Dr R M Bindusara

1
Status Of
Blood Transfusion Services In Sri Lanka

• Dr R M Bindusara
• Director,
• National Blood Transfusion Service, Sri Lanka

2
SRI LANKA

• Indian Ocean Island
• With approximately 18 million population
• 25 000 square miles
• 09 Provinces

3
National Blood Transfusion Service of Sri Lanka
(NBTS)

• ..is the main organization
• for collection supply of
• blood blood components
• to the island nation

4
NBTS comprises of

• Head Quarters of NBTS
  
• National Blood Centre, Colombo

• Network of 71 Hospital Based Blood Banks
  throughout the island

5
ORGANOGRAM of the NBTC
DIRECTOR NBTS
Administrative Support Statistics
Quality Management Section
Blood Donor Section
Laboratory Section
Components Section  
HBB Coordination
Computer Section
Clinical Coordination
Teaching Training
Blood stock Management  
6
NBTS in I990s
National Blood Transfusion Service
CBB (Central Blood Bank)
Hospital Blood Banks (HBBs)
7
07
The Present Network of NBTS
N B T C
NORTHERN PROVINCE
NORTH WESTERN
NORTH CENTRAL
UVA
CENTRAL
WESTERN
SABARAGAMUWA
SOUTHERN
EASTERN
S T A T E
S T A T E
S T A T E
S T A T E
S T A T E
S T A T E
S T A T E
S T A T E
S T A T E
Private N.H. Blood Users Kandy 4
Matale - 1
Private N.H. Blood Users 1.Rathnapura
2 2.Kegalle 2
Private N.H. Blood Users 1.Galle 4 2.Matara
4
Private N.H. Blood Users 2
Private N.H. Blood Users 1
No Private N.H. Blood User
Private N.H. Blood Users Kurunegala 3
Puttalam -1
Private N.H. With Blood Bank Facilities
4 1.Nawaloka 2.Asiri 3.Durdans 4.Asha Central
Private N.H. With Blood Bank Facilities
4 1.Colombo City 12 2.Avissawella-
3 3.Dehiwala- 1 4.Maharagama/HOM-
1 5.Nugegoda- 1 6.Gampaha-
9 7.Kalutara- 4

No Private N.H. Blood User
8
(No Transcript)
9
Existing Relationship between NBC, sub centers,
HBBs Private Hospital Blood banks
National Blood Transfusion service
NBC
Hospital Blood Banks (HBBs)
Sub centres
Private Hospitals
10
A System is to be developed to incorporate
Private Hospital Blood banks in the NBTS to
ensure a nationally coordinated, Safe blood supply
National Blood Transfusion service
NBC
Hospital Blood Banks (HBBs)
Sub centres
Private Hospitals
11
Main functions of NBTS

• Blood Collection
• TTI Testing
• Component Production
• Storage and Issues
• Quality Controls
• Pre Transfusion Testing
• Reference Immunohaematology
• Histocompatibility Testing

12
Blood Donor Department

• Adequate supply of safe blood through 100
  voluntary Regular Donors in 2008
• Blood Donor Department
• Donor Recruitment and retention
• In-house collection
• Mobile Drives
• Special Donations. (Platelet Apheresis,Red cell
  Apheresis,Plasma Apheresis, Autologous collection)

13
Current Activities

• Rare Donor Club ( 950 Members. )
• E Donor Club expanded - (3050 Members.)
• Dialog SMS 7777 continuing ( 2490 donors
  registered )
• Schools, community co ordination Meetings and
  Donor Education programmes expanded throughout
  the Island.
• contd

14

• Training of the trainers Three National
  workshops conducted
• For Platelet demand - short mobile concept,
  Platelet Donor Club introduced and one fixed site
  collection is going to start
• Apheresis donor Data Base for platelets
  throughout the country.
• New leaflet introduced for distribution among
  patients to encourage for voluntary donations.

15
WORLD BLOOD DONOR DAY ACTIVITIES .

• Media Conference
• Pledge campaign (10,000 people pledged)
• Donor Felicitation programmes in all 09 provinces

16
WORLD BANK-SUPPORTED ACTIVITIES

• Implementation of a Mass publicity awareness
  programmes through a consultancy firm.
• Acquiring Basic communication Training
  equipments.
• Training Programme of VBD for State Private
  Sector
• Assignment of a foreign consultant
• Assignment of a local coordinator

17
RRI Project in Sri Lanka

• NBTS Sri Lanka undertook this approach in 3
  phases to accelerate achieving its long term
  goals by 2008
• - To increase blood collection to 300,000
• - To reach 100 VNRBD
• - To increase regular donors

18
National Blood Transfusion Service Sri Lanka
Number of Blood Donations 1995 - 2005
19
Blood Collection NBTS 2003, 2004, 2005 2006
( January to Aug)
20
SCREENING OF COLLECTED BLOOD

• Screening for following infections is mandatory
  for each
• unit of collected blood

(i) HIV I II - Antibody testing
by ELISA
(ii) Hepatitis B - Surface Antigen
(iii) Syphilis - VDRL Test confirmed by TPPA
(iv) Malaria - Thick Thin Film Testing

• Screening for Hepatitis C introduced in few
  centers since 2003
• with JBIC Project (Pilot Study)

21
TTI Screening StatisticsNational blood
transfusion service

•  

22
Transport
CRITICAL ISSUES
Communication
Computerization
23
CLINICAL USE OF BLOOD
Whole Blood Usage (WHO Statues Report 2001)

24
Appropriate use of blood and blood products
1. Awareness programs for clinicians through out
island 2. Need assessment study on current usage
of blood and blood products 3. National
guidelines on clinical use of blood blood
products 4. Hospital Transfusion committee
25
X match Issue of Red cells NBTS
26
Quality Assurance Program

• WHO coordinated Quality Management Training
  Program
• External Quality Assessment Schemes (NEQAS)
• UK NEQAS for BGS
• WHO SEARO EQAS on BGS TTI
• NRL Australia TTI EQAS
• NSACP- HIV / Syphilis
• NEQAS - NBTS
• Internal Quality Control Programs
• Preliminary Program for GMP and ISO certification
  
• with Sri Lanka Standards Institute

27
Towards Total Quality Management

• New facility planned for implementation of GMP
  and ISO certification
• National Standards and various guidelines are
  being developed
• Ongoing staff training programmes
• Improved customer care service with new
  facilities
• Progressing towards accreditation

28
Important Current Developments

• 1. Introduction of the National Blood Policy
  blood act
• 2. Expansion of voluntary Blood donation system
• 3. Introduction of aphaeresis technology in
  Bl.Collection /TPE
• 4. Centralization of TTI screening
• 5. Promotion of rational use of blood and blood
  products
• 6. Total Computerization of NBC
• 7. Introduction of Quality Management Programme
  
• 8.. Academic progress in Transfusion medicine
  PG Diploma MD in Tr. Med.

29
National Blood Transfusion Service (NBTS)- Sri
Lanka
OUR VISION

To become a model for the developing world, as
a nationally coordinated, efficient Blood
Transfusion Service, providing quality assured
blood products and services to all its customers.

30
THANK YOU