1
HEALTH SERVICES DELIVERY
1.1
PROGRAMME FOR ORGANIZATIONAL DEVELOPMENT
1.1.5
Blood Safety (as of March 2008)
A Focal Point
B Implementing Agencies
C Target Areas & Beneficiaries
DDG/LS assisted by D/NBTS
D/NBTS
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
To have a safe and adequate
supply of blood products for the
entire population of Sri Lanka
Indicators
 Annual total
collection
 % 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


Means of Verification
Donor Register
Relevant registers
4. Project Output/Product:
Outputs
National Blood policy
implemented
Indicators

NBTS as the sole
organization for collection
and supply of blood
Cold Chain maintained

Decreasing outdating

Increased efficacy of
products
Contract fractionation introduced  Availability of plasma
fractions

Improved Haemophilia
therapy
IEC unit established

Increase in volunteer
Means of Verification

Availability of the policy
document

Reports and returns

Reports and returns

Reports and returns
Bio Safety introduced
Quality assurance system
introduced
5.

Reports and returns

Reports and returns
Related Projects:
Project No.
6.
donors

Increase in regular
donors

Hospital infection
control procedures in place

Staff awareness
increased

GMP/ISO certification
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
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
1.Formulate a National Committee
1
2
3
Develop blood bank s at Kandy,
Matara, Anuradhapura, Ampara and
Jaffna
Develop a mechanism to promote
autologous transfusions for planned
surgeries
2. Phenotype group O donors
4
5
3. Provide automated cell washing
centrifuges to all Hospital Based
Blood Banks
Expected Results
Implementation of
National Blood
policy
Fully functioning
Blood Banks in these
districts
Autologous
transfusions carried
out
Screening an
identification panel
production
Improved sensitivity
in Antiglobulin
x-match
Process Indicators
Identify members
Develop TOR
Develop proposals
Design method
Develop
specifications
Identify the need
Develop proposals
6
7
8
9
10
11
12
4. Provide automated grouping at
NBC
Reliability of results
& centralization of
grouping
5. Develop a barcode system
Barcode printers &
scanners installed s
required
6. Introduce automated documentation Interfacing software
available
Provide communication and other
Compilation of donor
equipment to mobile units
database made easy
Signing contract for fractionation
No. Of plasma
components issued
for fractionation
Types & no. Of
fractionated products
prepared from local
plasma under the
programme
Conduct workshops for all categories Human Resource
of staff
Development
Make provisions for accommodation
of trainees from all over the country
Human Resource
Development
Identify the need
Develop proposals
Develop the system
Pilot test
Develop the system
Pilot test
Identify the need
Develop proposals
Develop
specifications
Identify training
needs
Develop training
materials
Design training
programmes
Identify the need