BBT Nepal Program a bi-annual newsletter

Betterment of Blood Transfusion System in Nepal

Volume 2, Issue 1

Newsletter

June, 2018

Message from the editor N E W S LE T TE R

T E AM :

BBT Nepal Program a bi-annual newsletter

Editorial Team:

Dr. Roshan L. Shrestha

Ashwini Kumar Nepal

Fanindra Panta

Sandesh Thapa

FIND US ON

Facebook:

https://www.facebook.

com/bloodstudy/

Mailing detail: [email protected]

Dear Readers,

Betterment of Blood Transfusion

Systems in Nepal (BBT Nepal) project

was initiated on 2016 by Nepalese

diaspora residing abroad with an

objective to provide technical and

management level training to

Nepalese blood bank personnel in

Nepal. As per the objectives of this

project, an initial fact-finding

workshop and a day long orientation

program was organized at Dhulikhel

Hospital, Kavre on February 2017,

which was followed by two weeks

tailor-made training for both technical

and management personnel of central

and regional blood bank in Nepal in

July 2017.

Both fact-finding workshop and tailor-

made trainings were conducted by

trainers from Sanquin BV,

Netherlands, NRCS-CBTS, Nepal

and, NIH, USA. In long term, this

project aims to develop sustainable

development blood transfusion

system in Nepal. This program aims

to develop trainer expertise within the

country level to make this training

program sustainable, which will have

a substantial contribution in improving

health status of Nepalese

populations.

In this issue, we present the outcomes

of two weeks management level

training and technical training

conducted in Nepal and future

directions of this project. The fact-

finding workshop was aimed to

develop a tailor-made training which

would identify the current needs of

blood bank and transfusion practices

in Nepal, followed by a tailor-made

quality management and technical

trainings.

The management training modules

included topics on SWOT analysis,

WHO perspective and Sanquin

experience, management and

change, management roles, strategic

planning, group work priorities. The

technical module consisted of training

in SWOT Analysis, quality

management, quality system,

processes and procedures, principals

of good manufacturing practices and

laboratory documentation system,

donor recruitment and selection,

hemovigilance and quality control of

blood products.

We welcome suggestions from the

readers for future directions of this

project.

Website: b3nepal.wixsite.com/b3nepal

https://nrna.org/Our-Work/NRNA-

Academy/Blood-Transfusion

I NS I DE T H I S I S S U E :

Editorial…………………………………………………………………………………………………………….1

Quality management and technical training in blood transfusion in Nepal …………………………. 3-5

Shaping an innovative approach for the betterment of blood banks in Nepal………………………..6-10

BTS Technology Transfer Subcommittee NRNA Academy…………………………………….…………11-12

Blood transfusion system technology transfer mission…………………………………………………..13-15

News and views….………………………………………………………………………………………………..16-17

NRNA’s Blood donation activities……………………………………………………………………………...18

Research on Transfusion medicine in Nepal.........................................................................................19

Betterment of Blood Transfusion System in Nepal

BBT Nepal Program Newsletter

Sponsors:

Following the Fact-finding workshop (January 31st -February 3rd, 2017), based on its

outcome and questionnaires from key stakeholders, a training module was developed for

“Quality management and technical training for blood transfusion service in Nepal”, under

the project, “Betterment of Blood Transfusion System in Nepal”.

Sanquin Consulting Services (SCS), Netherlands was the main collaborating partner for

this training program. Mr.Fanindra Panta, convener of this project facilitated the

collaboration between SCS, Netherlands, Central blood transfusion Service (CBTS),

Nepal, Non-Residential Nepalese Academy, NRNA and TBi group, financial partner for

this project.

Dr. W Martin Smid, Director of SCS, Netherlands, Mr. Hans Molijn, SCS and Dr. Manita

Rajkarnikar, Director of CBTS, Nepal participated as main trainers for this training event.

Along with them, Ms. Sita Shrestha, MLS (ASCP, AMT) and Dr. Roshan Lal Shrestha, both from

National Institutes of Health (NIH), USA participated in the training program as associate

trainers.

Training:

The training was conducted between July 17th to July 24th, 2017 at ICA Training Center,

Kathmandu. The venue for the training was supported by the TBi Group. Mr. Shrawan

Shrestha and Mr. Ram K. Shrestha, both from CBTS, Nepal managed all the logistics

required for the training. Dr. Ravi Khadka, one of the program team members of NRN

Academy was also present during the training sessions, representing the academy. The

trainees were selected from different blood transfusion service centers around Nepal-

Kathmandu, Lalitpur, Bhaktapur, Dhulikhel, Birgunj, Chitwan, Biratnagar, Nepalgunj and

Pokhara.

DAY 1 and DAY2:

First two days were focused on modules related to management of blood bank for senior

management team from CBTS, Nepal Red Cross Society (NRCS) and National Beuro of

Blood Transfusion (NBBT). On Day 1, following the introduction between trainers and the

trainees Dr. Smid, and Mr. Molijn introduced the SWOT (Strength, Weakness,

Opportunities, Threats) analysis and WHO perspective of Blood transfusion. Dr.

Rajkarnikar briefed about the strategy of Blood Transfusion Service in Nepal. The day

ended by a group work and SWOT analysis. The second day started with summary of the

previous day and Q/A session. Mr. Molijn discussed about the importance and ways of

data management, followed by discussion on roles on management and strategic plan in

BTS by Dr. Smid.

DAY 3 to DAY 9:

After the completion of management training to the senior management team, rest of 5

days were focused on quality management and technical training. There was a group

Quality management and technical training

for Blood Transfusion Service in Nepal.

Outcome from Fact finding workshop was used as the basis for the development of the training modules

BBT Nepal Program Newsletter Page 3

The trainees were

selected from different

blood transfusion

service centers around

Nepal- Kathmandu,

Lalitpur, Bhaktapur,

Dhulikhel, Birgunj,

Chitwan, Biratnagar,

Nepalgunj and

Pokhara.

BBT Nepal Program Newsletter: Page 4

work on each day on the modules taught. On Day 3, training was focused on quality management, role of

quality manager, importance of quality in a blood bank and process and procedures for quality

management in a BTS. There was a group work on consequences of poor quality in which there was an

active participation of the trainees.

DAY 4 was focused on group work on quality management and principles of GMP (Good Manufacturing

Practices).

DAY 5 onward the training was focused on quality management as well as the technical aspect of BTS.

On DAY 5, Mr. Molijn discussed about the quality system in laboratories. He also described about the

screening of TTI (Transfusion Transmitted Infections) and evaluation and use of TTI test kits in a BTS. The

day ended with a training on laboratory documentation system and its importance for quality maintenance.

On DAY 6, Dr. Smid and Mr. Molijn gave an introduction on quality system, donor selection and recruitment,

donor care and satisfaction, followed by different aspects of blood collection. On this day, the trainers also

described the blood supply management at Sanquin Consulting Service.

On DAY 7, training was focused on quality maintenance system and its monitoring of BCP (Blood

Component Products), storage and transportation of BCP and their stock managements. This was very

important and useful as there is a great demand of BCP in Nepal.

DAY 8 started with the introduction on Quality control of blood products and blood supply management at

Sanquin. Policies and Guidelines of BTS was also discussed on that day. Introduction on Hemovigilance

was also discussed. Ms. Sita Shrestha and Dr. Roshan Lal Shrestha discussed about the blood products

and their preparation on this day.

DAY 9 was the last day of the training. The day started with a good two hours discussion session between

trainers and the trainees. This session was well utilized by the trainees to learn any other aspects that was

not covered during the training. Ms. Shrestha and Dr. Shrestha facilitated this session. The second half of

the day ended with certificate distribution to the trainees, distribution of token of love from CBTS to trainers

and closing remarks by the guests.

Trainers Dr. Martin Smid (4th

from right in middle row), Mr.

Hans Moiljn (2nd from from left

in middle row), Dr. Manita

Rajkarnikar (3rd from from left in

middle row), Ms. Sita Shrestha

(3rd from right in middle row),

Dr. Roshan Lal Shrestha (1st

from right in middle row), along

with Mr. Shrawan Shrestha

(2nd from right in middle row),

Mr. Ram K. Shrestha ((3rd from

right in top row), along with

other trainees

BBT Nepal project Newsletter Page 5

Outreach:

During the stay in Kathmandu Dr. Smid and Mr. Molijn attended different activities. Nepal

Red Cross Society organized a formal dinner and meeting with management team of NRCS

to welcome the trainers. The trainers team also met with Global Advisory Panel

representatives, Noelle Chow and Linda Nicolo and Dr. Raj Kumar Mahato, Director, Nepal

Public Health Laboratory, Ministry of health. The trainers also visited Red cross blood bank

in Bhaktapur, CBTS in Patan, Blood bank at Grande International Hospital. Dr. Smid and Mr.

Molijn also attended the Red Cross Blood Transfusion Celebration day 2017.

Besides these Dr. Smid and Mr. Molijn had a chance to for a short sight-seeing around

Kathmandu and Bhaktapur along with participant trainees.

Conclusion:

In conclusion, the trailer made training on quality management was successfully conducted

under the mentorship of Dr. W Martin Smid and Mr. Hans Molijn. There was an active and

enthusiastic participation of trainees during the training periods and the group work.

According to the participants, they benefited a lot in terms of intellectuality on quality

management of a BTS.

According to the

participants, they

benefited a lot in terms

of intellectuality on

quality management of

a BTS.

Source: www.mancitro.com


Initiation, need assessment and professional networking:

Blood Banking refers to the collection of donated blood from blood donors, processing and storing

of blood products for safe transfusion to the patients in urgent need of blood to save lives! It is much

clear from the practices that not all blood transfusion save life or improve life of patients. More recent

knowledge and advance in technology has made the transfusion of blood more meaningful for the

patients. Though there are similar theoretical standards set by WHO all over the world regarding

transfusion safety, a notable gap can be found in the ground reality of the developing countries. The

report published from The Fact-Finding Visit as conducted by a team comprising specialist from

Sanquin Blood Supply Foundation, CBTS Nepal and NRNA has revealed remarkable differences in

the blood transfusion chain for the different regions of Nepal, as compared to developed countries.

A unique approach in the process of gap analysis in order to bridge these was the way how the

project has been initiated. Essential was the participation of Non-Resident Nepalese professionals

who migrated to developed countries still committed to contribute their motherland by sharing their

knowledge and means.

A well establish network of NRNA has facilitated this project supported by multinational companies

run by diaspora Nepalese like TBi Group skill, knowledge and technology transfer mission. Project

working group is formed by NRN professionals working in many different countries like USA,

Netherlands, Switzerland, Denmark, China, Australia etc. Focus on direct involvement of Nepalese

colleagues working in different blood banks in the team. From the very first national workshop a

close network was established with the blood bank chain of Nepal. The methods how consultants

of Sanquin are guiding this initiative are totally on the need base to make ultimately sustainable

within few years. A team member can experience a wonderful relation of working together for

knowledge sharing and apply a suitable proven technical and efficient managerial solution for better

blood banking: Nepal Model of betterment!

Developing Safe & Sustainable Blood Program for Developing Countries

Shaping an innovative approach for the “Betterment of Blood Banks in Nepal”

Fanindra Panta, Dr, Manita Rajkarnikar, Dr. Rekha Manandhar and Dr. W. Martin Smid

Picture 2. Challenges and required actions set by MoH as it is! (credit Dr. Rekha Manandhar)

Table: Follow-up: response on Workshop questionnaire

Institution Priorities*

NBBTS

Min of Health

CBTS, Norway QC Staff

Dhulikhel Hospital

DBTS

- Parsa

- Birgung

RBTS

- Bharatpur Chitwan,

- Nepalgunj

- Dhangadi

- Biratnagar

- Pokhara

1 Management & Organization

2 Infrastructure & Equipment

3 Donation

4 Products

5 TTI

1.1 Cost effective work process

1.2 Quality Management

1.3 Blood Supply management using software.

2.1 Water, electricity supply and backups.

2.2 Basic lab equipment (directive and maintenance)

3.1 Blood Donor selection, recruitment SOP

3.2 Voluntary Donors, Promotion Material and database

3.3 Donor care & Counselling

4.1 Processing, storage and release.

4.2 Components

4.3 logistics and cold chain

5.1 Screening strategies.

5.2 Hepatitis B, C and HIV.

5.3 Blood Group Serology and antibody screening.

# Total response 43 of 58 including collective responses

# Priorities selected: high priority and considered doable in 2 to 3 years by respondents

Considered not doable: “centrally coordinated system”, “nationwide LIMS”, “typing special donors”, “clinical transfusion” etc.

# Periodic training for lab technologists and clinicians are amongst doable priorities.

BBT Nepal program Newsletter Page 7

Picture 3: Priority Table based on participants responses in the questionnaires. February- March 2017

Doable Priority Setting “If you know what you don’t know is much easier than if you don’t know what you don’t know”

One can easily mark the conflicts between deeds and desire of the blood bankers in the

developing world. BTS in Nepal can be also a prominent example of such reality. There is

prepared strategic plan for developing BTS which is itself outdated! Sometimes it seems: you

don’t know what you don’t know! Most of the work plan lies on infrastructure developments but

other factors might be significantly missing. The workforce can blame for the resources that is

just not happening how it should be! At the other sides there might be huge loss in the health

of donors as well as patients when the priority is just given to those matters which are not

doable! Thus, the first mission was also to set doable priority within few years period in the limit

of available resources. betterment with better planning and efficient management!

Tailor Made Training: One the base of priority setting, the project team has implemented two weeks long tailormade

training programs for the 15 “champions” working on the blood transfusion system in different

blood banks of Nepal.

Next level of training is planned in for February 12-16 in the Netherlands. Such Training program

conducted in Nepal in the participation of responsible leaders from all stakeholders: ministry of

health, red cross, hospitals and blood banks. The methods applied in the training was much

more interactive, participatory and problem solving. Consultants from Sanquin Blood bank

Netherlands, National Institute of Health (NIH) and global advisory panel (GAP), NBBTS are

involved in shaping the programs, guiding the participants and helping them to formulate the

next steps to reach the desired destination.

It is also realized that research, educational and motivational programs should be run parallel

to the daily practice of blood banking to make the system always competent, better day by

day.


Picture 4: Quality Management Training for 15 “Champions on the job” July 16- 28, Kathmandu.

research, educational

and motivational

programs should be run

parallel to the daily

practice of blood

banking to make the

system always

competent, better day

by day.


Learning by sharing:

Focus to assemble similar problems is different

BTS at one place! Effective coordination needed.

Try to solve by themselves helping each other.

Guide where necessary.

Stimulate the working team for betterment day by

day to reach the desired point.

Minimize the working gaps between strategic

planners and operational staff.

Creating uniformity across the country.

Safe and sustainable BTS will be the result of

efficient management, care and motivated staffs!

SWOT analysis is done by the team!

Picture 5. Trainee during QMT in Ktm.

What are the next steps? Close cooperation and effective collaboration with consultants of Sanquin Consulting Service can be the

key of success while setting such projects. Experience of Dutch blood supply and guidance while choosing

proven technology can be the late comer advantage for Nepal Blood supply chain. The picture below

shows the basic working strategy to shape every next step. The next appropriate steps are defined by the

working team which has been formed from the broader collaboration of stakeholders from Nepal blood

supply, projects team of NRN professionals, consultants from Sanquin. In the context of Nepal CBTS is

also bringing other international partners like GAP of ICRC and support from different country red cross’s

together in one frame.

In general, the “picture of the desired future” is evident to the stakeholders and not substantially different

between countries. The best way to arrive at such a desired future is through the accurate assessment of

the present situation. With the end in mind, the appropriate next step for improvement can often be

identified through optimal cooperation between trainee and trainer. In essence, solution chosen in one

country may not fit circumstance in another. This may be especially true when LUMCs are compared with

high-income countries. The educational programs will help define the appropriate and required solutions

that fit local challenges.

Image of desired future: Nationally coordinated blood banking system in Nepal which can manage efficiently for the safe and

sufficient blood supply in sustainable way: basically, independent from other financial and knowledge

resources after certain period of time! In Sanquin’s experiences, an important factor for successful

improvement plan of request to be originated from the country when betterment is needed. A suitable

approach of betterment is under development for the BTS of developing countries like Nepal would do well

to be cognizant of emerging findings in education and training to ensure that efforts on both sides of

interaction are optimized. This approach should lead to implementation of best practices that are also cost-

effective and sustainable in resource-challenged settings.

B3 Nepal project Newsletter Page 5 BBT Nepal project Newsletter Page 10

Acknowledgements: Project team: “safe and sustainable BTS in Nepal”, especially those who have contributed many

hours in project development and implementation: Dr. Ashwini K Nepal USA, Dr. Roshan Lal

Shrestha, NIH, USA, Ms. Sita Shrestha, NIH USA, Surendra Koju, Blood Bank Dhulikhel Hospital,

Dr. Ravi Khadka, NL, Dr. Saroj Raj Ghimire Switzerland, Dr. Janak Lal Pathak, China, Shrawan

K. Shrestha, CBTS, KTM, Ram K Shrestha, CBTS KTM, Pravin Manandhar, RBTS, Birgunj,

Ramesh K. Paudel, RBTS, Chitwan.

NRNA: Shesh Ghale, Bhaban Bhatta, Himal Gurung, Rajesh Samsher Rana, Shishir Bhatta.

1. Dr Chin B Pun, Executive Director, BP Koirala Cancer Hospital, Chitwan 2. Dr. Rudra Prasad Marasini, Chief Medical Superintendent, Bharatpur Chitwan. 3. Dr. Yubaraj Sharma, Head of Patan Academic Hospital. 4. Dr. Prakash Yadav, Deputy Director, CBTS Kathmandu. 5. Mr. Dev Ratna Dhakhwa, General Secretary National Red Cross Society 6. Dr. Ram Kumar Shrestha, Chairman of Dhulikhel Hospital. 7. Dr. Raj Kumar Mahato, Executive Director, NPHL, MoH. 8. Honorable Minister of Health Gagan Kumar Thapa.

Funding: NRNA, Bhaban Bhatta and Shishir Bhatta TBi Group, NRNA NCC NL.

References: 1. Apheresis in Developing Countries Around the World, Journal of Clinical Apheresis 2. Report of Fact Finding Mission to Nepal in February 2017. 3. NRCS CBTS Annual Progress Report 4. National Guidelines on Management of Blood Transfusion Service in Nepal.

Approach

Present Situation

Next appropriate step

Next appropriatestep

Next appropriatestep

Image of DesiredFuture

Assessment of present situatio

nDesign next appropriate

step

Implement

improvement


nDesign

next appropriate

step

Implement

improvement


nDesign next

appropriatestep

Implement

improvement

Assessment of present situation

Design next appropriate step

Implementimprovement

Picture 6: Schematic of the Sanquin Conceptualization of improvement and training, demonstrating an

iterative process of consecutive appropriate steps between the present situation and the desired future.

Names Country/ region Email Role

Fanindra Panta NRNA, Netherlands [email protected] Convener

Arjun Prasad Mainali NRNA, USA [email protected] Team Leader,

Motivation

Ashwini K Nepal USA [email protected] Editorial

Binita Rimal NRNA, Belgium [email protected] Member

Dipak Gautam NRNA, Canada [email protected] Media and

Motivation

Dr. Bodha Raj Subedhi NRNA, ICC Poland [email protected] Clinical lead

Dr. Janak Lal Pathak China [email protected] Team Leader

Dr. Ravi Khadka UK/NL/Ireland/NPL [email protected] Team Leader,

Software

Dr. Roshan Lal Shrestha USA [email protected] Team Leader, TTI

and Editorial

Dr. Suraj Thapa NRNA, NCC Norway Clinical lead

Dr.Ing. Saroj K Ghimire Switzerland [email protected] Team Leader

Innovation

Govinda Sapkota NRNA, Portugal Member

Jiwan Ghimire NRNA, USA / BDA [email protected] Team Leader,

Equipment

Dev Gurung NRNA, NCC Australia,

Secretary

[email protected] Member

Dr. Bishal Bhandari USA [email protected] Lead - project

management

Rajmani Bhandari NRNA, NCC Uganda

President


Raju Saiyad NRNA, Saudi Arabia Member

Shisheer Bhatta NRNA, USA [email protected] Management

Som Sapkota NRNA, ICC JT,

Denmark

[email protected] Team Lead in fund

raising and finance

mgmt..


BTS Technology Transfer team of NRNA:

mailto:[email protected]













Names Country/ region Email Role

Thakur Prasad Sharma NRNA, NCC, NL,

President


Vinaya Adhikari NRNA, UK, Dept Gen

Sec

[email protected] Media and Publicity

Sita Shrestha USA [email protected] Lead- Blood bank

Laboratory

Sabisha Shrestha USA [email protected] Member

Suresh Gautam Canada [email protected] Team Leader,

Training

Prabin Sapkota NRNA, France

Secretary

[email protected] Lead in Youth

Volunteers.


BTS Technology Transfer team of NRNA:

We work you support: Volunteer team is in the

mission,

You can contribute for quality blood services for

your near and dear ones

If you would like to contribute, please donate.

NRNA Blood Transfusion System Fund

Account Number: 024 000 004 6701

Call Account Number: 024 000 000 4607

Sanima Bank, Kathmandu

Swift Code: SNMANPKA

NRNA Global Nagpokhari Marg, Kathmandu, Nepal P.O.Box 1189

01-4004755/56/57/58 [email protected]




https://nrna.org/


Blood Transfusion System Technology Transfer Mission Nepal Redcross, Sanquin &

BTS TT Sub Com.NRNA Academy NRNA Global February 11-29,

Netherlands, Luxemburg, Belgium, Germany, Spain

Netherlands Visit

A special envoy in the lead of Nepal Red cross Society

president Mr. Sanjiv Thapa visited National Blood Bank

organization of the Netherlands. All the process was

coordinated by BTS TT, NRNA Academy with the financial

support of Bhaban Bhatta, president NRNA and TBi group.

There was funding & management support of NRNA

Netherlands, Netherlands based Nepalese organizations,

Nepalese consulate Amsterdam, Nepalese restaurants;

collectively.

Fanindra Panta, Chair of BTS TT NRNA Global, Thakur

Prasad Sharma, NRNA Netherlands President NCC and ICC

team welcomed and provide good hospitality to the visiting

team.

Technology & Eff icient Management

The major objective was to learn technical applications around the

blood bank process and efficient management system. A highly

enthusiastic team from Nepal Red Cross Society got the one-week

intensive lectures and practical observation in different facilities of

Sanquin Blood supply organization from donor to patient, a

complete transfusion chain.


B lood Transfusion Chain

The management and technical personals from Nepal

observed the complete steps of the transfusion chain from

donors to patients. Basically, it was the system of managing

safe and sufficient blood and blood products according to

the need of the patients in hospitals.

Two Tops The two tops of two organizations exchanged giftd of love

and cooperation at the concluding day of the technology

transfer mission.

Dirk Jan Van Den Burg, president of Sanquin and President

of Nepal Red Cross along with their team

Social support

This mission was made possible by the social support of

diaspora Nepalese and their association (NRNA). Mission

team thanked the NRNA Netherlands, Nepalese societies

in the Netherlands and Nepal Consulate Amsterdam for

their unconditional support and love and responsibility

towards their motherlands.

Luxemburg NRNA Luxemburg organized a reception and interaction

program in the support of strengthening blood program in

Nepal.


Belgium

NRNA RC, NRNA Belgium, Janasamparka Samiti Beljium,

Prabashi Nepali Manch Beljium, CAT Beljium and many nepali

friends has shown their solidarity in the support of Nepal Blood

program.

His excellency The Ambassador of Nepal to the Benelux, Lok

Bahadur Thapa had also supported Nepal Blood Bank team.

Germany

Chitwan Aid Trust Germany organized a special reception and

interaction program. Nepalese embassy in Germany, NRNA

Germany and Nepalese community in Germany are eager to

support the mission

Spain

NRNA Spain organized a one day interaction and reception

program for the solidarity of safe and sustainable blood

transfusion system in Nepal.

NRNA

Regional coordinator Europe and NRNA Belgium Europe regional coordinator Mr. Shiva K. Baruwal and NRNA

President, Lok P. Dahal are very enthusiastic to support the

implementation of technology transfer mission


News and Events:

Ananda Ghimire from Blood Bank, Institute of Medicine, Tribhuvan University Teaching Hospital received Harold Gunson Fellowship award to attend the 28th Regional Congress of International Society of Blood Transfusion (ISBT) in Guangzhou, China from 25th to 28th November 2017. He presented a poster on the study that he did along with Ms. Nu Maya Gurung entitled, “Trends in Transfusion Transmissible Infections (TTIs) seroprevalence among Nepalese Blood donors”.

Ananda Ghimire from Blood Bank, Institute of Medicine, Tribhuvan University Teaching Hospital received Harold Gunson Fellowship award to attend the 35th International Congress of International Society of Blood Transfusion (ISBT) in Toronto, Canada from 2nd to 6th June 2018 to present his study that he did along with Ms. Nu Maya Gurung and Dr. Roshan Lal Shrestha entitled, “Widespread association studies between different demographic parameters, blood group and transfusion transmissible infections (TTIs) in Nepalese whole blood donors”

Dr. Manita Rajkarnikar, Director of Central Blood Transfusion Service (CBTS), Nepal attended 28th Regional Congress of International Society of Blood Transfusion (ISBT) in Guangzhou, China from 25th to 28th November 2017.

Dr. Rajkarnikar also attended the 35th International Congress of International Society of Blood Transfusion (ISBT) in Toronto, Canada from 2nd to 6th June 2018. Dr. Rajkarnikar represented CBTS and Nepal Red Cross Society at the conference.

Suresh Gautam, Lab Technologist at Toronto

General Hospital and one of the members of this

project also attended the meeting at Toronto.

Dr. Rajkarnikar met Dr. W Martin Smid, Director of

Sanquin Consulting Services and the

collaborative partner of this project at the meeting

in Toronto

Page 17 BBT Nepal project Newsletter

A blood donor collection workshop was organized at Nepal Red Cross Society Central Blood Transfusion Service (CBTS), Lalitpur on 20th to 23rd May, 2018. The workshop was organized by Finish Red Cross, NRNA and Nepal Red Cross.

A motivational interaction program was organized by Blood Donors Association Nepal. Dr. Manita Rajkarnikar, Director, CBTS and Arjun Mainali, the most frequent blood donor and a team member of this project participated in the event.

Dr. Manita Rajkarnikar, Director, CBTS and Arjun Mainali attended an event on World Blood Donor’s day in Bharatpur.


NRNA’s Blood Donation activities

NRNA, France NRNA, Thailand

Blood Donors of America recently concluded its 2nd convention in

Georgia, USA. The organization has planned to organize blood

donation camps in 50 states in the Unites States of America and

several fund-raising events to support the Blood Transfusion System

in Nepal. Jiwan Ghimire, a member of BTS TT program is seen on the

6th from left


Research on Transfusion medicine in Nepal:

1) M. Rajkarnikar. Management of blood donor and blood donation to fulfil the increase of

blood and blood product demands. 35th International Congress of the ISBT, Vox Sanguinis

2018, 113 (Suppl. 1), 123

2) A. Ghimire, N. Gurung and R. Shrestha. Widespread association studies between different

demographic parameters, blood group and transmission transmissible infections (TTIs) in

Nepalese blood donors. 35th International Congress of the ISBT, Vox Sanguinis 2018, 113

(Suppl. 1), 123. doi.org/10.1111/vox.12658

3) A. Ghimire and N. Gurung. Trends in Transfusion Transmissible Infections (TTIs)

seroprevalence among Nepalese Blood donors”. 28th Regional Congress of the ISBT, Vox

Sanguinis 2017, 112 (Suppl. 2), 5-191.

4) F. Panta and W. Smid. Improvement of the Nepal Blood Transfusion System an

assessment of training priorities. 28th Regional Congress of the ISBT, Vox Sanguinis 2017,

112 (Suppl. 2), 5-191.

https://doi.org/10.1111/vox.12658

NRNA Academy

NRNA Global

Nagpokhari Marg, Kathmandu, Nepal P.O.Box 1189

01-4004755/56/57/58

[email protected]

[email protected]

Page 20

Notes:

BBT Nepal project Newsletter


https://nrna.org/

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