Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11292
Country/Region: Malawi
Year: 2009
Main Partner: Malawi Blood Transfusion Service
Main Partner Program: NA
Organizational Type: Parastatal
Funding Agency: HHS/CDC
Total Funding: $100,000

Funding for Biomedical Prevention: Blood Safety (HMBL): $100,000

NOTICE - Per the recommendation from OGAC that Malawi as an FY2008 Compact Country, submit a mini

-COP (i.e. program area level narratives only), this activity level narrative has not been updated prior to the

submission of the FY09 Full COP. The Malawi country team anticipates updating narratives upon

completion and final approval of the negotiated 5-year Compact between the United States Government

and the Government of Malawi.

Summary

USG Malawi provides support to the Malawi Blood Transfusion Service (MBTS) to strengthen district level

capacity to properly screen, store, and transfuse safe blood in Malawi. This activity serves the general

population in Malawi.

Background

This is an ongoing activity. USG has supported MBTS since FY 2006. MBTS received $180,000 FY 2007

Emergency Plan (EP) funds. Established with funding by the EU, MBTS receives financial support from the

Government of Malawi and the National AIDS Commission for its activities in the recruitment and retention

of voluntary non-remunerated blood donors, the screening of donated units of blood, the processing and

storage of blood components (for distribution to all hospitals in the country), and the implementation of its

quality system.

Using FY 2006 monies, USG supported training of 267 nurses, clinicians, lab technicians, and students in

blood safety. Using FY 2007 monies, we anticipate training 130 nurses, 57 clinicians, 30 lab technicians,

and 60 students. Using FY 2008 funds from the EP, 100 nurses, 25 clinicians, 30 lab technicians, and 60

students will be trained, thus supporting an additional 215 more hospital staff in Malawi hospitals and Blood

Banks to properly order, transport, store, cross-match, issue, monitor, and follow up on adverse blood

transfusion reactions for the safe blood supplies provided by MBTS. Technical, nursing, and clinical staff

will be trained in modern transfusion medicine and practices, more undergraduate students will be trained, a

National Quality Assurance Scheme (NQAS) will be maintained in the current hospitals, and the NQAS will

be extended to more hospitals to monitor and maintain standards. This will be achieved by rehabilitating a

space in hospital laboratories to create additional Hospital Blood Banks (HBB's). Funding will also support

procurement of essential blood bank equipment, supplies, and reagents stored at MBTS in the event of

stock-outs.

Activity 1: Hospital Rehabilitation

An additional 10 hospitals over those funded with FY 2007 monies will be rehabilitated and provided with

basic blood bank equipment in FY 2008. While the EU funded construction, USG funds have equipped labs

and made them functional. Specific targets are government and mission hospitals which are the hospitals

that serve rural and vulnerable communities in Malawi including women and children who are the major

population groups receiving the majority of all transfusions in the country.

Activity 2: Training

Training of in-service laboratory technicians, nurses, clinical officers and medical doctors will continue to

include staff from more hospitals in the country, within the facilities USG funds have rehabilitated. Training

of undergraduate students of nursing, medical, and biomedical sciences will continue as well.

Specific targets are staff working in government and mission hospitals which are the hospitals that serve

rural and vulnerable communities in Malawi, including women and children who are the major beneficiary

groups.

Activity 3: NQAS

The Malawi NQAS through which MBTS assesses the competence of hospital blood banks in carrying out

immuno-hematological testing was established in CY 2006 with USG funds. FY 2007 and FY 2008 funds

will continue to expand the use of NQAS into all hospitals in Malawi by the end of FY 2009. Specific targets

are government and mission hospitals which are the hospitals that serve rural and vulnerable communities

in Malawi including women and children who are the major beneficiary groups.

New/Continuing Activity: Continuing Activity

Continuing Activity: 14600

Continued Associated Activity Information

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

System ID System ID

14600 5923.08 HHS/Centers for Malawi Blood 6883 3894.08 MBTS GHAI $150,000

Disease Control & Transfusion

Prevention Service

9961 5923.07 HHS/Centers for Malawi Blood 5351 3894.07 MBTS GHAI $37,475

Disease Control & Transfusion

Prevention Service

5923 5923.06 HHS/Centers for Malawi Blood 3894 3894.06 $250,000

Disease Control & Transfusion

Prevention Service

Table 3.3.04: