Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2013 2014 2015

Details for Mechanism ID: 12256
Country/Region: Cambodia
Year: 2013
Main Partner: American International Health Alliance
Main Partner Program: HIV--AIDS Twinning Center
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $150,000

A PEPFAR-supported assessment of the national blood system and five year action plan will be finalized in August 2012. Initial reports highlight a number of deficiencies and gaps that will need to be strengthened in order to ensure that safe blood is available for all Cambodians.

Goals and Objectives. The goal of this TBD mechanism is to improve access to safe blood and blood products in Cambodia. The National Blood Transfusion Center (NBTC) in the MOH is responsible for directing and implementing the national program, but lacks the capacity and infrastructure. The objective of this TBD Implementing Mechanism is to provide technical assistance to the MOH manage and lead the national blood safety action plan.

Geographic Coverage and Target Populations. This activity will strengthen all public sector blood banks, their staff, and hospitals and facilities utilizing blood and blood products in Cambodia.

Cost Efficiency. In 2011 Cambodia returned money to the Global Fund because they were not able to implement all the activities planned. This TBD implementing mechanism will strengthen the organization and management of NBTC and build their capacity to direct and implement the national blood program so that funds from all sources will be used more efficiently and in a timely manner.

Monitoring and Evaluation. Progress will be monitored through regular reporting using an electronic tracking system managed out of the NBTC. The National Strategic Plan for Blood Safety and Action Plan that is being finalized will include indicators and deliverables that will be monitored through this mechanism.

Transition to Government Partner. The TBD partner will work directly with NBTC, the MOH institute responsible for the national blood safety program.

Funding for Biomedical Prevention: Blood Safety (HMBL): $150,000

The TBD implementing mechanism will provide technical assistance to the Ministry of Health (MOH) and National Blood Transfusion Center (NBTC) and their partners, including the Cambodian Red Cross, to support implementation of activities outlined in the July 2012 blood safety assessment and National Strategic Plan for Blood Safety 2012-2017. Activities funded in this program will be closely coordinated with the TBD partner implementing program activities and other donors, including the Global Fund to ensure maximum impact.

The TBD partner will develop teaching materials and tools for health care providers working in blood banks and hospital units, including specific guidelines for use of blood during the antenatal and post-partum period. On-site mentoring will be provided to build capacity of blood bank staff and managers from all provinces on use of blood and blood products, including transfusion techniques, production of components, infection control and reduction of transfusion related infections, immune-hematology, and quality assurance.

Recommendations about innovative approaches and strategies to increase the pool of voluntary blood donors using safe blood collection methods will be developed, using results of the PEPFAR supported Knowledge, Attitudes and Beliefs Survey carried out in 2012. Technical support will be provided to improve post-donation counseling for clients with transfusion transmissible infections (i.e., HIV, malaria, syphilis, and hepatitis) and a system for prompt referral to care and treatment services established.

The TBD partner will assist the MOH to more effectively direct and manage the national blood safety program. Technical support will be provided to develop and implement an information system for tracking program activities and donors as well as forecasting blood supply needs and funding requirements more accurately.

The TBD will work in close collaboration with the NBTC, Cambodian Red Cross, World Health Organization, and other partners supporting the blood supply system in Cambodia and participate in the Technical Working Group for Blood Safety led by the MOH. Activities will be mapped against the other TBD implementing partner and donor funding, including the Global Fund, to avoid duplication.

Subpartners Total: $0
International Federation of Red Cross and Red Crescent Societies: NA
Cross Cutting Budget Categories and Known Amounts Total: $100,000
Human Resources for Health $100,000
Key Issues Identified in Mechanism
Safe Motherhood