Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3585
Country/Region: Mozambique
Year: 2008
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

Continuing activity: The American Association of Blood Banks (AABB) has been awarded Track 1 funding to

provide technical assistance (TA) and support to the Mozambique Ministry of Health (MOH) National Blood

Transfusion Program (NBTP) for purposes of strengthening the blood supply and ensuring blood safety in

Mozambique.

Key activities planned by AABB for FY08 are:

1) Continue assistance in establishing a legal framework and appropriate blood legislation, regulation and

policy. During the first year of USG support, AABB has provided TA to the NBTP for the development of a

National Blood Transfusion Policy. This National Policy is currently under review by the MOH legal

department. AABB is attentive to the need of a further round of discussion before final approval.

2) Establish a NBTP Advisory Board and continue assistance with the definition, improvement, and

implementation of an overall management structure for the NBTP. Develop a network of key stakeholders

and regional partners. Provide appropriate management training for key NBTP personnel.

3) Assist in securing approval and implementation of national standards related to blood collection, testing,

and transfusion and then support training on these standards.

4) Continue support and development of plans for renovation and expansion of NBTP facilities and

improved procurement processes for critical equipment and supplies. Improve process for the installation,

operation, maintenance, calibration, and repair of critical equipment.

5) Continue with development and implementation of data collection systems for Monitoring and Evaluation

(M&E), and Quality Management Systems to routinely monitor progress and operational activities. New

forms for data collection system have been developed and are currently being piloted in key national

centers. National implementation of the new form is scheduled for FY08.

6) Continue with development and implementation of training materials and Standard Operating Procedures

(SOPs) for donor services, donor evaluation, donor registration and identification, blood collection,

infectious disease testing, and mobile collection. Establish SOPs and schedules for storage, transport, and

distribution of blood. SOPs have been developed in Portuguese.

7) Conduct training sessions on donor services, donor evaluation, donor registration, and identification,

phlebotomy, and blood collection in mobile units or camps, blood component preparation, infectious disease

testing and immunohematology. Training materials are being translated to Portuguese, adapted and

sessions conducted in Portuguese. This strategy has allowed the development of a training-of-trainers

(ToT) approach which will facilitate the roll-out of trainings to further blood banks through Mozambican

blood bank trainers in the futures.

8) Train key NBTP personnel on quality management systems (QMS).

9) Provide technical assistance to the NBTP to conduct baseline Knowledge Attitudes and Perceptions

(KAP) survey. The protocol of this survey has been finalized and will be submitted to the US IRB and the

Mozambique Bioethics Committee. Implementation of the study will follow immediately after approval

according to a planned schedule.

10) Develop Information Education Communication (IEC) materials to educate donors and promote

voluntary blood donation and develop consistently applied donor notification policy regarding test results.

11) Assist the MOH NBTP in identification and establishment of linkages for fellowship opportunities for

physicians in transfusion medicine.

In support of activities number 4 (support plans for renovation and procurement for critical equipment and

supplies), 5 (development and implementation of data collection systems to monitor progress and

operational activities), 6 (development and implementation of training materials and Standard Operating

Procedures), and 8 (training of key NBTP personnel on quality management systems), AABB will be

utilizing existing linkages with Brazil to station and maintain Brazilian blood safety expert(s) in Mozambique

for extended periods of up to 3 months.