Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience
Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu...
-
Upload
laurel-henderson -
Category
Documents
-
view
216 -
download
0
Transcript of Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu...
![Page 1: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/1.jpg)
Voluntary non-remunerated Blood Donor
Recruitment & RetentionIran Experience
Dr Mahtab Maghsudlu (MD, MPH)
Assistant Professor in Community Medicine
![Page 2: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/2.jpg)
Global Strategy for Voluntary Blood Donation
Globally, by 2015
• 100% voluntary non-remunerated blood donation in countries with high Human Development Indices (HDIs)
• At least 80% voluntary non-remunerated blood donation in countries with low and medium HDIs
![Page 3: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/3.jpg)
Blood Safety
The recruitment only of voluntary ,
non-remunerated blood donors with altruistic motives
Retention of donors
Laboratory tests
Donor selection
Why VNRBD?
![Page 4: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/4.jpg)
Global challenges in blood availability and safety
![Page 5: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/5.jpg)
Major Challenge
• Increasing requirements for blood and blood products
• Inadequate blood supplies to meet needs
• Risk of transfusion-transmissible infections and transfusion reactions
• Unnecessary transfusions
![Page 6: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/6.jpg)
Unnecessary transfusions• Lack of national clinical transfusion guidelines
• Variations in prescribing patterns between countries, within countries and within hospitals
• Use of blood when not indicated for patient health and survival
• Failure to use simple safe alternatives
• Reduced stock of blood available for patients for whom there is no alternative to transfusion
•Unnecessary exposure of patients to risk of TTIs
![Page 7: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/7.jpg)
Blood usage: developed countries
• Complex surgical and medical procedures– Cardiac surgery, vascular surgery,
neurosurgery, orthopaedic surgery, transplantation
• Cancer chemotherapy
• Trauma care– Road traffic accidents
• Haematological disorders– Thalassaemia, sickle cell disease, haemophilia
![Page 8: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/8.jpg)
Blood usage: developing countries
• Complications of pregnancy and childbirth
• Severe childhood anaemia– Often resulting from malaria or malnutrition– Exacerbated by HIV/AIDS, parasitic infections
• Trauma care– Road-traffic accidents– Interpersonal violence– War, conflict, disasters
• Haematological disorders
![Page 9: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/9.jpg)
• 99% of the estimated 536 000 maternal deaths each year occur in the developing world
• 19 of the 20 countries with the highest maternal mortality are in sub-Saharan Africa
Maternal mortality, 2005
![Page 10: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/10.jpg)
Maternal mortality, 2000
Maternal Mortality Ratio, 2000. World Health Report, WHO
Legend
= <3030-110111-540
>540
![Page 11: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/11.jpg)
Blood donation and maternal mortality
0.00
500
1000
1500
2000
2500
0.3 0.4 0.5 0.6 0.7 0.8 0.9 1
HDI value
Donations per 100,000
population
Maternal Mortality Ratio, 2000
Legend
Donations per 100,000 populationMaternal mortality ratio
![Page 12: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/12.jpg)
Severe acute anaemiaSevere acute anaemia• Major causes of severe acute anaemia
– Malaria
– Malnutrition
– Haemoglobinopathies: e.g. thalassaemia, sickle cell anaemia
• In southern Africa, safe and timely transfusion could help prevent up to 20% of maternal deaths and 15% of child deaths from severe anaemia
![Page 13: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/13.jpg)
Malaria and anaemiaMalaria and anaemia• In malarial areas:
– Estimated 30-90% children under 5 have anaemia
– 60-80% of pregnant women have anaemia
– 8-15% of child deaths and 8-20% of maternal deaths are caused by severe anaemia due to malaria
• Malaria and anaemia also contribute to adverse pregnancy outcomes - stillbirth, premature delivery, low birth weight and perinatal deaths
![Page 14: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/14.jpg)
WHO Health Statistics 2005
Legend
<25 25-49.950-99.9100-150
>150Not available
Under-five mortality rate, 2003Under-five mortality rate, 2003
![Page 15: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/15.jpg)
Blood donation rates, 2004-2005• No global standard for assessing a
country's requirements for blood
• Depending on level of development of health care system, blood donation by 1-3% of population is usually sufficient to meet a country's needs
• Blood donation rates of less than 1% of population (fewer than 10 donations per thousand people) in 80 countries 79 in developing world
![Page 16: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/16.jpg)
Blood donation rates, 2004-2005Blood donation rates, 2004-2005
• Average number of blood donations per 1,000 population is 11 times higher in high HDI countries than in low HDI countries
• 100% voluntary non-remunerated blood donation – 2002: 39 countries
– 2004: 50 countries
• Family/replacement donors and paid donors remain a significant source of blood for transfusion in many countries
![Page 17: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/17.jpg)
National Blood Program in Iran
Donor Screening Blood Testing Q.C
Blood Donor Recruitment Program
National levelBlood Centers level
1) Establishment of a national central department responsible for all activities related to blood donors throughout the country in 2002
2 )Develop and implementation a continuous national awareness program to lighten the importance of regular donation
3 )Broadly partnership with other organizations
4) Training of blood centers’ staff in the field of donor recruitment
5)Research as a tool for blood donor recruitment and retention
)11(Need Assessment in each Province
)22 (performance of SOPs related to “Donor Recruitment”
3 )Donor Registry Database
4) Face to face education & Information sessions
5 )Blood Donor Recognition
6) National Blood donor day & WBDD
![Page 18: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/18.jpg)
Establishment of national central department responsible for all activities related to blood
donors throughout the country
• Planning• Providing SOPs• Monitoring- the total number of donors.
-the number of new donors (and their donation profile after 2 months,1 year and 5 years)
-the number of regular donors Blood Donation / Blood Donor Ratio
-response rate of the donors ( after written invitation to donate phone
calls e-mails ,..…,
• Evaluation
![Page 19: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/19.jpg)
Develop and implementation a continuous national awareness program
![Page 20: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/20.jpg)
Develop and implementation a continuous national awareness program
• Adding some topic about blood and blood donation to primary educational curriculum
• Writing a composition about the importance of blood donation
![Page 21: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/21.jpg)
Broadly partnership with other organizations
• Advocacy for voluntary blood donation
• Public support• Mobilization resource• Community involvement• Brainstorm idea in order
to reduce the gap between planner and people
![Page 22: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/22.jpg)
Potential partners
• Community based organization
• Educational institutions
• Private sector
• Patient association
• Media
![Page 23: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/23.jpg)
Training of blood centers’ staff in the field of donor recruitment
![Page 24: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/24.jpg)
Research as a tool for blood donor recruitment Examples of research objectives
• Donor characteristics: e.g. age, gender, education, socio-economic
• status,Knowledge, Attitudes and Practice (KAP) of the general public
• Cultural values that support or discourage blood donation
• Identify low risk population
• Responses of different target populations to information and education materials
![Page 25: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/25.jpg)
• Most effective communication and education strategies to motivate specific target populations
• Impact of extended operating times on blood donation
• Waiting times in donor clinics
• characteristics of lapsed donors and reasons for not returning to donate
Research as a tool for blood donor recruitment Examples of research objectives
![Page 26: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/26.jpg)
Research as a tool for blood donor recruitment Examples of research objectives
• Effect of staff training/qualifications on quality of care provided in the donor clinic
• Number of donor deferrals and reasons for deferral
• Number of delayed adverse reactions in donors & risk factor
• Donor satisfaction & contributing factors
• Response rates to different donor recall methods
![Page 27: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/27.jpg)
Several studies of iron status in Iranian women blood donors
• Result showed significant Result showed significant percentage ofpercentage of women donors women donors are iron deficient.are iron deficient.
![Page 28: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/28.jpg)
• Then another research was designed:
![Page 29: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/29.jpg)
Effect of short-term ferrous sulfate supplementation on iron stores
• 412 childbearing age female
• Half of them were given 21 doses of ferrus sulfate 150mg in each donation and the other not
• Result showed Iron deficiency is inevitableResult showed Iron deficiency is inevitable in childbearing age female donors without in childbearing age female donors without supplementationsupplementation
![Page 30: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/30.jpg)
Blood Donor Recruitment Programin Blood Centers’ level
![Page 31: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/31.jpg)
Estimating blood requirements Method 1: based on previous usage
• Analyse records for a specified period in a defined geographical area, population or hospital:– Number of units of blood/components requested
– Number of units of blood/components issued for transfusion
– Number of unfilled requests for blood/components: e.g. elective surgeries cancelled
![Page 32: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/32.jpg)
Estimating blood requirements Method 2: based on population
• Used to estimate the number of units of blood needed to meet the blood requirements of a defined population over one year
• Calculation is based on 1-3% of population requiring blood per year, based on level of development of health care system
• Can be used to estimate the blood requirements of individual regions or districts within the country
![Page 33: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/33.jpg)
Estimating blood requirements Method 3: based on acute hospital beds
• Used to estimate the number of units of blood needed to meet blood requirements of a defined hospital population
• Calculate 6.7 units of blood required per acute hospital bed per year
![Page 34: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/34.jpg)
Estimating blood requirements Method 3: based on acute hospital beds
ExampleFor a hospital with 50 acute beds, calculate:• 50 x 6.7 = 335 units of blood per year or approx.
7 units per week
• Number of donors required will depend on frequency of donation: e.g.– 1 donation per donor per year = minimum 335 donors
– 2 donations per donor per year = minimum 168 donors
![Page 35: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/35.jpg)
Performance of SOPs related to “ Donor Recruitment”
![Page 36: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/36.jpg)
Face to face blood donor education & Information sessions
![Page 37: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/37.jpg)
High school students Education Program
![Page 38: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/38.jpg)
Blood donor recognition
![Page 39: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/39.jpg)
National Blood Donation Day & WBDD WBDD in Iran 2008
![Page 40: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/40.jpg)
Trend of Blood Donation in Iran )1974-2007)
1735000
12,354
1,183,630
1,448,149
746,868
0
200000
400000
600000
800000
1000000
1200000
1400000
1600000
1800000
2000000
1974
1980
1985
1990
1995
2000
2005
2007
Un
its
![Page 41: Voluntary non-remunerated Blood Donor Recruitment & Retention Iran Experience Dr Mahtab Maghsudlu (MD, MPH) Assistant Professor in Community Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070323/56649dd25503460f94ac9231/html5/thumbnails/41.jpg)
Trend of Yearly Donation Index in Iran)1974-2007)
25
0.39
19.4
22.1
14.7
0
5
10
15
20
25
30
1974
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
Per
100
0