Requirements

for a Successful
Voluntary Blood
Donation
Program

Dr. Milagros M. Viacrucis

Davao Blood Center

Adapted from the Course on

Developing VBD Program
 Core topics

Legislation
Organizational requirements
Quality Systems
Capability building
Collaborative partnerships
Monitoring and evaluation

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 Enabling Legislation (national)
RA 7719 (National Blood Services Act of 1994)
 a) To promote and encourage voluntary blood donation
by the citizenry …. ;
 b) To lay down the legal principle that the provision of
blood for transfusion is a professional medical service
and not a sale of a commodity;
 c) To provide for adequate, safe, affordable and
equitable distribution of supply of blood and blood
products;
 g) To mandate the DOH to establish and organize a
National Blood Transfusion Service Network in order to
rationalize and improve the provision of adequate and
safe supply of blood
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 National Voluntary Blood Services
Program (NVBSP)
Administrative Order 9, s. 1995 (Program &
Regulation)
 IRR of R.A. 7719
Administrative Order 17-A, s. 1998 - Requirements
and Procedures for a License to Operate a Blood
Bank/Blood Center in the Philippines
Administrative Order 101-A, .s 2003 - Rules and
Regulations Governing Authorization of Blood Collection
Unit and Blood Station

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 National Voluntary Blood Services
Program (NVBSP)
Revised IRR: AO 2005-0002 dated Jan 2005
 Created the National Council for Blood Services
and the Phil National Blood Services
 Move towards a nationally-coordinated transfusion
facilities in the country
AO 2008-0008: Revised Rules & Regulations
Governing the Regulation of Blood Service
Facilities
 National/Sub-national/Regional BCs
 Amended in 2011

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 Organizational Structure of NVBSP
National Council for Blood Services
(Governing Body)
Composition of NCBS:
DOH, PRC, PBCC, PSHBT, PSP

Executive Committee

Committee Comm on Committee Comm on Specialist

on Public Curriculum Technical Committee on Professional BTS
Education, Development Committee on Informatio Education Advisory
Advocacy Finance n Group
Technology *

Philippine National Blood Services (PNBS)

(Operations Level)

Composition of PNBS:
Blood Centers of DOH, PRC, and LGUs

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 Blood Service Facility Categories
(Adm Order # 2005- 0002 or Revised IRR of RA 7719)
Blood Center Blood Bank Blood Collection Blood
Unit Station
 Donor recruitment,  Donor recruitment,  Donor
retention and care of  Donor
voluntary non- retention and care recruitment, recruitme
remunerated blood  Storage of whole blood retention, & nt,
donors, & blood components care retention,
 Donor selection obtained from a blood  Donor selection & care
 Collection of blood center or another  Blood Collection
(mobile or facility- hospital; dispensing from suitable
based) from suitable  Compatibility testing of donors ___
voluntary donors
 Testing of blood units for red cells units ___
5 infectious disease  Direct Coombs Test ___
markers (HIV Ag/Ab,  Red cell antibody
HCV Ag/Ab HBsAg, ___
Syphilis, Malaria) screening
 Investigation of ___
 Processing and provision
of blood components transfusion reactions
 Storage, issuance,  Assist the Hospital  Storage,
transport & distribution Blood Transfusion issuance
of units of whole blood Committee (HBTC) in
and/or blood products the conduct of post- ____
to hospitals and other transfusion
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(hemovigilance) DONOR 2.2
 National Voluntary Blood
Services Program (NVBSP)
AO 2010-0001: Policies & Guidelines for the
Philippine National Blood Services & Blood
Services Networks
Dept Circular 2010-0013: Operational Guidelines
for Blood Services Networks
AO 2010-0002: Policies & Guidelines pertinent to
the establishment & Operation of Local Blood
Councils
Dept Circ 2010-0181: Provision of Blood Services
under MNCHN Strategy.

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 Standards and Guidelines
Clinical Practice Guidelines
Manual for Blood Donor Selection and
Counseling
Manual of Standards for Blood Services
Manual of Technical Procedures*
Manual of Administrative SOP’s*
Guidelines of integrated blood banking
information system*

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MBD Teams
“Blood Center Model”
Blood Center
All Blood Units
Collected
Centralized testing
Component
Community Based & Bar-coded
processing nt-
Blood Donations
Voluntary blood donations
Hospital replacement ?hidden paid Blood Service Fees
donors (Cost Recovery)
Blood
Products
• Advocacy on VBD
• Rational Blood Use
Hospitals
Patients’ family, (Government & Private) • Blood Stocks Inventory
• Ab Screening,
relatives/ friends
Crossmatching
• Transfusion Reaction Work-
up
• Hemovigilance (Post -
PhilHealth Reimbursement • Transfusion Surveilllance)
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 Direct Blood Distribution System
from Blood Center to Hospital
Hospitals enter into MOA with Blood Center
Hospitals order according to their Blood Stock
Inventory (BSI) from the Blood Center.
Blood Center delivers the weekly blood
requirements of the hospital based on their
BSI
Blood Center sends statement of account to
the hospital.
Blood Center collects payment on a monthly
basis in the succeeding month.
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 Organizational requirements
Organizational structure with clear lines of
communication – from the region down to the
barangay
DOH-RO provides directions and orchestrates
program implementation
Regional & Local blood program manager(s)
 Provincial BP Coordinator
 City/Municipal BP Coordinator
 Barangay BP Coordinator
 Focal Person for the BP in GO/NGO
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 Enabling Legislation (local)
Ordinance or Resolution – supporting the
implementation of the Blood Program locally and
allocating funds for the program
 Sangguniang Panlalawigan
 Sangguniang Bayan
 Barangay
Executive Order
 Designating the local BP coordinator
 Organizing Working Committees for MBD

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 Organizational requirements
Trained and competent local BP coordinators
Suitable infrastructure and facilities for blood
collection and donor care
Adequate equipment and consumables
Adequate and sustainable funding – budget allocation
from the DOH-RO, LGUs and other program partners

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 Organizational requirements
Quality systems, including standardized
procedures and documentation
Efficient donor records/information management
system
Effective communication and transportation
systems

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 Quality systems
Standard operating procedures
 Donor recruitment (includes donor education)
 Donor registration
 Donor selection
 Pre-donation counseling
 Counseling for deferred donors
 Blood collection and donor care
 Management of adverse donor events: e.g.
accidents, donor reactions
 Post-donation counseling
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 Personal qualities required
Tactful, enthusiastic and friendly
Commitment to voluntary blood donation
Good team member
Aptitude for community service
Understanding of local culture

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 Professional skills required
Donor recruitment and retention staff/volunteers
 Communication skills: interpersonal, verbal,
written
 Creativity and motivational skills
 Organizational skills
 Experience in public relations, sales and marketing,
media communications
 Good knowledge of the blood service

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 Professional skills required
Donor selection, donor counselling and blood
collection staff/volunteers
 Technical skills
 Interpersonal communication skills
 Organizational skills
 Ability to work effectively with team members
 Donor focus

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 Capability Building
Training is central to quality
Regular in-service training programme
 Donor recruitment, retention and care
 All Staff and volunteers
 Donor selection and counselling

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 Capability Building
 Blood collection and donor (doctors, nurses,
medical technologists, donor attendants
 MBD
 Facility-based
 Local BP Management (Local BP Coordinators)
 Blood Program PIME
 Organizing MBD

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 Building collaboration and
partnerships
Advocacy for and promotion of voluntary blood
donation
Community-based donor education
 General pubic
 Prospective donors
Increase public awareness and support
Mobilization of resources
Media involvement

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 Evaluation of the blood donor
program
The provision of safe blood to the community
depends on continuous, systematic monitoring
and evaluation of the blood donor program
Monitoring and evaluation identify strengths and
areas for improvement
Evaluation starts with the measurement of
performance against realistic objectives

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 Key points
Requirements for an effective voluntary blood donor
programme
 Government commitment and support through a
national blood policy, plan and legislative
framework, budget allocation
 Blood donor department/unit with adequate
resources and trained staff
 Quality systems
 Collaboration and partnerships
 Monitoring and evaluation system
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 Learning outcomes
You should now be able to:
Define the organizational requirements and
resources required to develop and implement an
effective voluntary blood donor programme

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