Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 4728
Country/Region: Rwanda
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

In FY 2008, AABB will continue to provide TA to advance the NBTC's strategic goals and to support the

rapid strengthening of blood transfusion services in Rwanda. Specifically, AABB will support the following;

long-term strategic planning, implementation of quality systems, refinement of the NBTC legal framework

and related policy documents, and strengthening of local networks to ensure sustainability. Furthermore, the

EP will support the implementation of service agreements, the development of a cost-recovery model to

ensure financial sustainability, revision of SOPs, and documentation of national blood transfusion

guidelines.

AABB will provide technical support to: 1) improve the process for donor screening and commodity

procurement; 2) conduct training of trainers; 3) hold workshops to improve laboratory capacity and storage

management processes including reagents, and expand component production; 4) improve cold chain

management; and 5) support the computerization of technical operations in all regional blood centers.

In FY 2008, AABB will also provide logistical assistance for the rehabilitation of the Kibuye center. The EP

will expand donor services, and assist with facility design, staff training and donor recruitment strategies.

Building local capacity is a key activity in FY 2008. AABB will train 60 NBTC staff to strengthen blood safety

activities in the areas of blood transfusion medicine, technical operations, quality assurance, M&E, and

management. AABB will coordinate training and provide mentoring for NBTC physicians. The NBTC

trainers will subsequently be able to improve and expand transfusion medicine services throughout

Rwanda. This will include donor counseling, laboratory operations in infectious disease testing, expanding

blood component therapy, appropriate blood component utilization and related data collection. AABB will

support NBTC physicians to establish transfusion committees in regional hospitals to improve blood

transfusion practices from ordering and administration of blood products, to monitoring of transfusion

outcomes.

In FY 2008, AABB will support the development of a donor notification process by which NBTC will inform

all donors of their sero-status. A comprehensive notification program will require collaboration with other

Rwandan health services to ensure follow-up and treatment for sero-positive donors - as well as enhanced

prevention messages for donors who are negative.

AABB will work with the NBTC to conduct a KAP survey to investigate factors that influence blood donation

in Rwanda, improve retention of low-risk donors and increase blood donor recruitment in under-served

regions. The findings will help establish donor recruitment goals, develop donor retention strategies, and

identify appropriate community messaging programs regarding blood donation. AABB and NBTC will

collaborate with the MOH Communications Department to develop blood donor mobilization programs

based on the findings of the KAP survey.