The firm commitment of the Government for providing adequate quantity of blood and its components or products. For achieving this target, the National Blood Transfusion Programme is developed.
Objectives of the Policy
The
following objectives are drawn-
1.
The firm commitment of the Government for providing adequate quantity of blood
and its components or products. For achieving this target, the National Blood
Transfusion Programme is developed. The National
Blood Transfusion Council (NBTC) is constituted which shall co-ordinate
with State Blood Transfusion Councils (SBTC) develop
guidelines to define NGO-run blood
centers and ensure involvement of other ministries and other health programmes.
It
shall be the responsibility of Drugs Controller General to look after
enforcement of standards of blood and blood products. The SBTC shall organize
the blood transfusion service through the network of Regional Blood Centers,
Satellite Centers and other Government, Indian Red cross and NGO-run blood
centers.
In order to meet
special requirements of Armed Forces in remote areas, necessary amendments
shall be effected in the Drugs and Cosmetics Act and Rules.
2. In order to
ensure proper development and reorganization of blood transfusion service, the
Blood Transfusion Councils at Center and in States and Union Territories shall
be financially strengthened by pooling resources from various existing
programmes. International funding, cost recovery of blood/blood components and
raising of funds for blood transfusion service shall be attempted.
3. The latest technology shall be made available for
operating the blood transfusion service. The updating and effective enforcement
of provisions of Drugs and Cosmetics Act and Rules, prescribing minimum
standards for testing, processing and storage of blood/ blood products,
establishment of a Vigilance Cell, introduction of Quality System Scheme in all
blood centers, and appointment of Quality Assurance Manager for each Regional
Blood Center are the steps to be initiated.
4. The activities
for development ofbio-safety guidelines and Generic Standard Operating
Procedures and introduction of ExtemaI Quality Assessment Scheme shall be
undertaken. Each blood center shall be asked to develop its own Standard
Operating Procedures on various aspects of blood banking.
5.
Regular workshops and proficiency testing exercises shall be conducted for
in-service persons.
6. Extensive
awareness programmes for blood banking services shall be launched which include
donor motivation for ensuring adequate availability of safe blood. The emphasis
shall be on recruitment and retention of voluntary, non-remunerated blood
donors, enrolment of safe donors, regular voluntary donors instead of,
replacement donors and involvement of youth in blood donation. A counselor
shall be appointed for each blood center and updated donors directory shall be
maintained.
7. Appropriate
clinical use of blood and blood products shall be encouraged. Blood and blood
products shall be transfused only when necessary. In addition, effective and
efficient clinical use of blood shall be promoted and National Guidelines on
"qinical Use of Blood" shall be made available. Whenever possible,
the use of plasma expanders shall be promoted to minimize the use of blood.
Guidelines for management of blood supply during natural and man-made disasters
shall be made available.
8. Strengthening of
trained manpower through human resource development shall be achieved by
adopting focused strategy. Medical colleges shall be encouraged to start P.G.
programme. (M.D. in Transfusion Medicine). A separate department of Transfusion
Medicine shall be established in
medical colleges. Technical training in transfusion medicine for nurses,
pharmacists, technicians, donor organizers, donor recruitment officers and
others shall be emphasized. In-service training programmes for drug inspectors
and all categories of personnel working in blood centers shall be organized.
9.
The research and development in the field of transfusion medicine and related
technology shall be encouraged by providing research grants from Corpus fund
for multi-centric research initiatives. Development of computer based
information and management systems shall be on priority agenda.
10.
Adequate legislative and educational steps shall be taken to eliminate
profiteering in blood banks. Fresh licences to stand-alone blood banks in
private sector shall not be granted. The stringent punishment shall be accorded
by amending existing provisions of Drugs and Cosmetics Rules for
unauthorized/irregular practices in blood banking system. Provisions for
affiliation with a licensed blood bank for procurement of blood for their
patients shall be incorporated.
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