Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 12619
Country/Region: Mozambique
Year: 2013
Main Partner: American Association of Blood Banks
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $497,900

This implementing mechanism seeks to reduce medical transmission of HIV and other transfusion-transmissible by increasing the number of health care facilities in Mozambique that have and adequate supply of safe blood. This goal is pursued through technical support to the Mozambican Ministry of Health (MOH) and the National Blood Transfusion Program (NBTP) for the rapid improvement of the safety and adequacy of the national blood supply, and has four strategic objectives: 1. Strengthen infrastructure of the Mozambique's National Blood Service; 2. Improve Blood Bank operations through implementation of quality standards; 3. Increase collections from voluntary, non-remunerated blood donors; 4. Improve Transfusion Practice. This project is in line with objective 1.5 of the partnership framework and supports the achievement of the goal number 1 of the PF which is to reduce new HIV infections in Mozambique. Through building capacity in the National Blood Service, this IM will help to ensure access to safe blood products for women suffering from complication before and during deliver and children suffering from severe anemia due malaria and thus contribute to the expansion and uptake of quality MNCH services. Access to safe blood will contribute for the following GHI global targets: a) reduce maternal mortality by 30%, b) reduce under five mortality rates by 35% and c) prevention of more than 12 million new HIV infections across assisted countries. In F12 the TA will go beyond central level assistance; TA assistance will be provided directly to the provincial blood banks mainly in the area of blood donor mobilization. Monitoring and Evaluation will occur by AABB defined process of submitting Terms of Reference prior to the initiation of an activity to both CDC and NBTP.

Funding for Biomedical Prevention: Blood Safety (HMBL): $497,900

The AABB technical assistance to the Ministry of Healths National Blood Transfusion Program is for the Rapid Improvement of the Safety and Adequacy of the National Blood Supply. The AABB TA will take a multi-pronged approach to improve all aspects of the NBTP. These areas include the recruitment of voluntary non-remunerated blood donors, collection, processing, distribution and testing of blood.

The AABB will continue with four approaches to achieve these goals: (1) short-term, in-country training; (2) long term trainings and exchanges abroad; (3) mentorship programs involving 3-6 month stays of visiting transfusion medicine and/or blood bank professionals working in NBTP sites providing oversight, insight and repeated mentoring and tutelage of the NBTP staff; (4) long-term management and technical coaching of NBTP management by AABB Country Coordinators and fund directly centrals and provincial blood banks to support donor mobilization activities. The goal of these trainings is to strengthen the capacity of the NBTP and its staff in the aforementioned areas to fulfill the goal of the NBTP, which is to collect and supply adequate and safe blood to Mozambique.

Plans for this performance period include: data collection from national and provincial blood centers to inform national level indicators; Quality Management Systems implementation through a focused long-term mentorship program in implementing quality systems; in anticipation of implementation of the Blood Establishment Computer System (BECS), NBTP staff will be sensitized to data management and computerization and receive training in basic computer skills, an Information Technology (IT) individual will be identified for further training in IT for NBTP, and infrastructure modifications and computer hardware and software will be procured.

AABB TA training methods will promote long term change by increasing the knowledge and skills of the NBTP and its staff. Simultaneously providing knowledge/skills and creating an internal NBTP infrastructure to advance best practices and knowledge transfer through Training of Trainer programs; sustainability of this knowledge and the transfer of knowledge is the ultimate goal. NBTP is a critical element of the Mozambican health system. The technical capability of the NBTP to identify HIV positive donors and refer them to appropriate counseling and care is an essential element of prevention and treatment that adds to other USG funded efforts.

COP 12 money will also be used to support a program evaluation to identify the key clinical drivers of blood use in Mozambique and the extent to which malaria contributes to the demand for blood transfusions as well as procurements of equipment and small furnishings to support the operationalization of the newly constructed Reference Blood Bank.