Blood Safety
Objectives
The
major objective of the Blood
Safety Programme is to ensure easily accessible, adequate
supplies of safe and quality blood and blood components
for all irrespective of economic or social status. This
objective translate into the following responses for which
necessary steps were initiated in right earnest.
To
ensure organized blood banking services at the State / district
level,
To educate and motivate people about blood voluntary donation
voluntarily; and
To enforce quality control of blood.
The Strategic Plan
In
order to achieve the goal a strategic plan was prepared
on the basis of the National Policy framework on blood transfusion
services recommended by the Central Council of Health and
Family Welfare. The strategic plan under NACO lay down the
following strategies.
- Strengthening
the National Blood Transfusion services
- Ensuring
an adequate supply of blood to all blood centers
- Ensuring
safety of blood product
- Developing
facilities for the production of component
- Developing
and strengthening facilities for plasma fractionation.
- Strengthening
quality control of blood and blood products.
- Undertaking
research on blood transfusion services operations to improve
safety, efficacy and supply.
Kerala
Scenario
A
State Blood Transfusion Council has been formed and registered
under the Charitable Societies Act for the efficient supervision
of blood banking in the state as per the direction of the
Supreme Court. All unlicensed blood banks in the state have
been closed down and the system of professional donors supplying
blood to blood banks has been done away with. 107 blood
banks including 30 government blood banks have been modernized
and licensed. In all blood banks, the following tests have
been made compulsory, HIV, HBsAg, VDRL and the test for
Malaria. The Kerala State AIDS Control Society (KSACS) is
supplying equipment, blood bags, test kits and other consumables
to government blood banks free of charge. Hepatitis C test
kits will be provided from this year. All the blood bank
medical officers and technicians are given training and
technicians are also provided to ensure 24 hour service.
Blood
Component Separation Units are being established at the
Medical Colleges of Thiruvananthapuram, Kottayam and Kozhikode
and Thrissur. The IMA Blood Bank, Cochin has already started
a component separation unit with the help of KSACS. Doctors
are given training in the rational use of blood to minimize
improper use of blood. In order to obtain good quality blood,
blood donor forum have been started which are attached to
blood banks. Counselors will be appointed in future to blood
banks to ensure that only donors, who have no risk factors,
donate.
Licensed
blood banks in Kerala
| District |
Total
No. |
Government |
Private |
| Thiruvananthapuram |
11 |
6 |
5 |
| Kollam |
10 |
2 |
8 |
| Pathanamthitta |
8 |
1 |
7 |
| Alappuzha |
5 |
2 |
3 |
| Kottayam |
11 |
2 |
9 |
| Idukki |
7 |
0 |
7 |
| Ernakulam |
18 |
3 |
15 |
| Thrissur |
18 |
3 |
15 |
| Palakkad |
1 |
1 |
0 |
| Malappuram |
3 |
2 |
1 |
| Kozhikode |
6 |
2 |
4 |
| Wayanad |
2 |
2 |
0 |
| Kannur |
5 |
3 |
2 |
| Kasargod |
2 |
1 |
1 |
No.
of Government Blood Banks- 30
No. of private blood banks- 71
No. of commercial Blood banks- 6
Details of Elisa Readers in Government Blood Banks
No.
of Elisa Readers – 12
1) Medical College Hospital, Trivandrum
2) Medical College Hospital, Kottayam
3) Medical College Hospital, Thrissur
4) Medical College Hospital, Kozhikode
5) Medical College Hospital, Kannur}
6) District Hospital, Kollam
7) General Hospital, Ernakulam
8) Govt. Hospital, Perinthalmanna
9) Govt. Hospital, Kannur
10) Sree Chitra Thirunal Institute for Medical Sciences
& Technology, Trivandrum
11) Regional Cancer Centre, Trivandrum
12) INHS, Sanjivani
Blood collection Report for the years during 1997,
1998, 1999 and 2000 of Government Blood Banks
| Name
of Blood Bank |
1997 |
1998 |
1999 |
2000 |
| Medical
College Hospital, Thiruvananthapuram |
18132 |
20388 |
27240 |
31068 |
| General
Hospital, Thiruvananthapuram |
264 |
276 |
1128 |
291 |
| W&C
Hospital, Thycaud, Thiruvananthapuram |
588 |
684 |
1104 |
555 |
| THQH
Chirayinkil |
130 |
204 |
132 |
138 |
| Sree
Chitra Thirunal Institute for Medical Sciences &
Technology, Thiruvananthapuram |
|
|
|
1728 |
| Regional
Cancer Centre, Thiruvananthapuram |
|
|
|
|
| Dist.
Hospital, Kollam |
2592 |
3972 |
4272 |
3196 |
| Govt.
Hospital, Punalur |
|
|
36 |
72 |
| Govt.
Hospital, Pathanamthitta |
|
828 |
708 |
658 |
| MCH,
Alappuzha |
5184 |
4932 |
7620 |
5566 |
| Dist.Hospital,
Alappuzha |
|
240 |
290 |
203 |
| Medical
College Hospital, Kottayam |
11892 |
11772 |
12852 |
12058 |
| Dist.Hospital,
Kottayam |
|
840 |
900 |
343 |
| G.H.
Ernakulam |
804 |
1176 |
1250 |
188 |
| G.H.
Aluva |
|
160 |
216 |
1028 |
| MCH,
Thrissur |
588 |
864 |
980 |
5388 |
| MCH
Chest Hospital, Thrissur |
|
|
865 |
1401 |
| Dist.Hospital,
Palakkad |
1056 |
1044 |
1200 |
739 |
| Dist.Hospital,
Manjery |
2280 |
1236 |
2400 |
1510 |
| THQH,
Perinthalmanna |
4128 |
7452 |
7956 |
6920 |
| MCH,
Kozhikode |
732 |
576 |
540 |
20023 |
| THQH
Sulthanbattery |
684 |
288 |
732 |
833 |
| Dist.Hospital,
Mananthavady |
132 |
336 |
876 |
1090 |
| Dist.Hospital
Kannur |
492 |
2304 |
2904 |
3937 |
| Pariyaram
MCH |
|
|
|
181 |
| GH
Thalassery |
|
900 |
3816 |
3793 |
| THQH
Kasargode |
516 |
936 |
888 |
1134 |
| Total
|
52191 |
63406 |
82904 |
104041 |
Blood
component separation units in Kerala
- Govt.
Sector – 6
1)
MCH, Thiruvananthapuram – functioning
2)
MCH, Kottayam – not functioning
3)
MCH, Kozhikode – not functioning
4)
Regional Cancer Centre, Thiruvananthapuram
5)
Sree Chitra Thirunal Institute for Medical Sciences &
Technology,
Thiruvananthapuram
- Private
sector – 3
1)
Rotary Blood Bank, Kottayam
2)
IMA Blood Bank, Cochin
3)
Amala Cancer Centre, Thrissur
(Proposals
for component separation unit to be started at Medical College
Hospital, Thrissur, Medical College Hospital, Kannur, Medical
College Hospital, Alappuzha, District Hospitals and Kollam,
Palakkad and Perinthalmanna)
Requirements
for Blood Bank
- Blood
Bags requested for –
| a)
350 ml. (single) |
65175 |
| b)
450 ml (double) |
5670 |
| c)
450 ml (triple) |
100 |
| d)
450 ml Tripple SAGAM |
10060 |
| e)
100 ml Pediatric |
1140 |
|
2. Elisa kits |
26688 tests |
| 3.
Rapid |
107798
tests |
Blood
Screening Report for 2000 from Blood Banks
| HIV
+ve |
565 |
| HbsAg+ve |
1239 |
| VDRL
+ve |
249 |
Blood
Bank Technicians paid by Kerala State AIDS Control Society
List of Blood Bank Technicians paid from KSACS
| Institution |
In
position |
| MCH,
Thiruvananthapuram |
2 |
| MCH,
Thrissur |
2 |
| MCH,
Kozhikode |
2 |
| Dist.Hospital,
Kannur |
2 |
| THQH
Chirayinkil |
1 |
| W&C
Hospital, Thycaud |
1 |
| General
Hospital, Thiruvananthapuram |
1 |
| Dist.
Hospital, Kollam |
1 |
| GH
Punalur |
1 |
| GH
Pathanamthitta |
1 |
| MCH
Alappuzha |
1 |
| Dist.
Hospital, Alappuzha |
1 |
| MCH
Kottayam |
1 |
| General
Hospital, Kozhikode |
1 |
| THQH
Aluva |
1 |
| Dist.
Hospital, Thrissur |
2 |
| Dist.
Hospital, Palakkad |
1 |
| GH
Perinthalmanna |
1 |
| Dist.
Hospital Manjeri |
1 |
| Dist.
Hospital Mananthavady |
1 |
| General
Hospital, Thalassery |
1 |
| THQH
Kasargode |
1 |
Total |
27 |
Elisa
readers to be supplied urgently
1)
Medical College Hospital, Trivandrum (one more)
2)
Medical College Hospital, Alappuzha
3)
Medical College Hospital, Kottayam
4)
Dist. Hospital, Mananthavady
5)
THQH, Kasargode
6)
Dist. Hospital, Palakkad
7)
Medical College Chest Hospital, Thrissur
8)
Dist. Hospital, Manjery
9)
Govt. Hospital, Aluva
Voluntary
Blood Testing Centres Proposed
1)
Medical College Hospital, Thiruvananthapuram (functioning)
2)
Medical College Hospital, Alappuzha
3)
Medical College Hospital, Kottayam
4)
Medical College Hospital, Thrissur
5)
Medical College Hospital, Kozhikode
6)
Medical College Hospital, Pariyaram
7)
Public Health Laboratory, Thiruvananthapuram
8)
Public Health Laboratory, Ernakulam
9)
Public Health Laboratory, Kozhikode
List
of FRUs identified in Kerala
| District |
With
functioning Blood Banks |
With
Blood Banks not functioning |
With
no blood banks |
| Thiruvananthapuram |
W&C
Hospital, Thycaud |
|
Govt.
Hospital, Peroorkada |
| |
THQH
Chirayinkil |
|
THQH
Neyyattinkara |
| |
|
|
CHC
Nedumangad |
| Kollam |
THQH
Punalur |
THQH
Kottarakkara |
THQH
Karunagappally |
| |
|
|
Victoria
Hospital |
| |
|
|
GH
Kattakada |
| Pathanamthitta |
GH
Pathanamthitta |
CHC
Adoor |
GH
Kozhenchery |
| |
|
THQH
Thiruvalla |
THQH
Mallappally |
| Alappuzha |
|
THQH
Cherthala |
GH
Chengannur |
| |
|
THQH
Haripad |
GH
Pulinkunnu |
| |
|
|
GH
Kayamkulam |
| |
|
|
GH
Mavelikkara |
| Kottayam |
Dist.Hospital,
Kottayam |
GH
Vaikom |
|
| |
|
THQH
Changanassery |
|
| |
|
THQH
Kanjirapally |
|
| |
|
THQH
Palai |
|
| Idukki |
|
THQH
Thodupuzha |
THQH
Peerumedu |
| |
|
CHC
Adimaly |
Dist.Hospital,
Painavu |
| |
|
|
CHC
Nedumkandam |
| Ernakulam |
GH
Ernakulam |
|
GH
Perumbavoor |
| |
GH
Aluva |
|
GH
Moovattupuzha |
| |
|
|
GH
North Parur |
| |
|
|
CHC
Kothamangalam |
| |
|
|
W&C
Hospital, Mattancherry |
| Thrissur |
Dist.
Hospital, Thrissur |
GH
Chalakkudy |
THQH
Chavakkad |
| |
|
THQH
Kodungallur |
|
| |
|
THQH
Irinjalakuda |
|
| |
|
THQH
Vadakanchery |
|
| Palakkad |
Dist.
Hospital, Palakkad |
CHC
Mannarkad |
THQH
Alathur |
| |
|
|
THQH
Ottapalam |
| |
|
|
THQH
Chittoor |
| Malappuram |
Dist.
Hospital, Manjery |
|
GH
Ponnani |
| |
GH
Perinthalmanna |
|
GH
Tirur |
| |
|
|
GH
Nilambur |
| Kozhikode |
|
W&C
Hospital |
GH
Thamarassery |
| |
|
GH
Badagara |
GH
Kuttiyady |
| |
|
THQH
Quilandy |
|
| Wayanad |
Dist.
Hospital, Mananthavady |
GH
Kalpatta |
CHC
Vythiri |
| |
THQH
Sulthanbattery |
|
|
| Kannur |
Dist.
Hospital, Kannur |
|
GH
Thaliparamba |
| |
THQH
Thalassery |
|
THQH
Payyannur |
| |
|
|
GH
Koothuparamba |
| Kasargode |
|
Dist.
Hospital, Kasargode |
CHC
Panathady |
| |
|
THQH
Kanjangad |
|
TRAINING
The
overall objective of the training programming is to impart
knowledge and develop skill in health care providers in
order to prevent HIV/AIDS epidemic from speeding further
to reduce the impact of epidemic not only upon the infected
persons but upon the health and socioeconomic status of
the general population at all levels.
The specific objectives are :
1.To
make the health workers capable to promote better understanding
of HIV infection among the people at large, to generate
awareness about the nature of its transmission and to
adopt safe behavioral practices to prevent the diseases
from spreading.
2.To
enable them to provide adequate and equitable provision
of heath care to HIV- infective people and to draw attention
to the compelling public health rationale for overcoming
stigmatization and discrimination against them in the
society.
3.To
enable them to to identify community based organization
like Mahila sangh, youth club, panchayath and other partners
and to mobilize their support in prevention of spread
of HIV/AIDS in the community.
4.To
enable them to seek community participation in implementing
the various components of atonal AIDS Control programme
at each level.
5.
To enable them to provide proper health care at homes
and support to people living with HIV/AIDS (PLWA)
7.To
know the common STD prevalent in the community and to
understand the relationship between HIV/AIDS and STD/RTIs
and to facilitate early diagnosis and prompt treatment
off RTI/STIs.
8.T
understand the meaning of opportunistic infections and
co-infection between HIV/AID & Mycobacterium tuberculosis.
The Category of Personal giving Training are
1.
Physicians
2.
Nursing superintendents
3.
Staff nurses
4.
Nursing assistants
5.
Hospital attendants
6.
Junior health nurse
7.
New medical officers
8.
PRAMS
9.
Medical college doctors
10.
Dist. TB and Leprosy officers
11.
MCH and Dist. PHNs
12.
Leprosy inspectors
13.
Dental surgeons.
14.
Private doctors
