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T he National Blood Service Zimbabwe Harare, Zimbabwe Successes and Challenges to Provision of Safe Blood Products Mr. D

T he National Blood Service Zimbabwe Harare, Zimbabwe Successes and Challenges to Provision of Safe Blood Products Mr. D.A. Mvere (March, 2013). Presentation. Background on the NBSZ and its Mission Challenges to NBSZ in Achieving its Mandate Strategies for Addressing these Challenges.

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T he National Blood Service Zimbabwe Harare, Zimbabwe Successes and Challenges to Provision of Safe Blood Products Mr. D

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  1. The National Blood Service Zimbabwe Harare, Zimbabwe Successes and Challenges to Provision of Safe Blood Products Mr. D.A. Mvere (March, 2013) Receiving Safe Blood is a Human Right

  2. Presentation • Background on the NBSZ and its Mission • Challenges to NBSZ in Achieving its Mandate • Strategies for Addressing these Challenges Receiving Safe Blood is a Human Right

  3. Background: NBSZ is registered as a not for profit company under the Companies Act, [Chapter 24.03] It has been in existence since 1988 having been amalgamated from 3 separate units established in the early 50s. Itis the sole facility with the mandate for the supply of blood products in Zimbabwe It is funded through a partial cost recovery system as well as fiscal funding from government and also from resource partners and a few corporates. It has established a total of 5 branches that are strategically placed to meet the blood needs of the entire country. Receiving Safe Blood is a Human Right

  4. NBSZ COVERAGE Map Of Zimbabwe Depicting NBTS Branch Network • Blood collection • Component production • Centralised Testing • Distribution • Blood collection • Distribution • Blood collection • Component production • Distribution • Blood collection • Component production • Distribution • Blood collection • Distribution Receiving Safe Blood is a Human Right 4

  5. Key Success Factors to Achieving a a Sustainable Blood Programme • National Blood Policy and Standards in place. • Government commitment, to support financial, human and material resources required. • Donor recruitment based on voluntary non- remunerated blood donors. • A Quality Management System • A Nationally co-ordinated programme Receiving Safe Blood is a Human Right

  6. Achievements • Set up a central donor sample testing laboratory in order to maintain uniform quality of the blood products nationally • ISO certified to 9001:2000 standard in 2007 • 98% of donated blood processed into components. • Working to achieve accreditation to ISO15189 • A commercial blood bank software handles all data from collection to dispatch of the blood to hospitals. Receiving Safe Blood is a Human Right

  7. Achievements (cont.) • NBSZ appointed as a WHO collaborating centre for blood transfusion in 1994 until 2006 • Endured the highest hyperinflationary period in history! > 200million % • Survived due to organisational & independent structure; and resourcefulness Receiving Safe Blood is a Human Right

  8. Key cost Drivers • Safety of the blood products • Testing of the blood donated • Maintaining the Blood Cold Chain • Staff costs • 176 employees (nurses/scientists and support staff and Medical Consultants • Continual staff development • Input costs • Reagents • Transport • Capital Lab and clinic equipment • Fixed sites Receiving Safe Blood is a Human Right

  9. Trends in Blood Collection and HIV Sero-prevalence (1995-2011) Receiving Safe Blood is a Human Right

  10. Challenges to the Delivery of Safe Blood • Operating environment: socio-political and economic challenges leading to: • Resource Challenges: • Human resource challenges: Medical officers and specialists • Technological challenges • Limited Hospital services and budgets • Patients on cash unable to pay for blood products • Failing to acquire plasma derived products as NBI in South Africa is unable to meet regional demand: • Albumin for various treatment regimes • Immunoglobulins • Anti Haemophilic & other Coagulant Factors Receiving Safe Blood is a Human Right

  11. Strategic Development Issues • At NATIONAL LEVEL, introducing appropriate technologies to support appropriate health care initiatives will help: • Cancer treatment programmes • Management of Haematological disorders • These activities will help • Attract physicians and scientists from the diaspora back home so they continue to exercise their skills. • Provide leadership and skills to the blood programme • Targetted staff exchange programmes and transfer of used but appropriate equipment will help meet some of the resource challenges. Receiving Safe Blood is a Human Right

  12. At Regional Level: Role of AfSBT There is need to work with the AfSBT to: • Implement the Africa Standards for Blood transfusion • Implement the Step Wise accreditation system • Regional educational or training programmes • Promoting Monitoring and Evalaution (Haemovigilance) • Ensuring self sufficiency in plasma derivatives at regional level. Receiving Safe Blood is a Human Right

  13. WHY INTRODUCE NAT AT NBSZ Receiving Safe Blood is a Human Right

  14. EXPECTED BENEFITS FROM NAT Receiving Safe Blood is a Human Right

  15. Thank You Receiving Safe Blood is a Human Right

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