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A Report on the “Assessment of Blood Banks in Puducherry, India”

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A Report on the “Assessment of Blood Banks in Puducherry, India” A Report on the “Assessment of Blood Banks in Puducherry, India” National AIDS Control Organization (NACO) and National Blood Transfusion Council (NBTC), Ministry of Health and Family Welfare, Government of India in collaboration with U.S Centers for Disease Control and Prevention (HHS/CDC) Division of Global HIV and TB (DGHT), India Christian Medical College, Vellore & Christian Medical Association of India (CMAI), New Delhi ii Abbreviations BB - Blood Bank BCSU - Blood Component Separation Units BTS - Blood Transfusion Service CDSCO - Central Drug Standard Control Organisation CHEMI - Chemiluminescence DAT - Direct Antiglobulin Test DCT - Direct Coombs Test ELISA - Enzyme Linked Immuno Sorbent Assay EQAS - External Quality Assessment Scheme FFP - Fresh Frozen Plasma HIV - Human Immunodeficiency Virus HBV - Hepatitis B virus HCV - Hepatitis C virus HVPI - Haemovigilance Program of India IAT - Indirect Antiglobulin Test ICT - Indirect Coombs Test IH - Immunohematology IQC - Internal Quality Control IQR - Interquartile Range MoHFW - Ministry of Health and Family Welfare NACO - National AIDS Control Organisation NAT - Nucleic Acid Testing NBTC - National Blood Transfusion Council NGO - Non Governmental Organisation NHP - National Health Portal PSU - Public Sector Undertaking QC - Quality Control QM - Quality Manager QMS - Quality Management Systems RPR - Rapid Plasma Reagin SACS - State AIDS Control Societies SBTC - State Blood Transfusion Council SD - Standard Deviation SIMS - Strategic Information Management System SOPs - Standard Operating Procedures TTI - Transfusion Transmitted Infection TM - Technical Manager TPHA - Treponema Pallidum Hemagglutination Assay UT - Union Territory VNRBD - Voluntary, Non-Remunerated Blood Donation VBD - Voluntary Blood Donor/Donation WHO - World Health Organization iii iv Table of Contents Executive Summary .................................................................................................................. ix 1. Background ......................................................................................................................... 1 2. Objectives ........................................................................................................................... 4 3. Methodology ....................................................................................................................... 4 4. Key Findings....................................................................................................................... 7 4.1 Basic details of blood banks (n=17) ............................................................................ 8 4.1.1 Category of Blood Banks ..................................................................................... 8 4.1.2 Ownership ............................................................................................................ 8 4.1.3 Organizational Attachment .................................................................................. 9 4.1.4 License details of blood banks ............................................................................. 9 4.2 Annual Blood Collection and Voluntary Blood Donation ....................................... 10 4.2.1 Annual Collection of Blood ............................................................................... 10 4.2.2 Voluntary blood donation .................................................................................. 13 4.3 Transfusion Transmitted Infections(TTIs) ................................................................ 15 4.3.1 Transfusion Transmitted Infections by Category of blood banks ...................... 15 4.4 Component Separation .............................................................................................. 19 4.5 Quality Management Systems ................................................................................... 21 4.6. Reporting and Documentation .................................................................................. 23 4.6.1. Compliance to NBTC guidelines ....................................................................... 23 4.6.2. Reporting requirements ..................................................................................... 23 4.7. Human Resources ...................................................................................................... 23 4.7.1. Availability of staff ............................................................................................ 23 4.8. Training of Blood Bank Personnel by NACO/NBTC ............................................... 24 4.9. Equipment and Supplies ............................................................................................ 25 4.9.1. Regular supply kits/supplies .............................................................................. 25 4.9.2. Equipment Availability (working condition) ..................................................... 26 4.10. The current status of blood banks based on the assessment .................................. 27 4.10.1 Assessment score by Category of blood banks .................................................. 29 4.10.2 Assessment score by Ownership ........................................................................ 30 4.10.3 Assessment score of Private Sector Blood Banks.............................................. 30 4.10.4 Assessment score by Annual Collection ............................................................ 30 4.10.5 Assessment score by Voluntary Blood Donation .............................................. 31 4.10.6 Assessment score by participation in External Quality Assessment Scheme .... 31 4.10.7 Assessment score by Accreditation status ......................................................... 32 5. Conclusion ........................................................................................................................ 33 6. Reference .......................................................................................................................... 35 7. Annexures ......................................................................................................................... 36 7.1 Individual Blood Banks’ Summary ........................................................................... 36 7.2 NACO/NBTC – Questionnaire for Blood Banks ...................................................... 38 7.3 Scoring sheet ............................................................................................................. 50 v Tables and Figures Tables Table 1 - Details of technical areas included in the assessment ................................................ 5 Table 2 - Scoring details and weight.......................................................................................... 6 Table 3 - District Wise Descriptions of Blood Banks................................................................ 7 Table 4 - Basic details of blood banks ....................................................................................... 8 Table 5 - District wise list of blood banks by Ownership.......................................................... 9 Table 6 - Average Annual Collection ...................................................................................... 11 Table 7 - Annual blood collection and percentage of VBD ..................................................... 11 Table 8 - Transfusion Transmitted Infections (%) ................................................................... 15 Table 9 - Transfusion Transmitted Infections by category of blood banks ............................. 16 Table 10 - Total Annual Collection by BCSUs & Percentage of Component Separation ...... 19 Table 11 - Availability of Quality Parameters in Blood Banks ............................................... 21 Table 12 - BBs having Equipment in working condition ........................................................ 26 Table 13 - Mean Assessment score .......................................................................................... 27 Table 14 - Mean assessment score - By District (NACO supported Vs. Non-NACO) ........... 29 Table 15 - Number of Blood Banks Scored above 70- by District .......................................... 29 Table 16 - Mean assessment score by category of blood banks .............................................. 29 Table 17 - Mean assessment score by Ownership ................................................................... 30 Table 18 - Mean assessment scores categories by Ownership ................................................ 30 Table 19 - Mean assessment score by annual collection ......................................................... 31 Table 20 - Mean assessment score by voluntary blood donation ............................................ 31 Table 21 - Mean assessment score by EQAS enrolment ......................................................... 31 Table 22 - Distribution of Blood banks by Districts and mean assessment score categories .. 32 Table 23 - Distribution of Blood banks by Districts and mean assessment score categories .. 32 vi Figures Figure 1 - Availability of BBs per 1,000,000 (1 million) Population .............................................. 7 Figure 2 - License Status (n=17) ...................................................................................................... 9 Figure 3 - Annual Collection and Voluntary Donation .................................................................. 10 Figure 4 - Type of Blood Donation (Voluntary
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