Status Report of Blood Transfusion Services of India

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Status Report of Blood Transfusion Services of
India

• Dr. N. Choudhury
• Medical Director
• Prathama Blood Center (www.prathama.org)
• Ahmedabad, INDIA
• Only Blood Center in India accredited by
  ISO15189

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Historical overview

• Establishment of 1st BB in Calcutta 1942
• Establishment of other BB during WW-II (Pune,
  Bombay, Lucknow, Lahore) 1942-45
• Post war establishment of 20 blood banks
  premier medical institutions 1946-50
• Establishment of 300 blood banks in medical
  college large hospitals 1951-70
• Privatization of Medical Colleges in 1990s
• Total BB in India 2261
• Distribution of BB Govt. (55) NGO (20) IRC
  (15) Private (10).

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Technical development (1)

• FD Plasma Plants Ahmedbad, Calcutta, Madras,
  Pune Bombay 1962-63
• VNRBD efforts-Bby, Chd, Ahd, Delhi, Cal 1960-80
• Health Ministry committee 1964-72
• Indian Society Bd Tx Immunohemtoly 1972
• Mandatory AIDS screening 1989
• Ferguson report 1991
• NACO established 1992
• Technical Resource Group (NACO) 1997
• NACP, phase-III 2005.

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Technical Development (2)

• Glass bottle/ Blood Bag/ Multiple bags
• Functional Component separation facility (about
  1100 BB 800 modernized by NACO)
• Cell separator available in 400 (20) centers
• Stem cell other transplant in about 40 centers
• UCB banking (commercial) 3 organizations

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Developments in VNRBD

• Banning of Prof. Blood Donors (01.01.97)
• NACO intervenes (WHO helps)
• All India VNRBD from 25 to 45 in 2005
• Societal Marketing started 2 cities 2000s
• National Bd Policy action plan targeted VNRBD by
  2005 new target set
• Must accomplish 90 donation by 2010
• Concrete plan policy decision needed

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Reorganization of Indian BTS

• National Blood Transfusion Council 1993
• National Blood policy in 2003
• NBTC SBTC to monitor blood safety
• RBTC and Storage center started in 2000
• Reorganization in few states Most of SBTC
  non-functional
• (Ideally) To encourage centralized blood
  transfusion services

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State of the art BB

• Govt. selected 7 under developed states to start
  state of the art BB.
• Initial 5 years Govt grant then self sustenance
• Five functional 3 yet or start
• Good concept difficult to implement
• Doubtful future

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Academic developments

• Transfusion Medicine dept, PGI, Chandigarh 1963
• Diploma course (DIBT), Chandigarh 1977
• Short term curses for doctors/Technician IIH1982
• Transfusion Medicine Department, Lko 1988
• MD degree in Transfusion Medicine Lucknow
  (1990), Chandigarh (1999), Chennai (2005),
  Ahmedabad (2006), Jammu (2006).
• DNB degree in Prathama Blood Centre (2006).
• PhD in TM in Chandigah, Bbay, Ahmedabad (?)
• PG course for Technologists is required

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Accreditation

• ICRA CRISIL
• NABL (ISO17025 now, ISO 15189)
• NABH initiative
• Under Quality Council of India
• Formation of Technical Committee
• Base is ISO 15189
• NABH Accessor, Pre post assessment

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Various Intuitions Blood Requirements
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Recommendations

• Central council/ Authority for transfusion
  medicine
• Regular courses in Transfusion Medicine (MD
  Transfusion Med, Bsc, Msc, Phd for Technologist)
• Regional blood transfuosn centres
• Elimination of commercialization and
  accreditation of blood centres
• Involvement of Red cross for voluntary progm.
• Categorization and standardization for blood
  centre
• Disaster management
• Approval of Health commercial
• Utilization of NACO potential for development
  ICMR for academic programme and research.
• Committee to evaluate implementation

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Thank you