Achieving Sustainable Blood Safety Programs

Transcription

1 2015/LSIF/FOR/005 Submitted by: Australian Red Cross 2 nd APEC Blood Supply Chain Policy Forum Anaheim, United States 23 October 2015

2 Achieving Sustainable Blood Safety Programs Dr Sally Thomas Australian Red Cross 2nd APEC Blood Supply Chain Policy Forum Anaheim, California, USA 23 rd October

3 Donors (& patients) Patient groups Cultural attributes Media National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation PBM Haemovigilance Blood budgets Governance Hosp Tx committee TTI positive donor management 2

4 Policy National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation APBN, EBA, AATM APEC, PAHO Regional regulators National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation Clinical (SaBTO) Blood Safety APBN, EBA, AATM APEC, PAHO Regional regulators 3

5 National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation TTI positive donor management Clinical (SaBTO) Blood Safety APBN, EBA, AATM APEC, PAHO Regional regulators Blood bags Test kits Equipment Computer system 4

6 National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation TTI positive donor management Clinical (SaBTO) Blood Safety APBN, EBA, AATM APEC, PAHO Regional regulators International Networks 5

7 Clinical (SaBTO) Blood Safety APBN, EBA, AATM APEC, PAHO Regional regulators International Networks Clinical SaBTO) Blood Safety Blood bags Test kits Equipment Computer stem Global Fund CDC/PEPFAR Bill & Melinda Gates Foundation PACOM 6

8 Donors (& patients) Patient groups Cultural attributes Media Policy National Blood Policy & strategy National Blood program Policy positions VNRD vs paid National self sufficiency Standards & accreditation Safety & tolerable risk Accessibility Clinical guidelines, inc PBM Blood Funding model Regulation TTI positive donor management PBM Haemovigilance Blood budgets Governance Hosp Tx committee Clinical (SaBTO) Blood Safety Blood bags Test kits Equipment Computer system APBN, EBA, AATM APEC, PAHO Regional regulators Global Fund CDC/PEPFAR Bill & Melinda Gates Foundation PACOM International Networks Key components of sustainable blood safety programs Country policy and legislation Sustainable blood funding arrangements Coordinated national blood service with focus on suitable facilities, infrastructure and trained staff Collection, production, testing and supply of quality assured blood and blood products with appropriate quality monitoring based on national standards and accreditation Recruitment, retention, for a safe, sustainable and sufficient voluntary donor base Provision of appropriate donor selection, counselling, care and referral programs Use of an appropriate blood bank information management system Clinical guidelines, haemovigilance and PBM Reference: WHO Aide memoires: Blood Safety and Developing a National Blood System 7

9 Public communication Business and policy capability Director and leadership group Clinical and scientific expertise International Networks Translating international Policy & Practice in domestic environment Clinical Champion Government Champion Director and leadership group International Networks 8

10 influences Director and leadership group Regional and International influences International Networks Key Components Blood system Is it all there? Co m m un Governm ity ent: Policy Humani tarian funding Hos pital s/cli nici ans Public communication Clinical and scientific expertise Facilities, functions, skills Business and policy capability Blood Service Translating international Policy & Practice in domestic environment Champions Clinical Champion Government Champion and International influences 9

11 WHERE TO START? influences Director and leadership group International Networks 10

12 International Networks Nepal Hospitals/ Clinicians 11

13 Bangladesh Hospitals/ Clinicians Cambodia Hospitals/ Clinicians 12

14 Indonesia Hospitals/ Clinicians India Hospitals/ Clinicians Complex 1.26 billion people 29 states 7 union territories 13

15 Papua New Guinea Hospitals/ Clinicians profile.php?news and Views 3 Australia Hospitals/ Clinicians 14

16 Blood system Is it all there? Key components Co m m un Governm ity ent: Policy Humani tarian funding Hos pital s/cli nici ans Public communication Clinical and scientific expertise Blood service Facilities, functions, management Business and policy capability Blood Service Translating international Policy & Practice in domestic environment Champions Clinical Champion Government Champion International and domestic influences THANK YOU 15