Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7427
Country/Region: Kenya
Year: 2008
Main Partner: Partnership for Supply Chain Management
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $1,000,000

Funding for Biomedical Prevention: Blood Safety (HMBL): $1,000,000

THIS ACTIVITY RECEIVED FUNDING LAST YEAR THROUGH THE NATIONAL BLOOD TRANSFUSION

SERVICE (NBTS). IT IS ANTICIPATED THAT THE ACTIVITY MAY ALSO RECEIVE FUNDING IN FY

2008 THAT WILL BE REPROGRAMMED FROM NBTS.

1. ACTIVITY DESCRIPTION

The Partnership for Supply Chain Management System (SCMS) will support all of PEPFAR Kenya's service

delivery activities through provision of an uninterrupted supply of HIV/AIDS- related commodities. Under

Blood Safety SCMS will procure equipment and reagents necessary for safe storage of blood and blood

products at hospitals. The National Blood transfusion service (NBTS) has recently centralized in Nairobi, the

testing of all blood collected within its network of six regional transfusion blood banks located in Embu,

Eldoret, Nakuru, Kisumu, Nairobi and Mombasa. Trained personnel in several hospitals have formed

hospital transfusion committees which serve to enforce appropriate blood use. These committees will be

guided by the recently released Standards for Transfusion services in Kenya and the Guidelines for

Appropriate Blood Use. This activity will support the NBTS to procure reagents for blood testing and

equipment for the production of blood and blood products. To improve hospital transfusion practice SCMS

will procure essential blood banking equipment such as platelet mixers, hospital blood bank fridges and

freezers for storage of blood components.

2. CONTRIBUTIONS TO OVERALL PROGRAM AREA

This activity will contribute to prevention of HIV through blood transfusion. Kenya aims to collect 180,000

units of blood from low risk volunteer blood donors. All the blood will be tested for HIV, hepatitis B, Hepatitis

C and syphilis. This activity will facilitate blood component preparation through procurement of equipment.

Components will increase blood availability through appropriate use and also reduce the occurrence of

adverse transfusion events. Blood donors will be notified of their test results and given information to

promote healthy positive living so that negative donors become regular repeat blood donors. HIV positive

donors will be counseled and referred for evaluation care and treatment as appropriate. Appropriate blood

use will minimize unnecessary transfusions which may expose healthy individuals to HIV infection. The

World Health organization estimates that 10% of HIV may be attributed to transfusion with infected blood.

3. LINKS TO OTHER ACTIVITIES

This activity relates to all service delivery activities by SCMS which will enhance efficiency by maximizing on

economies of scale achieved through mass procurements and timely delivery of commodities. This activity

also links to Cooperative agreements with NBTS and American Association of Blood Banks (AABB) for the

provision of safe and adequate blood supplies.

4. POPULATIONS BEING TARGETED

This activity will benefit the general population by supporting the acquisition of blood free of HIV infection.

5. EMPHASIS AREAS

The major area of emphasis for this activity is commodity procurement.