ASSESSMENT OF EFFECTIVENESS OF DR.

JOSE FABELLA MEMORIAL HOSPITAL BLOOD BANK IN PROVIDING BLOOD DURING EMERGENCY OBSTETRIC SITUATIONS

A Report of a Special Study Submitted in Partial Fulfilment of the Requirements in PH 197/199, AY 2012-2013

By Aseron, Marie Grace A. Cortez, Cathlyn Marie R. De Guzman, Alethea Ann R. Remaneses, Joanna I. Sy, Krizia Felea S.

Fely Marilyn E. Lorenzo RN, MPH, DrPH Adviser

College of Public Health University of the Philippines Manila

i

Inadequate and high prices of blood units were reported by the informants. However. affordability. and training workshops for laboratory staff be conducted. Generally.Abstract Hemorrhage is the major cause of maternal mortality in the Philippines. pre-natal care seemed important in preventing hemorrhage during child birth. maternal mortality. Being the primary maternity hospital in Metro Manila. safety and timeliness. Strict compliance of the blood bank to ensure safe blood transfusion was observed but miscommunications between the doctors and the medical technologists were reported. blood bank policy ii . thus it is important that their blood bank services is effective in delivering blood to mothers who are in need. Assessment of the blood bank services revealed that the hospital adheres to replacement blood donation policy instead of the voluntary blood donation. Blood transfusion is found to be the most effective way to save lives of hemorrhaging obstetric cases. Keywords: Hospital blood bank. and devise SOPs on the ideal turn-aroundtime. The following criteria were employed to determine effectiveness: adequacy. safety. Jose Fabella Memorial Hospital receives the most number of obstetrics admission. blood transfusion. Data collection methods utilized were key informant interviews. on-site observation. It is also suggested that the hospital extensively promote the importance of pre-natal check-ups as this can reduce the risk of severe blood loss during childbirth. the blood bank was found to be effective in providing blood units to mothers in need in terms of accessibility. and time and motion observations. and regular mobile blood donations. accessibility. update existing national policies (RA 7719). To increase the capacity of the blood bank to provide adequate and safe blood supply. it is recommended that non-functioning equipments should be repaired immediately. Dr. Recommendations regarding policies in the hospital include the incorporation of replacement blood donation in the SOPs. The study used a descriptive cross-sectional design to assess the effectiveness of the blood bank services. there is a need to improve blood bank services in terms of adequacy and affordability of blood. and timeliness. Key findings of the study include: most hemorrhagic mothers were found to be young and poor. hemorrhagic obstetric cases. simple policy analysis.

medical director of Dr.Acknowledgement The researchers would like to extend their sincere gratitude to the following persons who made the completion of this paper possible: Dr. Ruben Flores. and the blood bank staff for bestowing their place in data collection. iii . support. Staff in Dr. Dr. chief of Medical Professional Staff. for the divine intervention in the academic endeavour of this study. Most importantly God. and contribution to every part of this paper. researchers’ Special Study adviser. Jose Fabella Memorial Hospital. Oscar Ng. Flores and Dr. Lucilla Villareal. Dr. Fely Marilyn Lorenzo. For the moral and financial support of each researcher’s family and friends. chair of Medical Records Department. medical clerks. guidance. Dr. for his kind consideration to this study. nurses. blood bank staff and mothers for their steadfast willingness and for sharing their time in interviews. Jeffrey Leonardo. for the warm welcome and recognition. All doctors. chair of Pathology and Laboratory Department. Ms. who relentlessly gave her precious time. and personnel for their understanding and collaboration. Leonardo’s Offices and Obstetric Department for their tireless pronouncement and assistance.

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