January 07, 2010
ADMINISTRATIVE ORDER
No. 2010 – 0002
POLICIES
AND GUIDELINES PERTINENT TO THE ESTABLISHMENT AND OPERATION OF LOCAL BLOOD COUNCILS
TO SUPPORT THE IMPLEMENTATION
OF THE NATIONAL VOLUNTARY BLOOD SERVICES PROGRAM FOR BLOOD SAFETY AND
ADEQUACY, QUALITY CARE AND PATIENT SAFETY
I. RATIONALE
One
of the provisions of the National Blood Services Act of 1994 (R.A. 7719)
is the promotion and encouragement of Voluntary Blood Donation by the
citizenry. This strategy is expected to bring out an adequate supply of safe
blood under the National Voluntary Blood Services Program. Furthermore, R.A.
7719 states that all sectors shall be mobilized to participate in mechanisms
for voluntary and non–profit collection of blood. For this purpose, the
participation of communities may be obtained by organizing various sectors into
Local Blood Councils, which could spearhead the Local Blood Donation Program.
The critical role of community participation as the main source of low–risk
healthy regular volunteer blood donors needs to be highlighted.
This
Administrative Order describes the Policies and Guidelines which will govern
the establishment and operation of Local Blood Councils which shall support the
Regional Blood Services Network; component cities, districts, municipalities
and barangays. It complements the AO on Guidelines for the Philippine National
Blood Services (PNBS) and the Blood Services Network. It states that every
region, province and highly urbanized city shall establish a Local Blood
Council.
To
support the establishment of the Local Blood Councils and assure its
integration into existing health initiatives and sustainable financing at the
community level, provisions of this Administrative Order for the establishment
and operation of Local Blood Councils must be made consistent, whenever
applicable, to the Administrative Order on Incentive Scheme Framework for
Enhancing Inter–LGU Coordination in Health through Inter–Local Health Zones
(ILHZ) and Ensuring their Sustainable Operations (A.O. No. 2006–0017).
II. SCOPE
This
policy shall apply to all community–based organization which are established
and operated to promote voluntary donation and support the collection and
provision of safe and adequate blood and blood components for transfusion under
the National Voluntary Blood Services Program. Local Blood Councils should be
established in every region, province and highly urbanized cities. They are
encouraged in component cities, districts, municipalities and barangays.
III. OBJECTIVE
These
Policies and Guidelines are promulgated to guide the establishment and
operation of Local Blood Councils pursuant to the National Blood Services Act
of 1994 (R.A. 7719) and its Revised Implementing Rules and Regulations. This
Administrative Order supplements the following: Guidelines for the Philippine
National Blood Services (PNBS) and the Blood Services Network; Operational Guidelines
for Blood Services Network (BSN) in Support to the Implementation of the
National Voluntary Blood Services Program for Blood Safety and Adequacy,
Quality Care and Patient Safety; and the National Policy on Patient Safety.
IV. DEFINITION
OF TERMS
A. APHERESIS
FACILITY – a blood service facility
where blood collection procedure is done in which whole blood is removed, a
selected component separated and the remainder returned to the donor;
B. BLOOD CENTER
(BC) – a non–hospital blood service
facility licensed by the DOH Bureau of Health Facilities and Services (BHFS)
whose main function is to process blood units into blood components and testing
of these units for the five (5) infectious disease markers. Detailed service
capabilities are enumerated in A.O. No. 2008–0008;
C. BLOOD
COLLECTION UNIT (BCU) – a blood
service facility, duly authorized by the DOH–Center for Health Development
whose main function is to collect blood from volunteer non–remunerated blood
donors. Detailed service capabilities are enumerated in A.O. No. 2008–0008.
D. BLOOD
DONOR PANEL – persons recruited and
willing to donate blood and may be called upon anytime to donate;
E. BLOOD
DONOR REGISTRY – a list of
individuals who are registered as blood donors with their ABO group and Rh
type, identity and contact information (complete name, address, telephone
number, e–mail address);
F. BLOOD
SERVICE FACILITY (BSF) – a unit,
agency or institution providing blood products. The types of BSF, i.e., Blood
Station, Blood Collection Unit, Hospital Blood Bank and Blood Center (National,
sub–national and regional) are defined below;
The
Blood Centers shall be classified into regional, sub–national and national as
assigned by the National Council for Blood Services (NCBS);
G. BLOOD
SERVICES NETWORK – an informal
organization established to provide for the blood needs of specific
geographical areas as catchment population. It is composed of the designated
blood center, hospital blood banks, blood collection units, blood stations and
end–user hospitals/non–hospital health facilities. The objective of the Blood
Services Network is the efficient distribution of voluntarily donated blood by
the blood center to different Blood Service Facilities, hospitals and other end
users to make blood available to all patients, maximize utilization of
available blood and avoid wastage;
H. BLOOD
STATION (BS) – a blood service
facility, duly authorized by the DOH– Center for Health Development (CHD) with
the main function is the storage, issuance, transport and distribution of whole
blood and packed red cells. Detailed service capabilities are enumerated in A.O.
No. 2008–0008;
I. DIRECTORY
OF DONOR REGISTRIES – an index of
blood donor registries by agency or barangay, which includes the complete
names, addresses and other contact information;
J. HOSPITAL
BLOOD BANK – a blood service facility
in a hospital, duly licensed by the DOH–Center for Health Development (CHD) whose
service capabilities are enumerated in A.O. 2008–0008;
K. LOCAL
BLOOD COUNCIL – a non–profit, non–governmental,
multi–sectoral group whose members come from government and private sector in
the local community committed to support the blood program. Its objective is to
plan and implement a local blood donation program in accordance to DOH policies
and guidelines on Local Blood Councils;
V. STRUCTURAL
ORGANIZATION OF LOCAL BLOOD COUNCIL
A. Membership
The
Local Blood Council shall be composed of representatives of various community
sectors, such as Local Government Units, National Government Agencies in the
localities, Local Health Services, Hospitals, PNRC and Dugong Pinoy chapters,
Health Professional Associations, Schools, Military and Police establishments,
civic/religious organizations, Business and agricultural sectors, mass media,
etc.
B. The Local Blood
Council shall be organized as a non–governmental
organization with members coming from both the government and private sectors.
It may be established I one of the following ways:
1. Memorandum of Agreement among member organizations
designating the Lead Agency and Custodian of Funds;
2. Created by and Ordinance passed by the appropriate
Sanggunian or by an Executive Order of Local Government Executive;
3. Attached to the Regional Blood Council and the
National Council for Blood Services of the NVBSP.
C. Every
region, province and highly urbanized city should establish a Local Blood
Council that shall support the
Regional Blood Services Network in public education, donor recruitment,
organization /conduct of mobile blood donation activities, and provision of
human and financial resources;
D. A Local Blood
Council is likewise encouraged to be
formed in competent cities, districts, municipalities and barangays;
E. Objectives
of the Local Blood Council:
1. General
Objective:
To
plan and coordinate the implementation of a Local Voluntary Blood Donation
Program which aims to ensure adequate supply of safe blood for the community.
2. Specific
Objectives:
a. To ensure an adequate supply of blood through
promotion of voluntary blood donation.
b. To mobilize human resource/facilities/financial
support for local public education and donor recruitment program.
c. To organize mobile blood donations in coordination
with the Regional Blood Center and authorized Blood Collection Units (BCUs)
d. To organize the hospital and other health services in
the community into a functional and efficient network consistent with the
established Inter – Local Health Zone (ILHZ).
e. To assist the local blood services network in public
education; donor recruitment; organization/conduct of mobile blood donation
activities; and provision of human and financial resources.
F. The Local Blood
Council shall elect an Executive
Board which shall have at least 11 members.
G. The
Executive Board shall elect Officers
from members of the Board consisting of President, Vice–President, Secretary,
Treasurer, PRO, Auditor and such other officers that they deem necessary.
H. The
Executive Board shall create
Committees to plan and implement components of Local Blood Donation Program such
as:
Executive
Committee
Committee
on Public Education
Committee
on Donor Recruitment
Committee
on Mobile Blood Donation
Committee
on Ways and Means
I. A Local Blood
Donation Program Coordinator shall be
designated by the Local Government Health Officer.
VI. FUNCTIONS
AND LIMITATION OF THE LOCAL BLOOD COUNCIL
A. The
Functions of the Local Blood Council are:
1. Participate in the formulation of the Local Blood
Donation Program that fulfills the needs for blood transfusion in the
community;
2. Plans and implements public education, advocacy and
donor recruitment activities to promote voluntary blood donation;
3. Organizes mobile blood collection activities in
coordination with the Blood Centers and authorized Blood Collection Units;
4. Spearheads/assists in fund–sourcing/fund–raising from
within the community and from external governmental and non–governmental
organizations, financial institutions or agencies.
5. Strengthens the linkages of local hospitals,
facilities providing emergency obstetric care (BEmONC/CEmONC) and health
services with the Blood Center(s);
6. Coordinates and monitors the implementation of the
Local Blood Donation Program.
B. Limitations
of the Local Blood council
1. Local Blood Council shall not be allowed to set–up or
operate a blood service facility
VII. STRATEGIES
FOR LOCAL BLOOD DONATION PROGRAM:
A. To accomplish its objectives, the Local Blood Council
shall implement the following strategies for the Local Blood Donation Program
1.
Public Education
2.
Recruitment of
blood donors
3.
Mobile Blood
Donations
B. Blood Services Network: The Local Blood Council shall
coordinate and assist in the implementation of a functional network for the
provision of an adequate supply of blood among government and private hospitals
and the Blood Centers to ensure access to blood by all patients.
C. Recognition of Blood Donors: The Local Blood Council
shall hold award ceremonies that shall recognize the importance of the
contributions of blood donors, donor recruiters and supporting organizations.
VIII. POLICIES
FOR THE LOCAL BLOOD DONATION PROGRAM
A. To assure an adequate and accessible supply of safe
blood for transfusion, the Local Blood Council shall be governed by the
following policies:
1. Public education
and donor recruitment shall convey messages:
· Motivate healthy,
low risk donors to give blood;
· Discourage
persons with high risk exposure to transfusion transmissible diseases and high–risk
behavior from donating blood.
· Give opportunity
to such persons to deer themselves (self–deferral) or inform the Blood Center
confidentially not to use the blood that they donated (self–exclusion)
2. Blood shall be
collected from voluntary non–remunerated donors. There shall be no payments in
case or in kin which may motivate potential donors to withhold information of
high–risk exposure or behavior. Blood from such persons may compromise the
safety of the blood products, and the safety of the patients receiving the
blood transfusion.
B. Blood donation activities shall be conducted in
strategic locations by Authorized Blood Collection Units in coordination with
the Regional Blood Center;
C. Mobile blood donation sessions shall be done in
various areas in the community, barangays, churches, schools, offices, malls,
military caps, police stations, etc.;
D. There shall be efficient networking among hospitals
and the Blood Center to make blood available to all patients and avoid wastage;
E. The Local Blood Donation Program shall be included in
the Work Financial Plan of the Local Government Unit (LGU) (DILG Memo
Circular No. 99–133, dated August 4, 1999). Resources – financial, human
and material – shall be provided to the Local Blood Council and implementing
organizations in accordance to the approved budget granted by the LGU;
F. All requests and issuances of blood products shall be
between the hospital BSF or Clinical Laboratory and the Blood Center;
G. A registry of blood donors with rare blood types shall
be maintained. All Blood Banks and BCUs shall submit the names and pertinent
data to the Blood Center which shall submit them to the PNRC National Blood
Center Rare Blood Donor Registry.
H. A Regional Blood Council shall supervise the local
blood councils within its region and shall report to the National Council for
Blood Services.
IX. ACTIVITIES
OF THE LOCAL BLOOD COUNCIL
A. To accomplish
their objectives and implement the strategies, the following are the suggested
activities of the Local Blood Council in their operational plans:
1. Plan the Local
Blood Donation Program
2. Form the
committees to undertake the strategies
3. Formulate the
annual operational plans for each strategy
4. Organize various
groups for the implementation of the planned strategies/activities
5. Formulate
policies and procedures for the provision and sharing of
·
Human resource
·
Facilities
·
Reagents, blood
bags and supplies
·
Refreshments
·
Funds
6. Organize and
supervise and active secretariat
7. Implement
strategies/activities of the local blood donation program
8. Monitor &
evaluate the activities of the local blood donation program
9. Report activities
and accomplishments and financial transactions
· Periodic
(quarterly) to executive board and Regional Blood Council
· Annually to
general membership and Regional Blood Council
X. FINANCING
MECHANISMS AND FINANCIAL MANAGEMENT
A. Sources of
funds – The Local Blood Donation
Program may be financed from the following sources:
1. Allocation from the Regional Blood Center, NVBSP
2. Allocation from Local Government Unit
3. Contributions from the Business Sector
4. Contributions from the PNRC National Blood Services
5. Fund raising activities in the community
6. Grants from donor agencies, local and international
7. Contributions from NGOs, civic and religious
organizations
8. Contributions from mass media (in kind)
9. Grants from Government financial institutions
10. Subsidy from hospitals, private and government
B. Financial
management – sound financial
management principles and procedures which specifies clear lines of
accountability shall be set up and maintained consistent with applicable
government accounting and auditing rules and regulations. Further, for
sustainable operations, applicable guidelines for ILHZ as stated in A.O. 2006–0017
must likewise be followed.
XI. SECRETARIAT
OF THE LOCAL BLOOD COUNCIL
A. The Local Blood
Council shall designate a Secretariat which shall have the following functions:
1. Provides
secretarial support to the Local Blood Council and the committees;
2. Handles
communications and correspondence;
3. Assists the
Secretary in the custody of documents;
4. Assists the
Treasurer in the management of funds and preparation of financial reports;
5. Coordinates and
monitors the activities of the Council and the Committees under the supervision
of the Officers;
6. Prepares reports
under the direction of the Officers and Chairpersons of Committees.
XII. PERFORMANCE
INDICATORS OF LOCAL BLOOD COUNCIL
A. To evaluate the
accomplishments of the strategies and objective, in coordination with the DOH
Center for Health Development (CHDs), the following indicators shall be
monitored by the Local Blood Council. The selected indicators shall be included
in the operational plans and data collected for the evaluation of Local Blood
Donation Program.
1. Public
Education
a. Number of flyers,
brochures or comics distributed
b. Number of
posters/billboards
c. Number of press
releases, articles or features printed
d. Number of
radio/TV shows attended, interviews, etc.
e. Percent increase
in number of people aware of the Voluntary Blood Donation Program
f. Percent increase
in number of people who became aware and who decided to donate blood
2. Donor
recruitment
a. Number of donor
recruitment officers trained
b. Number of
community meetings seminars, etc. held
c. Number of potential
donors interviewed/signed up
d. Number of donor
clubs/registries established or members recruited
e. Number of
potential donors recruited (Target: 2% of total population)
f. Percent increase
in donors recruited
g. Percent increase
in 1st time voluntary blood donors who returned for subsequent
donations (as repeat or regular blood donor)
3. Donor
screening & collection of blood
a. Number of donors
screened
b. Number of persons
deferred
(1) Percent of persons deferred
(2) Reason for deferral
c. Number of units
of blood collected
(1)
Mobile blood
collection
(2)
In–house blood
collection (Target of total collection – 1% of population)
d. Donor retention
(1) Increased number of repeat donors – defined as a
person who donated within one year prior to current blood donation (Target of
repeat donors – 20% of total blood donors).
4. Financing
and Financial Management
a. Amount of funds
raised – by source
b. Amount of audited
funds disbursed to support NVBSP activities
5. Management
of Local Blood Donation Program
a. Number of
meetings held (Board and Committees)
o
Number of
participants
b. Number of
action/operational plans formulated
c. Number of events
organized (mobile blood donations, Blood Donor Recognition Programs, Blood
Donors Month activities, etc.)
d. Number of field
visits for supervision and monitoring
e. Number of reports
submitted
XIII. REPEALING
CLAUSE
Previous
issuances that inconsistent with this Administrative Order are hereby repealed
and rescinded
XIV. EFFECTIVITY
This
Administrative Order shall take effect 15 days after publication in an Official
Gazette or a newspaper of general circulation.
FRANCISCO T. DUQUE,
III, MD, MSc.
Secretary of Health
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