2015/LSIF/FOR/009 Securing Political and Financial Support for Blood Safety - Philippine Experience

Transcription

1 2015/LSIF/FOR/009 Securing Political and Financial Support for Blood Safety - Philippine Experience Submitted by: Philippines 2 nd APEC Blood Supply Chain Policy Forum Anaheim, United States 23 October 2015

2 SECURING POLITICAL AND FINANCIAL SUPPORT FOR BLOOD SAFETY (PHILIPPINE EXPERIENCE) VALERIE ANNE TESORO, MD, FPSP NATIONAL REFERENCE LABORATORY NATIONAL KIDNEY AND TRANSPLANT INSTITUTE PHILIPPINES Background Philippine National Voluntary Blood Services Securing Support thru RA 7719 Different schemes on Sustaining Financial Viability of the Blood Program 1

3 Archipelago : 7,100 islands Total population (CY 2014) : 100,096,496 Licensed health facilities & hospitals (CY 2013)= 912 Licensed blood banks = Licensed Blood Centers (CY 2014) = 19 SAFE BLOOD Products are critical: High maternal mortality due to hemorrhage Increasing cases of Dengue, other emerging and reemerging infections Injuries / trauma are top causes of death Increasing HIV confirmed positive blood units 2

4 HIV/AIDS in Selected Countries in Asia & the Pacific Generalised HIV epidemic: Cambodia*, parts of India, Myanmar & Thailand* Concentrated HIV epidemic: Parts of China, parts of India, Indonesia, Malaysia, Nepal & Vietnam Low HIV epidemic: Bangladesh, Bhutan, Laos, parts of India, Maldives, Philippines, Republic of Korea & Sri Lanka 3

5 National Voluntary Blood Services Act of 1994 An act promoting voluntary blood donation providing for an adequate supply of safe blood Based on a study done by Paraan et al in 1993 Inadequate Unsafe Wasteful National Voluntary Blood Services Program Department of Health Policy making body with regulatory functions and overseas the Program Management The Philippine National Red Cross Voluntary Non remunerated Blood Donation and Advocacy Philippine Blood Coordinating Council Continuous professional education 4

6 3/11/2015 Development of a Fully Voluntary Blood Donation System Donor Recruitment: At least 2% of total population Blood collection: At least 1% of total population Donor Retention: at least 35% are repeat donors Strengthening of Advocacy and Trimedia campaign Implementation of Learning Materials on Voluntary Blood Donation (Primary, Secondary and Alternative Learning System) 5

7 GOAL 2: Strengthening of a Nationally Coordinated Network of BSF to Increase Efficiency and High Volume Testing and Processing of Blood Blood Services Network Blood Service Facility Categories I. Blood Centers 35 II. Hospital Blood Banks 489 III. Blood 17 Collecting Units IV. Blood Stations 7 V. BCU/BS 67 VI. Aphaeresis 25 Facilities Total 640 Number Implementation of a Quality Management System (QMS) including Good Manufacturing Practice (GMP) and Management Information System (MIS). DEPT. ORDER NO s, 1999 Establishment and institutionalization of the different Reference Laboratories by designating specialty hospitals in the country as National Reference Laboratories 6

8 Functions of National Reference Laboratories I. Provide laboratory referral services, e.g. for confirmatory testing, surveillance, research. II. Train laboratory personnel. III. Maintain a quality assurance program (EQAS) for laboratory tests in coordination with the Bureau of Health Facilities and Services IV. Evaluate tests kits and reagents in coordination with the Food and Drug Administration (FDA) and the Bureau of Health Devices and Technology, DOH Attainment of Maximum Utilization of Blood through Rational Use of Blood Products and Component Therapy. Creation and distribution of Clinical Practice Guidelines and Manuals Strengthening of functional Hospital Blood Transfusion Committee as licensing requirement Advocacy on blood safety and Training on Rational Blood Use in different Medical Societies and Paramedical Societies 7

9 Development of a Sound, Viable, sustainable Management and Funding for the Nationally coordinated Blood network. Maximum allowable blood service fees Based on the DOH Administrative order No. 181, series of 2002 Proposed Blood Service Fees Packed RBC P1,100 ($23.9) P 1,500 ($32.6) Other components P700 ($15.2) P 1,000 ($21.7) As the blood programs grow, new issues arise and needs and plans change The political climate changes are always a threat to the program, but legalizing the program adds leverage The blood programs benefit from marketing and education plans but they also benefit from a plan to leverage external resources 8

10 External resources such as organizations, networks, and experts help the tripartite group gain information on everything from best practices to funding opportunities, while serving as sources for personal and professional support. These are all very important in the sustainablity of the blood safety program in the country. 9