Monitoring

and
Evaluating a
Voluntary
Blood
Donation
Program

Dr. Milagros M. Viacrucis

Honorary Consultant
Davao Blood Center
 Core topics
Importance of monitoring and evaluation
Identifying and using indicators

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 Monitoring and evaluation
Targets are met
Gaps in implementation & how to address these
Identifies points for improvement
Key to efficient future planning

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 Methods
Review of documents
 MBD Reports
 BSI Reports – quarterly
 Results of screening vs confirmatory tests
BSF Monitoring Visits
 Monitoring Checklist
Annual Program Implementation Review

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 Performance Indicators
Define targets
Define indicators
 Qualitative
 Quantitative
Choose indicators with:
 Most impact on blood availability and blood safety
 Easy to retrieve/collect

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 Donor recruitment
1. Blood donor recruitment rate – donors
recruited relative to a defined population
 Donors recruited – donor who received pre-
donation information and came to donate blood
during MBD or in the BSF (= registered donors)
 No. of registered donors x 1,000
Total population
 Significance – effectiveness of pre-donation
information campaign

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 Donor recruitment and selection
2a. % Suitable donors among donors screened
 Percentage of donors found suitable to give blood
among those screened
 No. of donors accepted x 100
No. of donors screened
 Significance:
 effectiveness of donor identification and selection
process
 Cost efficiency of MBD
 Caution: Medical evaluation officer observes
national donor selection criteria?
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 Donor recruitment and selection
2b. Deferral rate (%)
 Percentage of donors deferred among those
screened
 No. of donors deferred x 100
No of donor screened
 Significance: same as % Suitable donors among
donors screened
 Not more than 15%

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 Donor recruitment and selection
3. Donation rate – donations relative to the
population
 No. of donations collected x 1,000
Total Population
4. % Distribution of donations as to source:
 VNRBD
 Family/Replacement
 Paid

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 Donor recruitment and retention
5. % Distribution of donors as to frequency of
donations:
 Regular – donors who donated in the current year
and the previous year where the interval of donation
is not more than 12 months
 Lapsed – donors who donated in the current year
where the interval from the past donation is more
than 12 months
 New – donors with no history of donation
 % of regular donors = No. of regular donors x 100
Total no. of donors
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 Donor recruitment and retention
5. % Distribution of donors as to frequency of
donation:
 Significance:
 effectiveness of donor retention strategies
 Blood safety – high % of regular VNRBD
 Target:
 % regular VNRBD - >80%
 % lapsed VNRBD - 10-15%
 % new VNRBD - 5-10%

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 Donor recruitment and retention
6. Proportion of donors in different age group:
 18-24 years
 25-45 years
 46-60 years
 >60 years
 Significance: cost-effectiveness of getting committed
donors in the 18-25 years old group
5. Proportion of male versus female donors

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 Blood collection
7. Percentage of Whole Blood (WB) units useful
for processing
 Definition: Percentage of WB units that can be
processed from among the units of blood that were
collected from donors.
 Formula: No. of WB units useful for processing x 100
No. of WB units collected
 Target: 95% or better
 Quality of skills of phlebotomists & assistant to the
phlebotomists

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 Donor care and counseling
Adverse donor reactions related to donation per
10,000 donations
 Type
 Severity
 No. of donors with adverse reactions x 10,000
No. of donors who donated blood
 Effectiveness of pre-donation counselling

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 Key points
Regular assessment of the program is essential
using clearly defined indicators
Need for periodic monitoring of targets and
indicators
Results of the analysis are used to improve the
program

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 Learning outcomes
You should now be able to:

Explain the importance of undertaking continuous

monitoring and evaluation of the blood donor
program
Identify the most appropriate and effective
indicators to use

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