Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5251
Country/Region: Zambia
Year: 2007
Main Partner: Zambia National Blood Transfusion Service
Main Partner Program: NA
Organizational Type: Parastatal
Funding Agency: HHS/CDC
Total Funding: $20,000

Funding for Strategic Information (HVSI): $20,000

This activity relates to Blood Safety (#9049), EGPAF SI (#9001), and Technical Assistance/Centers for Disease Control and Prevention (CDC) (#9023).

The Rapid Strengthening of Blood Transfusion Program is a national program aimed at scaling- up blood transfusion activities to ensure efficient, effective, equitable, and affordable access to safe blood transfusion services throughout Zambia. The program is supported by the President's Emergency Plan for AIDS Relief (PEPFAR) with a five-year grant that ends in March 2010.

The overarching goal of the program is to establish a sustainable, efficient and effective nationwide system for safe blood transfusion in Zambia and to prevent transfusion-related transmission of HIV, hepatitis, syphilis, and other blood borne infections. As a continuation from fiscal year (FY) 2006, the program will also seek to ensure equity of access to safe blood and blood products and to promote ethics in the collection, testing, and rational use of blood and blood products. The main focus of the program is to significantly improve blood donor retention, through increasing reliance on voluntary non-remunerated donors to 100% and increase the proportion of repeat donors to 85%, and by doing so, reduce HIV prevalence in donated blood from 3% to 1%. Among other activities such as maintaining appropriate project staff to supplement the shortages in permanent staff, enhancing donor counseling services to help convert first time donors into repeat donors, and procuring all the necessary inputs in an efficient and effective manner, an appropriate database and locator system to ensure that effective contact with donors is maintained must be established.

The Continuity of Care and Patient Tracking (CCPTS) is an ideal platform upon which to build a sustainable donor retention data system. In FY 2007, the United States Government will begin initial design consultations with ZNBTS to consider implementing the CCPTS to hold blood and blood donor related information. The vision is that each donor will be provided with a Care Card which can be used at other sites for health services as these cards will be issued nation-wide. Perhaps more critically, this will allow for more people to begin an electronic medical record file in the national system, decreasing the data entry time for clinical visits of these individuals and increasing available of information on blood type and even HIV incidence. Moreover, issuing Care Cards through the blood donor program will help ensure non-stigmatization of card recipients as issued in a non-discriminatory population. In FY 2007, issues such as confidentiality and the fit of the system to the blood collection approach will be reviewed.

Please see the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) SI narrative for more details about the Continuity of Care project, which involves a wide collaboration for national deployment of the system presently called CCPTS - Continuity of Care and Patient Tracking System.