Cover Image
close this bookSafe Blood in Developing Countries - The Lessons from Uganda (EC, 1995, 151 p.)
View the document(introduction...)
View the documentQuotation
View the documentForeword by the Uganda Minister of Health
close this folderForeword by Commissioner Professor Pinheiro
View the document(introduction...)
View the documentWhat the blood transfusion service has done for Kabarole hospital
View the documentSome facts about Uganda
close this folderSection One - Introduction and summary
close this folderChapter One - Safe blood and HIV/AIDS: The Uganda achievement
View the document(introduction...)
View the documentThe tragedy of the haemophiliacs
View the documentInfections carried by blood
View the documentThe unique features of Africa
View the documentThe global blood safety initiative
View the documentThe Uganda blood transfusion service: A portrait
View the documentThe wider contribution of the UBTS
View the documentThe view from an up-country hospital
View the documentThe matter of costs
View the documentThe dynamics of the project
View the documentA complex organisation
View the documentA view from Mulago hospital, Kampala
View the documentFour questions about AID
View the documentThe first visit for the EC
View the documentDr John Watson-Williams enters the scene
close this folderSection Two - Background: Uganda's history, health, and the HIV/AIDS epidemic
close this folderChapter Two - Uganda's political and physical health: A brief history
View the documentA. The political background
View the documentB. The health of the nation
View the documentC. Safe and unsafe blood in Uganda
close this folderChapter Three - AIDS in Uganda: A glimmer of hope?
View the document(introduction...)
View the documentExtent of aids in Uganda
View the documentMobilising to deal with HIV/AIDS
View the documentThe evidence for 'a glimmer of hope'
View the documentVoluntary mass HIV testing as a route to behaviour change
close this folderSection Three - The story of the Uganda blood transfusion service
close this folderChapter Four - How the European commission got involved
View the document(introduction...)
View the documentDr Lieve Fransen's report
View the documentThe 1987 plan
View the documentThe 1987 starting position
View the documentThe role of the Red Cross
close this folderChapter Five - Phase one of the project 1988-1990
View the document(introduction...)
View the documentA plan for blood donors
View the documentThe problem of laboratory space
View the documentThe problem of staffing
View the documentStaff structure and training
View the documentThe need for special skills
View the documentReconstruction of the Nakasero building
close this folderChapter Six - Phase two: Creation of a national service 1990-1991
View the document(introduction...)
View the documentRole of other donors
View the documentStaff recruitment
View the documentRegional blood banks
View the documentVoluntary testing for HIV
View the documentSupervision and quality control
close this folderSection Four - Evaluation: The view from Kampala
close this folderChapter Seven - The costs and benefits of safe blood in Uganda
View the documentA. The costs
View the documentB. The benefits to HIV prevention
View the documentC. Some other benefits
close this folderChapter Eight - Interview with Dr Peter Kataaha, Director, Uganda blood transfusion service
View the document(introduction...)
View the documentFlying to the rescue
View the documentChapter Nine - Interview with Dr Samuel Okware
close this folderSection Five - Key issues in blood transfusion: The Uganda experience
close this folderChapter Ten - The search for safer blood and the drive for voluntary, unpaid blood donors
View the document(introduction...)
View the documentCosts of relatives versus volunteers
View the documentFuture strategies: Donor clubs
close this folderChapter Eleven - The organisation of a blood transfusion service
View the document(introduction...)
View the document1. A centralised organisation
View the document2. A regional system
View the document3. A hospital-based system
View the document4. A mixed system
View the documentThe Zambian solution
close this folderChapter Twelve - Blood transfusion takes many skills: The importance of training
View the document(introduction...)
View the documentA. Training of Nakasero staff
View the documentB. Training of hospital staff
View the documentC. Residential courses for hospital staff
View the documentD. Training at schools for medical assistants
View the documentE. Training of senior professional staff
close this folderChapter Thirteen - Other issues, and their solutions
View the document(introduction...)
View the document1. Which diseases are screened against - and which are not? and why not?
View the document2. The special problem of malaria
View the document3. Adapting laboratory methods
View the document4. The start-up equipment - and computer
View the document5. Transport, for people, supplies, and blood
View the document6. Voice and data communications - or lack of
View the document7. Funding staff salaries in a time of inflation
View the document8. Keeping records, or trying to
View the document9. All or only some hospitals?
View the documentThe editor adds:
close this folderAppendices
View the documentAppendix 1: EC support for safe blood in developing countries
View the documentAppendix 2: Useful references

Appendix 1: EC support for safe blood in developing countries

The EC has provided technical and financial support to 47 safe blood projects in 29 developing countries to a total amount of 35 million ECU.

Past programmes:

Burundi, Chad, Costa Rica, Djibouti, Dominican Republic, Equatorial Guinea, Gabon, Grenada, Honduras, Mali, Mexico, Niger, Zaire.

Ongoing programmes:

1. Angola

In an initial phase EC support was given to strengthen safe blood activities in the blood transfusion centres at provincial level. Following the period of civil war these activities are starting up again via the strengthening of the role of the National Blood Transfusion Service in Luanda as well as the services at provincial level.

2. Benin

The EC supports government measures to strengthen the facilities and capabilities of the public health services in the southern departments of Benin. This includes support for the development of a national blood policy of the Ministry of Health, the creation or upgrading of regional blood banks in the three departments, Atlantique, Mono and Queme, and the training of health staff in charge of blood transfusion in Benin.

3. Cameroon

Support was given to develop a national policy and to strengthen two regional blood transfusion centres in Yaounde and in Douala, the country's main urban centres. These centres were refurbished and blood collection, screening and storage facilities and procedures were improved. Blood donor recruitment was expanded and reoriented towards blood collection among students and enterprises.

4. Congo

The objective of EC support is to assist the government in the development of a national blood policy and to establish a regional blood transfusion centre in Pointe Noire, the country's second largest town, to collect, test and supply safe blood for the hospitals in town and the region around. The premises were rehabilitated, staff has been trained, equipment and supplies were provided. A national legislation on voluntary blood donation and blood transfusion was adopted.

5. Guinea Conakry

The goal of EC support to safe blood activities in Guinea Conakry, carried out with the support of the Belgian Red Cross Society, is the installation of a National Blood Transfusion Service in Conakry as well as blood banks in the prefectures and the training of the personnel of these structures. Considerable efforts have been made regarding the selection of blood donors among school students, the military and the private sector.

6. Guyana

With EC support, a National Blood Transfusion Service has been set up with a blood bank and testing laboratory for HIV and other infections in Georgetown, using voluntary donors. Testing is done on blood from New Amsterdam, Linden and Suddie hospitals.

7. Haiti

With the technical support of the French Red Cross Society, the European Commission supports safe blood activities established by the Haitian Red Cross Society as well as by the public hospitals in the country.

8. Ivory Coast

Following support given to the safe blood activities of the National Blood Transfusion Service in Abidjan and the Regional Blood Transfusion Service in Korhogo and Bonake, coverage has been extended to all transfusion services in the country's hospitals. The role played by the NBTS and the RBTS in training and supervision is crucial for this development.

9. Lesotho

Support is given to the national health budget to sustain the safe blood services which have been put in place, with particular attention for the promotion of regular donations of blood by voluntary donors.

10. Madagascar

EC support consists of strengthening the National Blood Transfusion Service in order to ensure blood provision for the hospitals in Antananarivo (needs amounting to 8,000 blood units per year). Support is also provided to strengthen its role of supervision, training and participation in the definition of a national blood transfusion policy.

11. Mauritius

EC support is provided for essential equipment for blood safety, supervision and quality control, and the improvement of the utilization of blood.

12. Rwanda

EC support (joint action with Belgian Cooperation and Belgian Red Cross) has strengthened the screening capacity of the National Blood Transfusion Service and the organisation of counselling. Following the political conflict all support has been suspended but hopefully will resume soon.

13. STom Principe

The EC supports the rehabilitation and reorganisation of the blood bank of the main government hospital of STomy training of laboratory technicians and the provision of equipment and laboratory supplies. The provision of safe blood to health centres outside the capital is envisaged for the near future.

14. Zambia

The EC supported Zambia to establish a national blood transfusion service, to reactivate voluntary donor recruitment and to improve and safe blood facilities and practice throughout the country. A national blood policy has been formulated within the government's health system reform. The ZNBTS is directed by a core team and consists of two central blood centres serving Zambia's most populated regions around Lusaka and the Copperbelt, and 7 regional blood centres which serve the major provincial hospitals and provide training and support for the staff responsible for blood transfusion at the district hospitals in their area.

15. Zimbabwe

The Zimbabwe Blood Transfusion Service decided to extend donor recruitment and the provision of safe blood to hospitals by creating regional blood transfusion centres. So the EC assisted to create new transfusion centres in three regions (Gweru, Masvingo and Mutare), to improve capacities at the Harare centre through support for staff training, transport and laboratory supplies, and to develop a policy for blood use.