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2016 ROTARY INTERNATIONAL CONVENTION
Global Overview of Blood Donor
Motivation and Mobilization
Cees Th. Smit Sibinga
President RI RAG GNBD
to develop an international network of Rotarians and others who are involved in supporting volunteer blood donations.
GNBD will promote voluntary (non-remunerated and regular) blood donation and support for local community blood centers.
GNBD Mission
Through their association in this Rotarian Action Group members are expected to share their expertise and experience with others engaged in the same type of efforts, thus promoting a fellowship of service throughout the world.
GNBD Vision
The objectives of GNBD contain messages to
each of the RI Six Areas of Focus (AoF) to be
shared with the RCs and Districts.
The main focus of the RAG GNBD is on the
areas 2, 4 and 5.
Objectives
1. Peace and conflict prevention/resolution –
in peace and conflict an adequate blood
supply is paramount to support those in
need, whether diseased or wounded;
Objectives
2. Disease prevention and treatment –
safe and efficacious blood, available, accessible and affordable, is an integral part of the health care provision;
Objectives
3. Water and sanitation –
the effect of clean water and proper
sanitation on the health status of potential
blood donors is crucial to donation of safe
and efficacious blood by healthy volunteer
donors;
Objectives
4. Maternal and child health –
around 75% of all transfusions in the restricted economy countries are given to obstetric and paediatric patients, where still a considerable number of women in these countries die due to severe haemorrhage during delivery and the shortage of an adequate blood supply;
Objectives
5. Basic education and literacy –
promotion and advocacy of voluntary
blood donation as well as the clinical
informed consent (patients) on blood
transfusion depend on literacy and basic
education.
Safe and voluntary blood donation is much more than just sticking a needle in a vein.
Objectives
6. Economic and community development –
the development of an all voluntary and self-sufficient blood supply goes hand in hand with the development of economy and the community.
The higher the human development index (HDI) the better the health care and integrated blood supply of a country.
Objectives
National Blood System/Service overarches.
Possible ‘service delivering’ models –
A single service provider, either governmental or delegated to a not-for-profit, non-governmental organization(e.g. Red Cross, NFP-Foundation)
Blood Donation and Supply structures
Multiple service providers, including governmental and non-governmental organizations, and private institutions
Blood Donation and Supply structures
Another approach is –
Horizontal – a limited number of operational units all with the sameresponsibilities and operationalcomplexity, kind of federation under thefinal responsibility of the National Health Authority.
Blood Donation and Supply structures
Such federation could consist of –
governmental, NGO and private institutions(e.g. Rotary) with different economies of scale, but under the same rules and regulations toavoid different standards of quality of care.
Blood Donation and Supply structures
Vertical – a structure based on a spread of operations from central and largereconomy of scale to peripheral and small economy of scale.
Blood Donation and Supply structures
This usually is expressed in a differentiation of operational functions, from comprehensivedown to just collection, storage anddistribution.
There is usually one organization responsiblefor the implementation of the operations
(e.g. EFS, Sanquin, NHSBT, Red Cross).
Blood Donation and Supply structures
The principle is a cascading down of operationalities, where adequate covering of distances (logistics of supply) are determining.
Blood Donation and Supply structures
Particularly in larger geographical situationswith low population densities, this approach and model may be successful to guarantee a continuous supply that meets demands, as well as quality and cost-effectiveness.
Blood Donation and Supply structures
Donor motivation and mobilization may besupported through Rotary, but shouldalways be organized and operated in close collaboration with the responsible Blood Centre, whether hospital-based, Regional or National.
Donor Motivation and Mobilization
Terminology used –
Blood drive
Donor clinic
Donor camp
Donor session
Mobile Team session
Donor Motivation and Mobilization
Examples of successful support –
France: Mon Sang pour les Autres
which is also operational in a number of francophone countries
US: Governor’s Challenge
which led to the Cowboys and Indiansinitiative with Indian RI Districts
Blood Donation and Supply structures
-Financial Support to other NGO established
Blood Banks
-Established along with other NGOs
-Established and being operated by Rotary
Clubs
CHALLENGES
- Lack of Awareness
- Misconceptions
- Role of Quacks
- Licensing Procedure
- Delay by Government Authorities
VOLUNTARY DONOR CAMPS
- Organizing Outdoor Donor Camps
- Organizing Donor camps in Blood
Bank Premises
THANK YOU
PDG Kishore Kumar
RI District 3020, India
Rotary Blood Bank,Visakhapatnam
Chairman 2001-13
Global Network
for Blood
Donation
1. History
2. Expansion in France
3. Conditions for success
4. Advantages for Rotary
5. Development of MBFO
6. Conclusion
Plan of the presentation
My Blood For Others
Global Network
for Blood
Donation
History
First blood
collection in
Toulouse
District 1700,
France,
in1998
My Blood For Others
Global Network
for Blood
Donation
History
199825 Rotary,
Inner Wheel
and Rotaract
Clubs
involved (200 volunteers)
My Blood For Others
Global Network
for Blood
Donation
History
1998 :1400 donors
welcomed in
1 day : a
european
record !
My Blood For Others
Global Network
for Blood
Donation
Expansion in France
Since1998,
more than
100 cities
have joined
MBFO
My Blood For Others
Global Network
for Blood
Donation
Expansion in France
292.000donors
welcomed
in 18 years
My Blood For Others
Global Network
for Blood
Donation
Out of France
Mali,
Togo,
Benin,
Gabon,
Senegal,
Ivory Coast,
Reunion Island
My Blood For Others
My Blood For OthersGlobal Network
for Blood
Donation
Conditions for success
Location
in city
centers
to attract
new
donors
Global Network
for Blood
Donation
Conditions for success
Numerous
and varied
associated
events
My Blood For Others
Global Network
for Blood
Donation
Conditions for success
Advertising &
communication
My Blood For Others
Global Network
for Blood
Donation
Advantages for Rotary
• promotion of the image of Rotary
• common action between several clubs
• numerous lives saved
• opportunity to show what Rotary can do
My Blood For Others
Global Network
for Blood
Donation
Development of MBFO
Many Rotary-Clubs, all over the world,
organize blood collections
In order to obtain a better visibility,
inside and outside Rotary, we wish to
convince them to use the same name “
My Blood For Others”
My Blood For Others
2016 RI ConventionGlobal Network
for Blood
Donation
Many thanks for your attentionand sorry for my poor English ….
2016 RI ConventionGlobal Network
for Blood
Donation
I am ready to answer your
questions
Speak slowly, please …
1996 – Governors’ Challenge D57902001 – D9300 Johannesburg area joins2002 – D5810 joins the Challenge2007 – RI approves GNBD as a RAG
– first exhibiting at the RI Convention Salt Lake City
2010 – Districts in Texas embrace Challengeand many others follow
– D5790 & D5810 Challenge reaches 100,000 units collected
GNBD Milestones
2011 – Cowboys and Indians competition– Collaborative agreement with the
Association for Donor Recruitment Professionals (ADRP)
2013 – Partnership with the Global Blood Fund
2016 – 10th year exhibiting at the RI Convention (Seoul)
GNBD Milestones
• 40+ Rotary Districts around the globe have embraced the Challenge.
• Approximately 800K units of blood are donated annually by Rotarians.
• Approximately 75M units of blood are donated every year around the globe.
• 15% of Districts report clubs are involved in helping blood centers acquire technology, equipment of training.
BLOOD DONATION FACTS
GOVERNORS’ CHALLENGE
• Golden Vampire D5810 & D5790
• Cowboy Challenge in Zones 21b & 27
• Spreading the word at Conferences, Assembly's and Conventions
GOVERNORS’ CHALLENGE
In May of 2011, RI President Elect, Kaylan Banerjee Challenges Districts and Clubs in India to join the Governors’ Challenge.
EASY SERVICE PROJECT
CLUB MEMBERSHIP
City ManagerCity ManagementPolice ChiefBank PresidentNewspaper EditorChamber Board MemberFinancial PlannerInsurance AgentSchool AdministrationProminent Business Owners
RI AREAS OF FOCUS
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Peace and Conflict
Prevention/Resolution
Disease Prevention
and Treatment
Water and Sanitation
Maternal and
Child Health
Basic Education and
Literacy
Economic and
Community Development
GNBD AND AREAS OF FOCUS
Disease Prevention and Treatment
• A safe, pure, efficacious and readily available blood supply is key component to a successful healthcare delivery system.
• GNBD promotes safe voluntary blood donation through Rotarians.
Maternal and Child Health
• 75% of transfusions in restricted economy countries are given to OB and pediatric patients. A number of these patients die due to unavailability of blood.
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2016 ROTARY INTERNATIONAL CONVENTION
Korean approach to donor motivation
and retention through the Red Cross Society
Kim, Sunhee
Korean Red Cross Blood Services
Since taking over the National Blood Center in 1958, and being
delegated the national blood services from government (presidential
decree No. 10285) in 1981
No. of Blood Donors increased from 370,000 to 2.9million in 2015
No. of Staff in Blood Service is 2,046 (60.5% of Red Cross Staff)
No. of Blood Donation 2,872,156 (100% unpaid donation)
Annual Supply of Blood components
6,278,079 units
Financial Status in 2015Income 309,235 million wonExpense 306,475 million won
Annual Surplus 2,760 million won
Glance at the Korean Red Cross Blood Services
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Relevant Laws
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○ Blood Management Act Article 6 (Blood Management)
Only the following persons may implement blood management:
Provided, That a person who falls under subparagraph 3 shall not
collect blood among blood management:
2. The Korean National Red Cross established under the
Organization of the Korean National Red Cross Act
○ Organization of the Korean National Red Cross Act Article 7
(Services)
○ Regulation on the Safety of Medical Supplies Article 11
Blood Management Committee
KRC Blood Services: 15 blood centers & others
Hospital Blood Centers
Government
Ministry of Health and WelfareMinistry of Food & Drug
Safety
93.2% of Blood donations collected by Korean Red Cross (2015)
Structure of Korean Blood Services
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Korea Center for Disease Control and Prevention (KCDC)
Name Roles and Responsibilities Dept.
Ministry of Health and
Welfare (MoHW)
- Overall blood supply-demand management
- Permission of the establishment of blood center
- Decision of the price of blood products
Division of
Bioethics
Policy
Ministry of Food &
Drug Safety (MFDS)
- Overall collection and supply management of
pharmaceutical product
- Overall plasma fractionation management
Korea Centers for
Disease Control and
Prevention (KCDC)
- Evaluation of blood establishments
- Investigation of transfusion-associated infection
Division of
Human Blood
Safety
Surveillance
6
Roles and Responsibilities - Government
• 100% VNRBD
• Number of Blood Donations
• Number of Blood Supply (Korean Red Cross)
2012 2013 2014 2015
Total 2,722,609 2,914,483 3,053,424 3,082,918
RC(%) 2,542,495(93.4) 2,708,173(92.9) 2,844,538(93.2) 2,872,156(93.2)
Blood Service Statistics
YearNumber of Units
Supplied
For Transfusion For Fractionation
Sub-Total % Sub-Total %
2015 6,278,079 4,048,199 64.5 2,229,880 35.5
2014 6,272,253 4,099,483 65.4 2,172,770 34.6
2013 6,186,007 4,242,147 68.6 1,943,860 31.4
Red Cross played a leading role
- Rapid growth in number of blood donations - Lack of government’s investment(government’s subsidies in ‘91~ ‘04 : 12m$)
- Lack of government’s inspection & evaluation- Focusing on group donation (56%)
- Focusing on individual donations (65%)- Strengthening government’s investment (government’s subsidies in ‘05 ~’12 : 117m$)
- Strengthening government’s inspection & evaluation
- Appearance of private blood centers
Government played a leading role
History
72
1954. 6. The Korean government established National Blood Center1958. 2. KRC took over the National Blood Center and renamed it as KRC Blood Center1974. 4. KRC declared prohibition of paid donation and encouraged VNRBD1981. 7. The Korean government entrusted the national blood services to KRC
(Updated April 2016)
President
Vice President (2)Central
Committee(28)
General Assembly of
National Representative
Blood Centers (15)
Plasma Fractionation Center (1)
Blood Transfusion Research Institute (1)
Blood Laboratory Centers (3)
Audit Office
Financial Supervisor
Legal Advisor
Secretary General
Blood Services Headquarters
Voluntary service central committee
Policyand
supporting Headquart
ers
Business
Planning
Bureau
Hospital(6)Training
Institute
Chapter(14)
Chairman(1)
Vice chairman(2)
Director
Planning&Manageme
ntBureau
Blood
Safety
Bureau
Information
Management Office
Business
Promotion Burea
u
Humanity business
Headquarters
Internation
al, inter-Korea
n Cooperatio
n
Hospital/
Health&
Safety
Internation
al Humanitari
an Law
Special
Welfare
Programs
Blood Donatio
n Promoti
onBureau
Organization Chart of Korean Red Cross
73
Institutions
74
Jeju
Blood Service HQs
15 Blood Center
3 Laboratory Center
Plasma Fractionation Center
Blood Transfusion Research Institute
Manufacturing and supplying blood products for transfusion
(Self-sufficiency based on Voluntary Non Remunerated Blood Donation)
Manufacturing and supplying blood products for fractionation
(Self Supply rate 95.4% in 2015)
Importing plasma derived medicinal products (12 kinds including tetanus)
Management of blood donor information
Donor Recruitment of hematopoietic stem cell transplantation
What Korean Blood Services does
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Donor Motivation & Recruitment activities in Korea
• Donation pledge by organization
First time donor Regular donor
Donors in their 30, 40s
General citizen - Raising awareness on VNRBD
Every blood donor - SMS after blood donation : Thank you for the participation, next donation date- World Blood Donor Day celebration, Blood Donation Day event- Sharing Blood Test result
• Donors’ Hall of fame• Award ceremony(30th
~ 400th)
Poster, Leaflet, Advertisement, Newspaper, Website, SNS, ABO exploration hall Mobile application(Smart Blood donation), Education materials (Text book), and etc
• Thank you card • First donor kit• Guideline for the second donation
• Introducing KRC Blood Services, providing information on blood donation and etc
• Providing services : Reservation, Search for Blood Donation Center, Counselling, Electronic Donor Interview, blood test result and etc
• No. of Visitors : 40 thousand donors use electronic donor interview and 500 donors make a reservation a week on average
• Since 2002• http://www.bloodinfo.net
Website – bloodinfo.net
• Developed in cooperation with SK Telecom
• 150 thousand downloads (2014.10.31)
• Ranked at the 10th of Mobil Apps in health and welfare field in 2012 (the No. of downloads)
• Menu: Find Blood Donation Center, Reservation, Electronic Donor Interview, Donation Information and etc
• No. of Users /week : 1000 Electronic Donor Interview, 500 reservation
Mobile application
2016. 0145,934
2016. 01visitor 788,650
neighbor 962,248
Social network Services
Kakao story Facebook Blog
• Providing information about blood donation and
creating intimacy & friendship on blood donation
for the future donors
• located in National Science Museum
• Can experience Blood Cell Kaleidoscope,
Measuring Blood Volume, Quiz, Blood Vessel
Experience Rider and etc
• Operated since April 2014
ABO Blood Donation Exploration Hall
Providing opportunity for donors to donate money equivalent to their blood donation gift to the need- 2014 529,800,000won (51,201people)
- 2015 645,894,000won
Blood Donation Voucher
• Blood donors who pledged to donate blood regularly
• established in 1999 in order to ensure stable blood supply
• Donor who donated more than 2 times within a year can be a member
Registered Blood Donor System
YearTotal no. of donation in Red Cross
New registered donor
Accumulated registered
donorNo.of donation
%/total donation
2015 2,872,156 136,233 780,620 1,224,410 42.6%
2014 2,844,538 128,295 709,181 1,157,294 40.7%
2013 2,708,173 121,504 654,124 1,026,147 37.9%
Provide a chance to participate in the special events(Movie, Tour, Book
event, and etc) for the registered blood donors
Year 2012 2013 2014 2015
No. organizations 187 388 677 944
Corporate partners which pledges to donate blood regularly
Group (company, public institution, etc) pledges to take part in blood donation movement and activities to proliferate donation culture regularly every year
Goal: To promote the participation of middle-aged donors
Awards program
- 30 times : silver medal
- 50 times : gold medal
- 100 times ~ 300 times :
honorary medal
For donors who donated more than 400 times - presenting memorial tablet with celebration in blood donation center
Registration in the hall of fame(website)
- 100 times donation donors : 4,660
Donations 30 ~ 50~ 100~ 200~ 300~ 400~ 500~ 600~
2014 64,117 25,711 5,789 846 162 43 7 3
Programs to Appreciate Regular Donors
Voluntary Hour Recognition
4 Hours Recognition per donation
since 2010. 7. 1
all kinds of blood donations
limited to 5 times for WB donation, 24 times for
Apheresis , 96 hours at the maximum a year donation
• University & High school students or Red Cross Youth who participate in blood donation promotion
• Main Activities- Regular promotion with blood center and
blood donation center- Every 13th ‘Blood Donation Day’ campaign- Donation campaign and publicity to women
and middle-aged people
Blood Donation Supporters & Red Campaigner
Providing education materials to schools
Using blood donation ad for the lesson plan
Providing education materials including school text book
2016 ROTARY INTERNATIONAL CONVENTION
Family Donors are Critical and Legitimate
in Developing Countries
Cees Th. Smit Sibinga
President RAG GNBD
Safety of the Gift of Life to the World
Viral Marker PrevalenceIs there a difference between FADs and first time VNRDs?
Family/acquaintance blood donors (FAD)
considered less safe than voluntary
non-remunerated blood donors (VNRD);
Pressure and coercion are considered
unethical.
Assumptions –
97
FAD are actively discouraged by
international organizations (IO);
Affluent countries support these IO;
Existing shortages continues.
Consequence –
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Viral marker data of 1st time VNRD andFAD, corrected for gender and age show, no significant difference;
Basic motive for VNRD and FAD is benevolence rather than altruism;
FADs are willing to become VNRD and torepeat donation if asked.
Viral Markers
99
Viral Markers
Type of Donors N Donors ConfirmedAnti-HIV (%)
HBsAG (%) ConfirmedAnti-HCV (%)
FAD 17,449(68.3%)
550 (3.2) 2521 (14.4) 583 (3.3)
VNR 8094(31.7%)
110 (1.4) 1027 (12.7) 248 (3.1)
First time 4911 98 (2.0) 824 (16.8) 223 (4.5)
Regular 3183 12 (0.4) 203 (6.4) 25 (0.8)
Prevalence in VNR and FA blood donors in Mali – HIV, HBV, HCVFrom: J-P Allain – ISBT Science Series 2010;5:169-75
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Viral Markers
Country Type of Donors N Donors confirmedHIV (%) HBsAg (%)
Cameroun First timeVNRD
272 11 (4.0) 49 (18.0)
FAD 3053 114 (3.7) 233 (7.6)
Ghana First timeVNRD
6640 69 (1.0) 919 (13.8)
FAD 4380 50 (1.1) 649 (14.8)
Guinea First timeVNRD
1784 26 (1.6) 259 (14.5)
FAD 8956 42 (0.5) 1142 (12.8)
Prevalence of HIV and HBV in first time VNR and FA donorsFrom: J-P Allain – ISBT Science Series 2010;5:169-75
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FAD in the Blood Supply in Four Continents
Americas Africa Asia Europe
<20% 20-79% >80%
Argentina Benin Algeria Angola China Albania
Bolivia Botswana Burk. Faso Cameroon India Greece
Brazil Burundi Erytrea Chad Iran Montenegr
Chile CAR Gambia Congo Kuwait
Columbia Côte d’Iv. Guinea DRC KSA
Cost. Rica Malawi Kenya Ethiopia Oman
Cuba Namibia Morocco Gabon Pakistan
Ecuador South Afr. Mozamb. Ghana Thailand
El Salvador Ruanda Tunisia Guin. Biss. Turkey
Guatam Senegal Zambia Madagasc.
Honduras Uganda Mali
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FAD in the Blood Supply in Four Continents (2)
Americas Africa Asia Europe
<20% 20-79% >80%
Jamaica Mauritania
Mexico Sierra Leo
Nicaragua Tanzania
Paraguay
Peru
Surinam
Uruguay
Venezuela
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TTI Marker Prevalence in non-SSA Countries post-2009
country donors % prevalence
Anti-HIV Anti-HCV HBsAg
ft VNRD FAD ft VNRD FAD ft VNRD FAD
Albania 52,767 8.1 8.6
India 47,558 0.32 0.41 0.61 0.71 1.77 1.77
39,060 0.36 0.54 0.20 0.23 1.22 1.23
Nepal 33,255 0.7 0.4
Pakistan 13,888 0.0 0.06 1.44 1.56 1.44 1.56
Thailand ? 0.67 0.72
Ghana 6,421 10.8 11.6
Camer. 543 1.5 5.4 2.6 6.0 8.8 10.9
Mozamb. 679 8.9 12.7 8.6 11.8
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Family/Acquaintance Donors
FAD are almost exclusively called upon in countries with considerable bloodshortages
In life-threatening situations due to severe shortage, pressures are extended on bothVNRD and FAD
FAD blood are cheaper than ‘one time only’ VNRD
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Statements
1. FADs meet all basic criteria of VNRD;
2. FAD remain a critical source of
(regular) VNR blood;
3. At this point in time, FADs are
- legitimate and indispensable
- should not be discouraged.
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However –
4. FAD should be encouraged to become
regular VNR donors;
5. FAD are a good potential to bridge the gap
to reach 100% VNRD.
Statements
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Evidence Base - GNBD Study Proposal
There are limited comparitive and reliablestudies available to provide a solid evidencebase.
Objective–
To re-open the assessment (evidence base) on whether the ban on FAD in developingcountries is justified.
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Evidence Base - GNBD Study Proposal
Developing countries –
Selected countries from Low and
Medium HDI (4 continents);
Demographic, logistic and statistical
data collection on
- blood donor typology
(first time VNRD & FAD);
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Evidence Base - GNBD Study Proposal
- viral marker epidemiology
(TTI marker prevalence);
- frequency of blood donation
(% regular vs first time/one time only for VNRD
and FAD);
- blood usage/consumption and suppl
(supply or demand driven);
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Evidence Base - GNBD Study Proposal
Focus on 1st time/one time only VNR and
FAD donation;
Collection of (confirmed) TTI marker
prevalence;
Correction for gender and age;
N = to be determined (statistical
significance).
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