Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 7626
Country/Region: Tanzania
Year: 2008
Main Partner: U.S. Department of State
Main Partner Program: Regional Procurement Support Office - Frankfurt
Organizational Type: Other USG Agency
Funding Agency: enumerations.State/African Affairs
Total Funding: $500,000

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

TITLE: Renovation, equipment and back up reagent and supplies procurement

NEED and COMPARATIVE ADVANTAGE: Tanzania has established a centralized blood transfusion

system that navigates around seven zonal blood centers. In 2006 and 2007, the Regional Procurement and

Support Office (RPSO) played a major role in the renovation, procurement, and installation of the equipment

necessary for the blood banks to be successful. All seven of these centers have been inaugurated and are

operational.

ACCOMPLISHMENTS: RPSO has been instrumental in the contracting aspect of major renovation

initiatives, and for equipping the seven operational zonal blood centers in order to effectively procure, test,

and collect blood for nationwide emergencies. In Fy08 RPSO will continue to play the procurement role of

blood equipment for blood processing as well as storage and distribution. Also will procure a back up stock

of reagent and test kits and other supplies for NBTS to avoid stock out.

ACTIVITIES: These activities will be funded through bilateral mechanism to complement Track 1.0 funding.

RPSO will provide procurement and contractual services for the acquisition and installation of equipment for

the NBTS. The seven zonal centers serve up to five regions each in blood services. Some regions are very

remote and difficult to access for the purpose of collecting and distributing safe blood. In order to facilitate

availability of safe blood, the Ministry of Health and Social Welfare (MOHSW), with assistance from Abbott

Foundation, are currently renovating all regional laboratories which include regional blood banks. NBTS will

equip thirteen of these regional blood banks with equipment for storage and distribution of blood to make it

accessible to district hospitals and health centers while ensuring maintenance of the cold chain. This will

facilitate availability of safe blood to more communities in the far-reaching corners of Tanzania.

Another initiative being considered regarding provision of a continuous supply of safe blood in FY 2008, is

to procure a back up stock of HIV test kits, reagents, and other supplies to supplement the amount acquired

from government sources.

With a rising increase in blood collection, there is a need to increase the efficiency of blood screening for

transfusion transmissible infections (TTIs). Utilizing automated screening equipment can increase

efficiency, while decreasing the necessity for trained personnel in manual application and decreasing the

likelihood for a margin of error (both of which plagued previous blood screening methods). There is a

palpable need for increased mass mobilization, advocacy for blood donation, and sensitization to reduce

stigma. These initiatives call for additional audio/visual equipment for zonal mobile teams. With extensive

experience in contractual and procurement programs commissioned by the USG, RPSO will facilitate the

procurement process and negotiate contractual services to meet and exceed the NBTS requirements.

Remote areas will be served even more conveniently with an additional 13 regional blood banks spread

throughout the country.

SUSTAINAIBLITY: Renovating and equipping the regional facilities will lead to sustainable availability of

safe blood in all regions and district health facilities. By increasing the number of zonal centers and safe

blood collection points, and through successfully addressing stigma concerns, more and more Tanzanians

will give blood and get tested. This will lead to sustainable repeat donor relationships in addition to people

finding out their status.