PROJECT FOR THE BLOOD CENTER

advertisement
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
Download