementation of services DESIGNATIONS 2013 Develop a pilot center for blood donation in Yaoundé Strengthen the capacity of staff in transfusion medicine Develop awareness messages Develop partnerships Equipping the pilot center in Yaoundé with vehicles Organize the launching of the blood donation center's activities Yaoundé Organize awareness campaigns for blood collection and blood donation Prepare blood products in the pilot center of Yaoundé Ensure biological qualification of blood products Ensure the conservation of blood products Ensure the blood supply Ensure the provision of medical biology to the public Join an external evaluation program for laboratory Perform research YEARS 2014 2014 Particular specifications to the activity of the pilot Blood Donation Center of Yaoundé These are specialized staff who ensure awareness campaigns and organization for blood collection and blood donation, preparation of blood bags, biological qualification of donations or distribution of blood products in health centers. Services Providers: in the sites of the blood donation center or in mobile collection sites they receive donors for medical interviews before donation. They ask donors about their health. Then they decide if donors can donate blood without risk to their health or for those of patients. Nurses, Samplers: they are key players in retaining blood donors. They are colllecting blood from donors. They also explain the importance of giving blood to patients and encourages volunteers to make another donation Biologists: they work in the laboratories of the blood donation center, and are testing biological qualification of blood products. They are responsible for looking for blood group compatibility between donor and recipient before transfusions. They operate the reference biological medical laboratory open to the public. Laboratory technicians: they assist biologists in steps of biological qualification and preparation. The pilot center of the blood donation Yaoundé will realize more than 3000 medical tests every year making it one of the largest medical laboratories in Cameroon. Collection Secretaries and facilitators: they help organize the schedules of collections taking place in cities, businesses and educational institutions in village communities. To do so, together with those charged of the promotion of blood donation, They work with local authorities, businesses, universities, traditional chiefs Host secretaries phone donors to remind them of appointments for the next donation. They also update donor records and register new donors. Administrative services. In addition to those services first cited, the pilot center of the blood donation will require additional personnel to operate properly ie: Lawyers to ensure that the blood donation center complies with the standards in the exercise of its functions. Accounting to adjust supplier invoices (these are the companies with which the center buys medical equipment, computers, office supplies, for example). They also check that customers who bought benefits of blood donation center (hospitals and clinics, for example). Pay their bills IT professionals ensure the quality and maintenance of computer equipment Facilitators in communication: organize campaigns with posters, at the radio or in newspapers to make people feel like giving blood and that patients have all the blood they need. Storekeepers take delivery of the materials purchased by the blood donation center and to redistribute it in services according to work need: they manage inventory. The human resource managers are responsible for the recruitment of personnel in blood donation center and organize work schedules and holidays. REQUIREMENTS FOR SUPPLIES AND REAGENTS DESIGNATION UNIT QUANTITY UNIT PRICE (FCFA) TOTAL (FCFA) REAGENTS HIV ELISA Ag Hbs ELISA AcHbs ELISA AcHbc ELISA HCV rapid test SGOT SGPT Glucose Hemoglobine BW Anti A Anti B Anti AB Anti D Anti globuline (coombs) Phénotype Rhésus Other reagents CONSUMABLE Empty bags triple Empty bags double Transfuseurs Alcohol 70° Eau de javel Coton hydrophile Care gloves Adhesive tapes Toilet paper Dry tubes venojet EDTA tubes venojet Heparinized tube venojet fluorinated Tube venojet Citrated tube venojet Other tubes Needle venojet Other consumables NEEDS FOR OFFICE EQUIPMENT AND FITTING OUT OF ROOM DESIGNATION Complete desktop computer Account book A4 paper Staplers Markers Pens Trombones Other UNIT QUANTITY UNIT PRICE (FCFA) TOTAL (FCFA) REQUIREMENTS FOR MOBILE CLINICS We estimate on the basis of two (02) outings for blood collection per week in Yaoundé and its surroundings. DESIGNATIONS UNIT QUANTITY UNIT PRICE (FCFA) TOTAL (FCFA) QUANTITY UNIT PRICE (FCFA) TOTAL (FCFA) Motor vehicle for the collection of blood EQUIPMENT REQUIREMENTS DESIGNATIONS Mercury sphygmomanometer up rolling Multi para patient monitor Portable Ultrasound Semi automatic tensiometer Bathroom scales Blood collection armchair Sampling agitators Apheresis Welder Forklifts Collection baskets sterile Welder Refrigerated centrifuges Optipress Separators Separators or manual presses Platelet agitators reagents Refrigerators Blood bank refrigerators (150 blood bags) Transport containers: 5x18 blood bags Freezers (-30 °) ELISA chain Electrolyte Analyzer 23P hematology analyzer Analyzer semi automatic clinical chemistry Automated clinical chemistry analyzer Coagulate analyzer 4 channel Urine Chemistry Analyzer Water bath Electrophoresis System Optical binocular microscope Incubators Micro oscillator Autoclave Water distiller Generator Other equipment UNIT TERMS OF REFERENCE Organize study trips Develop a North South Partnership for the exchange of experiences, training, supervision Acquisition of equipment for the new techniques in blood and biological analyzes Purchase equipment for communication Recycle Coordinator for quality management in blood transfusion service 0l person 04 weeks Train service to the quality management system of the blood from donor to recipient: Communication for voluntary and unpaid blood donation 01 person 04 weeks Information 01 person 04 weeks Levy system 01 person 02 weeks