Different Blood Drive Perspectives

2016 ROTARY INTERNATIONAL CONVENTION

Global Overview of Blood Donor

Motivation and Mobilization

Cees Th. Smit Sibinga

President RI RAG GNBD

RAG Global Network for Blood Donation

to develop an international network of Rotarians and others who are involved in supporting volunteer blood donations.

GNBD will promote voluntary (non-remunerated and regular) blood donation and support for local community blood centers.

GNBD Mission

Through their association in this Rotarian Action Group members are expected to share their expertise and experience with others engaged in the same type of efforts, thus promoting a fellowship of service throughout the world.

GNBD Vision

The objectives of GNBD contain messages to

each of the RI Six Areas of Focus (AoF) to be

shared with the RCs and Districts.

The main focus of the RAG GNBD is on the

areas 2, 4 and 5.

Objectives

1. Peace and conflict prevention/resolution –

in peace and conflict an adequate blood

supply is paramount to support those in

need, whether diseased or wounded;

Objectives

2. Disease prevention and treatment –

safe and efficacious blood, available, accessible and affordable, is an integral part of the health care provision;

Objectives

3. Water and sanitation –

the effect of clean water and proper

sanitation on the health status of potential

blood donors is crucial to donation of safe

and efficacious blood by healthy volunteer

donors;

Objectives

4. Maternal and child health –

around 75% of all transfusions in the restricted economy countries are given to obstetric and paediatric patients, where still a considerable number of women in these countries die due to severe haemorrhage during delivery and the shortage of an adequate blood supply;

Objectives

5. Basic education and literacy –

promotion and advocacy of voluntary

blood donation as well as the clinical

informed consent (patients) on blood

transfusion depend on literacy and basic

education.

Safe and voluntary blood donation is much more than just sticking a needle in a vein.

Objectives

6. Economic and community development –

the development of an all voluntary and self-sufficient blood supply goes hand in hand with the development of economy and the community.

The higher the human development index (HDI) the better the health care and integrated blood supply of a country.

Objectives

Blood Donation and Supply Systems

National Blood System/Service overarches.

Possible ‘service delivering’ models –

A single service provider, either governmental or delegated to a not-for-profit, non-governmental organization(e.g. Red Cross, NFP-Foundation)

Blood Donation and Supply structures

Multiple service providers, including governmental and non-governmental organizations, and private institutions


Another approach is –

Horizontal – a limited number of operational units all with the sameresponsibilities and operationalcomplexity, kind of federation under thefinal responsibility of the National Health Authority.


Such federation could consist of –

governmental, NGO and private institutions(e.g. Rotary) with different economies of scale, but under the same rules and regulations toavoid different standards of quality of care.


Vertical – a structure based on a spread of operations from central and largereconomy of scale to peripheral and small economy of scale.


This usually is expressed in a differentiation of operational functions, from comprehensivedown to just collection, storage anddistribution.

There is usually one organization responsiblefor the implementation of the operations

(e.g. EFS, Sanquin, NHSBT, Red Cross).


The principle is a cascading down of operationalities, where adequate covering of distances (logistics of supply) are determining.


Particularly in larger geographical situationswith low population densities, this approach and model may be successful to guarantee a continuous supply that meets demands, as well as quality and cost-effectiveness.


Donor motivation and mobilization may besupported through Rotary, but shouldalways be organized and operated in close collaboration with the responsible Blood Centre, whether hospital-based, Regional or National.

Donor Motivation and Mobilization

Terminology used –

Blood drive

Donor clinic

Donor camp

Donor session

Mobile Team session

Donor Motivation and Mobilization

Examples of successful support –

France: Mon Sang pour les Autres

which is also operational in a number of francophone countries

US: Governor’s Challenge

which led to the Cowboys and Indiansinitiative with Indian RI Districts


Be a gift to the World

Voluntary Non-remunerated Blood Donation and Rotary

International


Rotary Blood Banks

in

INDIA

INDIA

Rotary Blood Bank Vizag

-Financial Support to other NGO established

Blood Banks

-Established along with other NGOs

-Established and being operated by Rotary

Clubs

CHALLENGES

- Suitable Man Power

- Cost Effective

- 24x7 Service

- Lack of Voluntary Donors

CHALLENGES

- Lack of Awareness

- Misconceptions

- Role of Quacks

- Licensing Procedure

- Delay by Government Authorities

VOLUNTARY DONOR CAMPS

- Support from Local Rotary clubs

- Support from other NGOs, Organizations

VOLUNTARY DONOR CAMPS

- Organizing Outdoor Donor Camps

- Organizing Donor camps in Blood

Bank Premises

“Be a Gift to the World”

through Blood Donation

Donate Blood – Save Lives

THANK YOU

PDG Kishore Kumar

RI District 3020, India

Rotary Blood Bank,Visakhapatnam

Chairman 2001-13

2016 RI ConventionGlobal Network

for Blood

Donation

Global Network

for Blood

Donation

1. History

2. Expansion in France

3. Conditions for success

4. Advantages for Rotary

5. Development of MBFO

6. Conclusion

Plan of the presentation

My Blood For Others

Global Network

for Blood

Donation

History

First blood

collection in

Toulouse

District 1700,

France,

in1998

My Blood For Others

Global Network

for Blood

Donation

History

199825 Rotary,

Inner Wheel

and Rotaract

Clubs

involved (200 volunteers)

My Blood For Others

Global Network

for Blood

Donation

History

1998 :1400 donors

welcomed in

1 day : a

european

record !

My Blood For Others

Global Network

for Blood

Donation

Expansion in France

Since1998,

more than

100 cities

have joined

MBFO

My Blood For Others

Global Network

for Blood

Donation

Expansion in France

292.000donors

welcomed

in 18 years

My Blood For Others

Global Network

for Blood

Donation

Out of France

Mali,

Togo,

Benin,

Gabon,

Senegal,

Ivory Coast,

Reunion Island

My Blood For Others

My Blood For OthersGlobal Network

for Blood

Donation

Conditions for success

Location

in city

centers

to attract

new

donors

Global Network

for Blood

Donation


Numerous

and varied

associated

events

My Blood For Others

Global Network

for Blood

Donation


Advertising &

communication

My Blood For Others

Global Network

for Blood

Donation

Advantages for Rotary

• promotion of the image of Rotary

• common action between several clubs

• numerous lives saved

• opportunity to show what Rotary can do

My Blood For Others

Global Network

for Blood

Donation

Development of MBFO

Many Rotary-Clubs, all over the world,

organize blood collections

In order to obtain a better visibility,

inside and outside Rotary, we wish to

convince them to use the same name “

My Blood For Others”

My Blood For Others


for Blood

Donation

Many thanks for your attentionand sorry for my poor English ….


for Blood

Donation

I am ready to answer your

questions

Speak slowly, please …


Governor’s Challenge

1996 – Governors’ Challenge D57902001 – D9300 Johannesburg area joins2002 – D5810 joins the Challenge2007 – RI approves GNBD as a RAG

– first exhibiting at the RI Convention Salt Lake City

2010 – Districts in Texas embrace Challengeand many others follow

– D5790 & D5810 Challenge reaches 100,000 units collected

GNBD Milestones

2011 – Cowboys and Indians competition– Collaborative agreement with the

Association for Donor Recruitment Professionals (ADRP)

2013 – Partnership with the Global Blood Fund

2016 – 10th year exhibiting at the RI Convention (Seoul)

GNBD Milestones

• 40+ Rotary Districts around the globe have embraced the Challenge.

• Approximately 800K units of blood are donated annually by Rotarians.

• Approximately 75M units of blood are donated every year around the globe.

• 15% of Districts report clubs are involved in helping blood centers acquire technology, equipment of training.

BLOOD DONATION FACTS

GOVERNORS’ CHALLENGE

• Golden Vampire D5810 & D5790

• Cowboy Challenge in Zones 21b & 27

• Spreading the word at Conferences, Assembly's and Conventions

GOVERNORS’ CHALLENGE

In May of 2011, RI President Elect, Kaylan Banerjee Challenges Districts and Clubs in India to join the Governors’ Challenge.

EASY SERVICE PROJECT

CLUB MEMBERSHIP

City ManagerCity ManagementPolice ChiefBank PresidentNewspaper EditorChamber Board MemberFinancial PlannerInsurance AgentSchool AdministrationProminent Business Owners

RI AREAS OF FOCUS

62

Peace and Conflict

Prevention/Resolution

Disease Prevention

and Treatment

Water and Sanitation

Maternal and

Child Health

Basic Education and

Literacy

Economic and

Community Development

GNBD AND AREAS OF FOCUS

Disease Prevention and Treatment

• A safe, pure, efficacious and readily available blood supply is key component to a successful healthcare delivery system.

• GNBD promotes safe voluntary blood donation through Rotarians.

Maternal and Child Health

• 75% of transfusions in restricted economy countries are given to OB and pediatric patients. A number of these patients die due to unavailability of blood.

63


Korean approach to donor motivation

and retention through the Red Cross Society

Kim, Sunhee

Korean Red Cross Blood Services

Korean Blood Services

Since taking over the National Blood Center in 1958, and being

delegated the national blood services from government (presidential

decree No. 10285) in 1981

No. of Blood Donors increased from 370,000 to 2.9million in 2015

No. of Staff in Blood Service is 2,046 (60.5% of Red Cross Staff)

No. of Blood Donation 2,872,156 (100% unpaid donation)

Annual Supply of Blood components

6,278,079 units

Financial Status in 2015Income 309,235 million wonExpense 306,475 million won

Annual Surplus 2,760 million won

Glance at the Korean Red Cross Blood Services

67

Relevant Laws

68

○ Blood Management Act Article 6 (Blood Management)

Only the following persons may implement blood management:

Provided, That a person who falls under subparagraph 3 shall not

collect blood among blood management:

2. The Korean National Red Cross established under the

Organization of the Korean National Red Cross Act

○ Organization of the Korean National Red Cross Act Article 7

(Services)

○ Regulation on the Safety of Medical Supplies Article 11

Blood Management Committee

KRC Blood Services: 15 blood centers & others

Hospital Blood Centers

Government

Ministry of Health and WelfareMinistry of Food & Drug

Safety

93.2% of Blood donations collected by Korean Red Cross (2015)

Structure of Korean Blood Services

69

Korea Center for Disease Control and Prevention (KCDC)

Name Roles and Responsibilities Dept.

Ministry of Health and

Welfare (MoHW)

- Overall blood supply-demand management

- Permission of the establishment of blood center

- Decision of the price of blood products

Division of

Bioethics

Policy

Ministry of Food &

Drug Safety (MFDS)

- Overall collection and supply management of

pharmaceutical product

- Overall plasma fractionation management

Korea Centers for

Disease Control and

Prevention (KCDC)

- Evaluation of blood establishments

- Investigation of transfusion-associated infection

Division of

Human Blood

Safety

Surveillance

6

Roles and Responsibilities - Government

• 100% VNRBD

• Number of Blood Donations

• Number of Blood Supply (Korean Red Cross)

2012 2013 2014 2015

Total 2,722,609 2,914,483 3,053,424 3,082,918

RC(%) 2,542,495(93.4) 2,708,173(92.9) 2,844,538(93.2) 2,872,156(93.2)

Blood Service Statistics

YearNumber of Units

Supplied

For Transfusion For Fractionation

Sub-Total % Sub-Total %

2015 6,278,079 4,048,199 64.5 2,229,880 35.5

2014 6,272,253 4,099,483 65.4 2,172,770 34.6

2013 6,186,007 4,242,147 68.6 1,943,860 31.4

Red Cross played a leading role

- Rapid growth in number of blood donations - Lack of government’s investment(government’s subsidies in ‘91~ ‘04 : 12m$)

- Lack of government’s inspection & evaluation- Focusing on group donation (56%)

- Focusing on individual donations (65%)- Strengthening government’s investment (government’s subsidies in ‘05 ~’12 : 117m$)

- Strengthening government’s inspection & evaluation

- Appearance of private blood centers

Government played a leading role

History

72

1954. 6. The Korean government established National Blood Center1958. 2. KRC took over the National Blood Center and renamed it as KRC Blood Center1974. 4. KRC declared prohibition of paid donation and encouraged VNRBD1981. 7. The Korean government entrusted the national blood services to KRC

(Updated April 2016)

President

Vice President (2)Central

Committee(28)

General Assembly of

National Representative

Blood Centers (15)

Plasma Fractionation Center (1)

Blood Transfusion Research Institute (1)

Blood Laboratory Centers (3)

Audit Office

Financial Supervisor

Legal Advisor

Secretary General

Blood Services Headquarters

Voluntary service central committee

Policyand

supporting Headquart

ers

Business

Planning

Bureau

Hospital(6)Training

Institute

Chapter(14)

Chairman(1)

Vice chairman(2)

Director

Planning&Manageme

ntBureau

Blood

Safety

Bureau

Information

Management Office

Business

Promotion Burea

u

Humanity business

Headquarters

Internation

al, inter-Korea

n Cooperatio

n

Hospital/

Health&

Safety

Internation

al Humanitari

an Law

Special

Welfare

Programs

Blood Donatio

n Promoti

onBureau

Organization Chart of Korean Red Cross

73

Institutions

74

Jeju

Blood Service HQs

15 Blood Center

3 Laboratory Center

Plasma Fractionation Center

Blood Transfusion Research Institute

Manufacturing and supplying blood products for transfusion

(Self-sufficiency based on Voluntary Non Remunerated Blood Donation)

Manufacturing and supplying blood products for fractionation

(Self Supply rate 95.4% in 2015)

Importing plasma derived medicinal products (12 kinds including tetanus)

Management of blood donor information

Donor Recruitment of hematopoietic stem cell transplantation

What Korean Blood Services does

75

Donor Motivation and Promotion

Donor Motivation & Recruitment activities in Korea

• Donation pledge by organization

First time donor Regular donor

Donors in their 30, 40s

General citizen - Raising awareness on VNRBD

Every blood donor - SMS after blood donation : Thank you for the participation, next donation date- World Blood Donor Day celebration, Blood Donation Day event- Sharing Blood Test result

• Donors’ Hall of fame• Award ceremony(30th

~ 400th)

Poster, Leaflet, Advertisement, Newspaper, Website, SNS, ABO exploration hall Mobile application(Smart Blood donation), Education materials (Text book), and etc

• Thank you card • First donor kit• Guideline for the second donation

○ Annual Report, Statistics Report, Brochure, Leaflet, etc

Produce IEC materials

• Introducing KRC Blood Services, providing information on blood donation and etc

• Providing services : Reservation, Search for Blood Donation Center, Counselling, Electronic Donor Interview, blood test result and etc

• No. of Visitors : 40 thousand donors use electronic donor interview and 500 donors make a reservation a week on average

• Since 2002• http://www.bloodinfo.net

Website – bloodinfo.net

• Developed in cooperation with SK Telecom

• 150 thousand downloads (2014.10.31)

• Ranked at the 10th of Mobil Apps in health and welfare field in 2012 (the No. of downloads)

• Menu: Find Blood Donation Center, Reservation, Electronic Donor Interview, Donation Information and etc

• No. of Users /week : 1000 Electronic Donor Interview, 500 reservation

Mobile application

2016. 0145,934

2016. 01visitor 788,650

neighbor 962,248

Social network Services

Kakao story Facebook Blog

Celebration for Blood Donors – World Blood donor day

- Famous Entertainers : Singer, Comedian, Sport Star,

Actor, Actress, etc

PR Ambassadors

• Providing information about blood donation and

creating intimacy & friendship on blood donation

for the future donors

• located in National Science Museum

• Can experience Blood Cell Kaleidoscope,

Measuring Blood Volume, Quiz, Blood Vessel

Experience Rider and etc

• Operated since April 2014

ABO Blood Donation Exploration Hall

Providing opportunity for donors to donate money equivalent to their blood donation gift to the need- 2014 529,800,000won (51,201people)

- 2015 645,894,000won

Blood Donation Voucher

• Blood donors who pledged to donate blood regularly

• established in 1999 in order to ensure stable blood supply

• Donor who donated more than 2 times within a year can be a member

Registered Blood Donor System

YearTotal no. of donation in Red Cross

New registered donor

Accumulated registered

donorNo.of donation

%/total donation

2015 2,872,156 136,233 780,620 1,224,410 42.6%

2014 2,844,538 128,295 709,181 1,157,294 40.7%

2013 2,708,173 121,504 654,124 1,026,147 37.9%

Provide a chance to participate in the special events(Movie, Tour, Book

event, and etc) for the registered blood donors

Culture Events for Registered Donors(ABO Friends)

Year 2012 2013 2014 2015

No. organizations 187 388 677 944

Corporate partners which pledges to donate blood regularly

Group (company, public institution, etc) pledges to take part in blood donation movement and activities to proliferate donation culture regularly every year

Goal: To promote the participation of middle-aged donors

Awards program

- 30 times : silver medal

- 50 times : gold medal

- 100 times ~ 300 times :

honorary medal

For donors who donated more than 400 times - presenting memorial tablet with celebration in blood donation center

Registration in the hall of fame(website)

- 100 times donation donors : 4,660

Donations 30 ~ 50~ 100~ 200~ 300~ 400~ 500~ 600~

2014 64,117 25,711 5,789 846 162 43 7 3

Programs to Appreciate Regular Donors

Voluntary Hour Recognition

4 Hours Recognition per donation

since 2010. 7. 1

all kinds of blood donations

limited to 5 times for WB donation, 24 times for

Apheresis , 96 hours at the maximum a year donation

• University & High school students or Red Cross Youth who participate in blood donation promotion

• Main Activities- Regular promotion with blood center and

blood donation center- Every 13th ‘Blood Donation Day’ campaign- Donation campaign and publicity to women

and middle-aged people

Blood Donation Supporters & Red Campaigner

Providing education materials to schools

Using blood donation ad for the lesson plan

Providing education materials including school text book

Thank You


Family Donors are Critical and Legitimate

in Developing Countries

Cees Th. Smit Sibinga

President RAG GNBD

Safety of the Gift of Life to the World

Viral Marker PrevalenceIs there a difference between FADs and first time VNRDs?

Family/acquaintance blood donors (FAD)

considered less safe than voluntary

non-remunerated blood donors (VNRD);

Pressure and coercion are considered

unethical.

Assumptions –

97

FAD are actively discouraged by

international organizations (IO);

Affluent countries support these IO;

Existing shortages continues.

Consequence –

98

Viral marker data of 1st time VNRD andFAD, corrected for gender and age show, no significant difference;

Basic motive for VNRD and FAD is benevolence rather than altruism;

FADs are willing to become VNRD and torepeat donation if asked.

Viral Markers

99

Viral Markers

Type of Donors N Donors ConfirmedAnti-HIV (%)

HBsAG (%) ConfirmedAnti-HCV (%)

FAD 17,449(68.3%)

550 (3.2) 2521 (14.4) 583 (3.3)

VNR 8094(31.7%)

110 (1.4) 1027 (12.7) 248 (3.1)

First time 4911 98 (2.0) 824 (16.8) 223 (4.5)

Regular 3183 12 (0.4) 203 (6.4) 25 (0.8)

Prevalence in VNR and FA blood donors in Mali – HIV, HBV, HCVFrom: J-P Allain – ISBT Science Series 2010;5:169-75

100

Viral Markers

Country Type of Donors N Donors confirmedHIV (%) HBsAg (%)

Cameroun First timeVNRD

272 11 (4.0) 49 (18.0)

FAD 3053 114 (3.7) 233 (7.6)

Ghana First timeVNRD

6640 69 (1.0) 919 (13.8)

FAD 4380 50 (1.1) 649 (14.8)

Guinea First timeVNRD

1784 26 (1.6) 259 (14.5)

FAD 8956 42 (0.5) 1142 (12.8)

Prevalence of HIV and HBV in first time VNR and FA donorsFrom: J-P Allain – ISBT Science Series 2010;5:169-75

101

FAD in the Blood Supply in Four Continents

Americas Africa Asia Europe

<20% 20-79% >80%

Argentina Benin Algeria Angola China Albania

Bolivia Botswana Burk. Faso Cameroon India Greece

Brazil Burundi Erytrea Chad Iran Montenegr

Chile CAR Gambia Congo Kuwait

Columbia Côte d’Iv. Guinea DRC KSA

Cost. Rica Malawi Kenya Ethiopia Oman

Cuba Namibia Morocco Gabon Pakistan

Ecuador South Afr. Mozamb. Ghana Thailand

El Salvador Ruanda Tunisia Guin. Biss. Turkey

Guatam Senegal Zambia Madagasc.

Honduras Uganda Mali

102

FAD in the Blood Supply in Four Continents (2)

Americas Africa Asia Europe

<20% 20-79% >80%

Jamaica Mauritania

Mexico Sierra Leo

Nicaragua Tanzania

Paraguay

Peru

Surinam

Uruguay

Venezuela

103

TTI Marker Prevalence in non-SSA Countries post-2009

country donors % prevalence

Anti-HIV Anti-HCV HBsAg

ft VNRD FAD ft VNRD FAD ft VNRD FAD

Albania 52,767 8.1 8.6

India 47,558 0.32 0.41 0.61 0.71 1.77 1.77

39,060 0.36 0.54 0.20 0.23 1.22 1.23

Nepal 33,255 0.7 0.4

Pakistan 13,888 0.0 0.06 1.44 1.56 1.44 1.56

Thailand ? 0.67 0.72

Ghana 6,421 10.8 11.6

Camer. 543 1.5 5.4 2.6 6.0 8.8 10.9

Mozamb. 679 8.9 12.7 8.6 11.8

104

Family/Acquaintance Donors

FAD are almost exclusively called upon in countries with considerable bloodshortages

In life-threatening situations due to severe shortage, pressures are extended on bothVNRD and FAD

FAD blood are cheaper than ‘one time only’ VNRD

105

Statements

1. FADs meet all basic criteria of VNRD;

2. FAD remain a critical source of

(regular) VNR blood;

3. At this point in time, FADs are

- legitimate and indispensable

- should not be discouraged.

106

However –

4. FAD should be encouraged to become

regular VNR donors;

5. FAD are a good potential to bridge the gap

to reach 100% VNRD.

Statements

107

Evidence Base - GNBD Study Proposal

There are limited comparitive and reliablestudies available to provide a solid evidencebase.

Objective–

To re-open the assessment (evidence base) on whether the ban on FAD in developingcountries is justified.

108


Developing countries –

Selected countries from Low and

Medium HDI (4 continents);

Demographic, logistic and statistical

data collection on

- blood donor typology

(first time VNRD & FAD);

109


- viral marker epidemiology

(TTI marker prevalence);

- frequency of blood donation

(% regular vs first time/one time only for VNRD

and FAD);

- blood usage/consumption and suppl

(supply or demand driven);

110


Focus on 1st time/one time only VNR and

FAD donation;

Collection of (confirmed) TTI marker

prevalence;

Correction for gender and age;

N = to be determined (statistical

significance).

111

Message from RAG GNBD

Be a Gift to the World

Donate BLOOD on a voluntary and non-remunerated principle

Preferably do that regularly!

112

Different Blood Drive Perspectives

Government & Nonprofit

Transcript of Different Blood Drive Perspectives