Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1461
Country/Region: Kenya
Year: 2009
Main Partner: American Association of Blood Banks
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $500,000

Funding for Biomedical Prevention: Blood Safety (HMBL): $500,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS FROM COP 2008:

AABB will support the National Blood Transfusion Service (NBTS) in:

1. Rolling out blood component preparatioN

2. Developing and implementing a quality management systems strategy

3. Training of trainers (TOTs)

4. Establishing an electronic blood bank information management system

5. Evaluating the cost of services

6. Finalization of the Blood Donor Notification policy

7. Train health workers in National Standards for Transfusion services

8. Facilitate training of senior blood bank managers

SECONDARY CROSS-CUTTING BUDGET ATTRIBUTIONS

100 blood bank workers will be trained.

COP 2008

1. LIST OF RELATED ACTIVITES

This activity relates to the National Blood Transfusion Service's blood safety activity.

2. ACTIVITY DESCRIPTION

This activity seeks to reduce medical transmission of HIV through technical support from the American

Association of Blood Banks (AABB) to the National Blood Transfusion Service (NBTS) for the provision of

adequate supplies of safe blood to all health care facilities in Kenya. Through twinning, AABB institutional

partners will provide expert guidance and technical assistance to the NBTS resulting in better practices in

donor recruitment, blood collection, laboratory quality assurance, blood bank management and transfusion

practice. This support will include training, monitoring, guidance, oversight and mentoring through site visits

and performance evaluation. This linkage will strengthen the NBTS and improve institutional capacity for

effective program management. It will result in enhanced sustainability and safety of the blood supply. An

AABB/NBTS evaluation of the NBTS, performed in FY 2005 provided information that together with follow-

up discussions in FY 2006 and FY 2007 will be used to develop an action plan for further activities in FY

2009. The AABB will also assist in the development of skills in NBTS and volunteer blood donor recruiters

for identification and recruitment of potential low risk volunteer donors and their retention as regular donors.

Findings of the KAP study performed in 2004 will also be used to support development of IEC materials for

donor recruitment. Continuing education of health care workers in donor recruitment, blood banking and

appropriate utilization of transfusion will be provided and systems for training strengthened through

development of curricula for different cadre of health care professionals as well as the introduction of best

practices and evidence-based approaches to transfusion practice in Kenya. In service training and

continuing education will be delivered through workshops, symposiums, on-the-job training and mentoring.

Standard operating procedures will be revised and staff trained on their utilization so as to institutionalize

quality assurance in blood collection, processing, issuing and for monitoring of adverse events. Health care

workers at 20 health facilities will be trained on implementation of the recently completed National

Standards for Transfusion services. Appropriate methods for donor notification will be implemented in

conjunction with NBTS. Reliable record keeping and data management systems will be designed to

facilitate program evaluation and monitoring. AABB will continue to guide the process of restructuring of

laboratory space and procurement of supplies for centralized blood testing in Kenya. Two physicians will

receive advanced training in Blood Bank Management at Emory University or other facility to be identified.

These efforts will contribute to the PEPFAR goal of improving safety and adequacy of the blood supply and

in this way avert new cases of HIV infection.

3. CONTRIBUTIONS TO OVERALL PROGRAM AREA

At least 100 health care workers will be trained in blood safety. This activity aims to reduce transmission of

HIV through blood transfusion. At the current blood consumption rate in the country this would contribute to

the prevention of 4,000 cases of HIV.

4. LINKS TO OTHER ACTIVITIES

This activity relates to NBTS's blood safety program/Track 1 cooperative agreement.

5. POPULATIONS BEING TARGETED

The activity targets blood bank staff and health care workers in transfusing health facilities.

6. EMPHASIS AREAS COVERED

This activity includes major emphasis on local organization capacity development (NBTS), for prevention of

HIV transmission. An area of minor emphasis will be training of health care workers to enhance their ability

to mobilize safe blood donors and process and use blood appropriately.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14726

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

14726 4274.08 HHS/Centers for American 6923 1461.08 $500,000

Disease Control & Association of

Prevention Blood Banks

6840 4274.07 HHS/Centers for American 4202 1461.07 $400,000

Disease Control & Association of

Prevention Blood Banks

4274 4274.06 HHS/Centers for American 3274 1461.06 $676,440

Disease Control & Association of

Prevention Blood Banks

Table 3.3.04: