Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 13063
Country/Region: Zimbabwe
Year: 2011
Main Partner: National Blood Service Zimbabwe
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $800,000

National Blood Service Zimbabwe (NBSZ) is a private not for profit organization with the mandate to collect, process, store and distribute blood and blood products to all hospitals in Zimbabwe.

The goals of this project are:

1) To improve equity and access to safe blood and blood products.

2) To develop sustainable quality management systems.

3) To educate health care workers in blood safety and rational use of blood.

4) To provide appropriate infrastructure and human resources for the provision of blood services.

5) To provide monitoring and evaluation mechanisms for the blood safety project activities.

The activities of this project will support the HIV/AIDS national strategy and plan through the prevention of HIV transmission through blood transfusion by reducing the risk of contaminated blood through donor education, donor counseling, blood testing and quality control of blood supply.

The coverage of these activities is national through a branch network in 5 major cities (Harare, Bulawayo, Gweru, Mutare and Masvingo) which act as collection centers and a central testing site in Harare. One pilot distribution site is currently located in Hwange and in year 1 the network will expand to two more distribution sites (Karoi and Chiredzi) to reduce the distance that hospital personnel have to travel to collect blood for the provision of services.

The key contributions of this program to health systems strengthening and human resources for health are increase in the collection and distribution of safe blood and blood products in the country and education of health care workers on blood safety and the rational use of blood.

The impact of this project will be increased through leveraging of resources provided by the European Union which supports blood provision for maternal care and the Swiss Red Cross that supports data management systems.

REDACTED. Training will be provided to health care workers on blood safety and the rational use of blood. Renovations will be carried out at branch laboratories to meet the Good Manufacturing Practices (GMP) standards and to provide suitable facilities for training purposes. Key issues addressed by this project include child survival activities and safe motherhood as children and women will benefit from increased access to safe blood during health emergencies.

The strategy for cost-efficiency of this project is based on bulk procurement of test kits, reagents and blood bags. One contractor will be identified for multi-site renovation to lower the cost as much as possible. Resources that are already in place will be maintained for optimal use.

Monitoring and evaluation of the program will be done through training reports, follow up of contract agreements, review of procurement records and consolidation of project information into quarterly progress reports.

Funding for Biomedical Prevention: Blood Safety (HMBL): $800,000

With COP11 resources NBSZ will implement a donor education, recruitment and retention program through production of IEC materials, Pledge 25 clubs (motivating youths to keep donating blood after leaving school), mass media advertising, and fixed satellite collection points among other interventions. These activities are targeted to increase the number of new donors, motivate regular donors to maintain a healthy life style, and build the panel of regular donors.

A donor notification and counseling program will be strengthened through a revision of the existing system and implementation of recommendations.

Renovations and refurbishment of three additional collection branches will be done to meet GMP. Training activities will be initiated on blood safety and banking, rational use of blood, monitoring and evaluation and supervisory management of blood programs.

Test kits of first line testing and second line testing will be procured to support the blood testing, and Nucleic Acid Testing (NAT) technology will be procured and implemented to reduce the window period risk of HIV and transfusible infections.

Three additional distribution sites will be set up based on geographical needs to reduce the distance that hospital staff needs to travel to access safe blood. Hospital blood banks will be supplied with small blood bank fridges to improve blood cold chain.

Finally, NBSZ will construct incinerators at each of the 5 branches of the organization in order to meet waste management requirements.

Cross Cutting Budget Categories and Known Amounts Total: $350,000
Construction/Renovation $0
Human Resources for Health $350,000
Key Issues Identified in Mechanism
Safe Motherhood