Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 13102
Country/Region: Uganda
Year: 2012
Main Partner: Uganda Blood Transfusion Services
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $2,000,000

Uganda Blood Transfusion Service (UBTS) objective is to ensure safe and adequate quantities of blood and blood products to all hospitals for the management of patients in need throughout the country. The program will increase safe blood collection to 220,000 units. In combination prevention, males identified as positives during blood donor screening who may have pregnant partners will be encouraged to refer them for PMTCT services. HIV negative males will be linked to Voluntary Medical Male Circumcision (VMMC) at health facilities. UBTS operates seven Regional Blood Banks in Arua, Fort-portal, Gulu, Kitovu, Mbale, Mbarara and Nakasero supported by six blood collection centers in Hoima, Masaka, Kabale, Rukungiri, Jinja and Soroti.

UBTS works closely with Uganda Red Cross Society (URCS) as a sub-grantee for donor recruitment. The program will work with MoH to develop a cost recovery system for Blood Transfusion Services (BTS) for sustainability and encourage private sector to participate in HIV and other Transfusion Transmissible Infections (TTIs) blood safety drives. This also includes capacity building for UBTS staff in HIV and other TTIs prevention, M&E, finance and programming. UBTS will build government capacity to maintain and renovate and equip buildings in at least four regional referral hospitals to host blood bank services. Lobby and advocate addition Uganda government funding for blood safety activities at national and district level. Additionally, in order to maximize program success, this program will work towards evidence gathering for the purpose of standardizing service delivery, to ensure consistency with World Health Organizations Blood safety Quality Assurance/Quality Improvement guidelines. No vehicle purchases are planned in FY2012.

Funding for Biomedical Prevention: Blood Safety (HMBL): $2,000,000

Safe blood is used for transfusion in the health facilities across the country. Children are the largest consumers of the blood, accounting for 50% of all blood collected, while 25% of the blood is required to treat pregnant women with anemia and complications of child birth. The remaining blood (25%) is used in treatment of other medical emergencies including HIV/AIDS induced anemia, accidents, and surgical emergencies.

UBTS will undertake the following activities specified in FY 2012:

Blood donor mobilization and recruitmentBlood collection and testing,Procurement and distribution of blood collection supplies and equipment,Installation and connectivity of IT systems,Monitoring & Evaluation of the UBTS plan implementation,Develop a cost recovery system for Blood Transfusion Services (BTS).

UBTS intends to scale up safe blood collection by 18% this will increase the number of persons counseled, tested and received results by about 20,000 and an average of 0.1% of HIV averted. UBTS will continue to mobilize more blood donors countrywide through mini drives, pledge 25 and donor clubs. UBTS will also institute mechanisms for donor recruitment, tracking, and retention. They will also insure that all collected blood is tested for Transfusion Transmission Infections (TTIs). They plan to roll out the laboratory management information system (LMIS) and Blood Bank Management Information System (BBMIS) in all the seven regional blood banks. UBTS will continue to build the capacity of UBTS staff in the use of LMIS and HMIS, IT, bio-safety and waste management, and establish hospital transfusion committees in at least 20 hospitals to track and monitor best use of blood and blood products (heamovigilance).

Another major area of focus is the procurement and installation of IT equipment. The process is already under way to connect all the seven regional blood banks to the headquarters at Nakasero. This activity will be completed in the third quarter. Program M&E activities will be implemented to assess progress towards achievement of program goals and objectives. An M&E plan has been developed and will be implemented accordingly. UBTS has a new database which was developed with support from CDC Uganda.

Through an integrated approach, UBTS has partnered with other MoH programs like HIV/AIDS, Malaria, Maternal and Child Health in service delivery. The program contributes to the Government of Ugandas strategy and framework for HIV/AIDS by providing safe blood that has been tested for HIV; Hepatitis B, C, and Syphilis to all hospitals and health center IVs including the most remote areas of the country. HIV/AIDS health education has been included in donor recruitment materials, allowing UBTS to educate the public about the transmission of HIV as well as general health education. The program will strive to strengthen referral and linkage of eligible HIV negative males to male circumcision services and HIV-infected individuals to appropriate care and treatment services. Integrated support supervision has been instituted, replacing the individual departmental model. This has improved service delivery, feedback, and efficient use of resources. Lobby and advocate addition Uganda government funding for blood safety activities at national and district level. The program will work with MoH to develop a cost recovery system for BTS for sustainability.

Subpartners Total: $0
International Federation of Red Cross and Red Crescent Societies: NA
Cross Cutting Budget Categories and Known Amounts Total: $50,000
Human Resources for Health $50,000
Key Issues Identified in Mechanism
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood