Status Report of NBTS,Bhutan.

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Status Report of NBTS,Bhutan.

• Presented by,
• Dr Mahrukh Getshen,
• Blood Bank In-Charge,
• National Blood Bank,
• JDW, NR Hospital, Thimphu,

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Country Introduction.

• Bhutan, means land to the north of India. A
  land-locked country. Also called as DrukYul
  meaning Land of the Thunder Dragon.
  
• Land Area38,364 sq km.
• Population and Housing Census conducted in 2005
  showed a total of 672,425.
  
• Overall sex ratio111 males per 100 females

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Organizational structure of NBTS, Bhutan.

• Health and Education Services provided free by
  the RGoB.
  
• Health system spread out in the form of BHUs, DH
  ,RRH and NRH in twenty districts called
  Dzongkhags.
  
• Blood banks are all hospital based and are a part
  of the Laboratory Services. No private blood
  banks.
  
• Total of 32 hospitals, JDW,NR Hospital the
  apex one in the capital, Thimphu.
  
• Blood banks are manned by general MLTs and MLTs
  trained in blood banking.
  

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• National Blood Policy in its final Draft form
  ,endorsement by the Ministry is pending.
  
• National Standards and Guidelines, SOPs on
  transfusion activities prepared and followed in
  the NBB,RBB and few DBBs.
  
• Dept of Medical Services under the MoH is the
  governing body and the NBB is the key technical
  and co-ordinating agency for BTS in the country.

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Department of Medical Services
JDWNRH RRHs
Healthcare Diagnostic Division
DVED
NBTS
Lab. Services
Radio-diagnostics
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National Data on Blood Transfusion Activities.

• Data of NBB available since 2003.
• Data of all the BBs available since this year.
• Data compilation and ME done by NBB.

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National Blood Collection Data.
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Percentage of replacement and voluntary donors at
NBB.
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TTI testing of donated blood

• 100 of collected blood is screened for HIV12,
  Hep B, Hep C and syphilis nationally. Malaria is
  mainly screened in the southern region.
  
• At NBB, ELISA is the main screening method but
  rapid tests are used at times. For syphilis RPR
  is the screening method and TPHA as the
  confirmatory method.
• At all the other BBs rapid test kits are used.
• Donors are informed about the results and
  counseling ,treatment or both are given .

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TTI Testing Data of Donated Blood at NBB.
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Component Preparation Data of

NBB
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Advances in Blood Transfusion

• Activities carried out on Standardization of BTS
  nationally at HRD, equipment procurement and
  protocols and test procedures.
  
• QMT developed at NBB.
• Apheresis blood collection to be introduced in
  the next FYR plan at NBB.
  

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Challenges faced by the NBTS

• Difficult geographical terrain making
  centralization or regionalization not practical.
  
• No separate budget allocated for the NBTS.
• Shortage of trained man power of all categories.
• Blood donation based on replacement system .
• Component therapy and appropriate CUB expensive.
  
  

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• THANK YOU