Requirements

for a
Successful
Voluntary
Blood
Donation
Program

Dr. Milagros M. Viacrucis

Davao Regional Blood
Program Manager
 Core topics
Legislation, Policies & Guidelines
Organizational requirements
Capability building for staff and volunteers
Collaborative partnerships
Sustainable Financing
Establishment of Quality Systems
Monitoring and evaluation system

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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, LGUs, Pvt Hosp

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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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 Blood Service Facility Categories
(Adm Order # 2005- 0002 or Revised IRR of RA 7719)
Blood Center Hosp 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  Transport of ___
5 infectious disease  Direct Coombs Test blood units ___
markers (HIV Ag/Ab,  Red cell antibody for
HCV Ag/Ab HBsAg, processing & ___
Syphilis, Malaria) screening
 Investigation of testing ___
 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 other
to hospitals and other transfusion hosp
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 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
 Operating details from CHD
 Fund c/o MHNCHN funds and other sources

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MBD Teams
“Blood Center Model”
Blood Center
All Blood Units
Collected
Centralized testing
Component
Community Based & Bar-coded
processing
Blood Donations
Voluntary blood donations
Hospital replacement ?hidden paid Blood Service Fees
donors Blood (Cost Recovery)
Products
 Advocacy on VBD
 Rational Blood Use
 Blood Stocks Inventory
Patients’ family,  Ab Screening,

relatives/ friends Hospitals  Crossmatching

(Government & Private)
Transfusion Reaction
Work-up
 Hemovigilance (Post -
Transfusion Surveilllance)
PhilHealth Reimbursement
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 Direct Blood Distribution System
from Blood Center to Hospital
Hospitals enter into MOA with Blood Center
Hospitals order blood from the blood center
according to their Blood Stock Inventory (BSI)
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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 Standards and Guidelines
Clinical Practice Guidelines
 Hospitals (priority – large hospitals)
Manual for Blood Donor Selection and Counseling
 Distribute to RHUs
 NGO-partners
Manual of Standards for Blood Services
Manual of Technical Procedures*
Manual of Administrative SOP’s*
Guidelines of integrated blood banking information
system* (NBBNetS)
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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 Council
Executive Order
 Designating the local BP coordinator
 Organizing Working Committees for MBD

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 Organizational requirements (1)

Organizational structure with clear lines of

communication – from the region down to the
barangay
CHD 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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 Capability Building (DRRC)
Training is central to quality
Trained and competent local BP managers, donor
recruiters, donor care providers
Regular in-service training programme
 Donor recruitment, retention and care
 All Staff and volunteers
 Donor selection, counselling and care (includes
management of adverse reactions related to blood donation)
 For C/MHOs

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

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 Professional skills required (1)

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 services
 Blood processing fees
 apheresis
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 Professional skills required (2)

Donor selection, donor counseling 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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 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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 Building collaboration and
partnerships
Advocacy for and promotion of voluntary blood
donation
Community-based donor education
 General pubic
 Prospective donors
Linkage with LGUs, active NGOs and other
stakeholders
Media involvement

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 Suitable infrastructure,
facilities and equipment
Trained and competent local BP coordinators
Suitable infrastructure and facilities for blood
collection and donor care, blood processing, storage
and distribution
Adequate equipment and consumables
Adequate and sustainable funding – budget allocation
from the CHD, LGUs and other program partners

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 Sustainable Financing
Adequate funding from the government
 National
 Local (provincial, municipal and barangay)
Sponsorship from NGOs
 Faith-based groups
 Work places
 Schools
 Business groups – provide food for donors &
volunteers and/or transport

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 Quality Systems (1)

Quality systems, including standardized

procedures and documentation
Efficient donor records/information management
system
Effective communication and transportation
systems

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 Quality systems (2)

Standard operating procedures (DRR)

 Donor recruitment (includes donor education)
 Donor registration
 Pre-donation counseling
 Donor selection
 Counseling for deferred donors
 Blood collection and donor care
 Management of adverse donor events: e.g.
accidents, donor reactions
 Post-donation counseling
 Post-test notification
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 Monitoring and Evaluation
System
The provision of safe blood to the community
depends on continuous, systematic monitoring
and evaluation of the blood donor program
Monitoring and evaluation to 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
 Organizational structure to implement the program in
a regionally coordinated manner
 Mechanism & system for financial sustainability
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 Key points
Requirements for an effective voluntary blood
donor programme
 Quality systems in blood donor management, blood
collection and transport
 Collaboration and partnerships in advocacy &
promotion of VBD & cost-sharing
 Monitoring and evaluation system
CHD provides the direction thru PIR, BSF
network meetings and trainings

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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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