Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 14219
Country/Region: Ukraine
Year: 2013
Main Partner: American International Health Alliance
Main Partner Program: HIV--AIDS Twinning Center
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $650,000

This mechanism is to provide technical assistance to the Ministry of Health and selected regional blood safety centers to improve blood safety in the Ukraine through a centrally managed CDC blood safety cooperative agreement to be awarded in FY12. These activities are to complement resources for blood safety provided to the MOH through a cooperative agreement with CDC. The current blood safety program in Ukraine is realized through regional blood safety centers acting on national guidelines with limited MOH financial support. The goals for the HBML technical assistance are to support the MOH/regional blood centers to be able to develop policies and regional centers of excellence to pilot programs that would increase blood safety through: 1) improvement of blood M&E, to include introduction of a computerized hemovigilance system; 2) development of a low-risk volunteer donor oriented program; 3) improvment of cold-chain for blood and blood components; 4) establishment of a QA/QC system to cover all laboratories in the blood donation system; 5) adequate training of blood system technical staff at all levels; and 6) assessment and improvement of clinical blood utilization. Initiation of blood safety technical assistance will begin concomitant with MOH implementation of the CDC cooperative agreement which was delayed due to the need for development of new MOH administrative procedures to receive external assistance. The MOH reorganization in 2011 resulted in the recent creation of a central unit within the MOH responsible for developing and coordinating a national blood safety program which will aid implementation.

Funding for Biomedical Prevention: Blood Safety (HMBL): $650,000

Basic approaches: the activities under the mechanism are listed below; these activities are complementary to the MOH cooperative agreement and represent technical assistance needed to implement those activities. The amount requested for FY 2012 will replace decreased central matching funds available for the task order compared with FY 2011.

Task 1. Conduct an assessment of the capacity of the regional sites chosen for development as centers of excellence. Task 2. In consultation with the BSOU develop and implement a comprehensive information management system from vein to vein compliant with ISBT 128.

Task 3. Develop a program improve blood collection from low risk, voluntary, non-remunerated blood donors (VNRBD).

Task 4. In consultation with the BSOU improve operations in terms of cold chain management, testing and processing of blood and blood products, storage and distribution.

Integration: the activities under this mechanism integrate with HBML activities under the MOH coag (IM 6) for establishment of a QA/QC system for laboratories in the blood donation system. Geographic coverage: the blood transfusion system in Ukraine has been decentralized and centers in Ukraine are operated by regional authorities. These activities will work with national experts and regional blood services to establish centers of excellence in 3 regions (tentatively Luhansk, Kiev, and Rivne oblasts) which were selected to be able to serve as training centers for the East, Central, and Western parts of Ukraine respectively.

Country ownership: the activities are designed to improve the existing Ukrainian system in mutually important areas. A selection criteria for the oblasts was preexisting support for blood centers from regional administrations which will enhance sustainability in these regions. Successful projects will encourage expanded support for blood centers from other regional administrations.

Cross Cutting Budget Categories and Known Amounts Total: $75,000
Human Resources for Health $75,000