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2015/LSIF/FOR/009
Securing Political and Financial Support for Blood Safety - Philippine Experience
Submitted by: Philippines
2nd APEC Blood Supply Chain Policy Forum Anaheim, United States
23 October 2015
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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
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Archipelago : 7,100 islands
Total population (CY 2014) : 100,096,496
Licensed health facilities & hospitals (CY 2013)= 912
Licensed blood banks = 200++
Licensed Blood Centers (CY 2014) = 19
SAFE BLOOD Products are critical:
High maternal mortality due to hemorrhage
Increasing cases of Dengue, other emerging and re‐emerging infections
Injuries / trauma are top causes of death
Increasing HIV confirmed positive blood units
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HIV/AIDS in Selected Countries in Asia & the PacificGeneralised 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
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National Voluntary Blood ServicesAct 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 1993Inadequate Unsafe Wasteful
National Voluntary Blood Services Program
Department of HealthPolicy‐making body with regulatory functions and overseas the Program Management
The Philippine National Red CrossVoluntary Non‐remunerated Blood Donation
and Advocacy
Philippine Blood Coordinating CouncilContinuous professional education
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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 LearningSystem)
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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
Number
I. Blood Centers 35
II. Hospital Blood Banks
489
III. Blood Collecting Units
17
IV. Blood Stations 7
V. BCU/BS 67
VI. Aphaeresis Facilities
25
Total 640
GOAL 2:
Implementation of a Quality Management System (QMS) including Good Manufacturing Practice (GMP) and Management Information System (MIS).
DEPT. ORDER NO. 301-1s, 1999
Establishment and institutionalization of the different Reference Laboratories by designating specialty hospitals in the country as National Reference Laboratories
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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
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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
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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 sustainablityof the blood safety program in the country.
