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Toward Improved Blood Safety and Availability in Nigeria

Toward Improved Blood Safety and Availability in Nigeria. The Geography. Maps from www.cia.gov website (accessed 05/30/10). Some Major Challenges. Nigerian data from www.cia.gov website. Malaria-Stricken Girl in Calabar. Donor Recruitment at Abuja’s National Hospital.

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Toward Improved Blood Safety and Availability in Nigeria

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  1. Toward Improved Blood Safety and Availability in Nigeria

  2. The Geography Maps from www.cia.gov website (accessed 05/30/10)

  3. Some Major Challenges Nigerian data from www.cia.gov website

  4. Malaria-Stricken Girl in Calabar

  5. Donor Recruitment at Abuja’s National Hospital

  6. Donor Room at Mission Hospital, Uyo

  7. Taju/Touts Not Welcome

  8. Small Volume Blood: Aftermath of No Blood Phenomenon Volunteer Blood Outside/Paid Blood Outside/Paid Blood Volunteer Blood Other Consequences include higher risk of TTIs

  9. TRIBAL LEADER SUPPORT

  10. Transfusion Challenges • < 10% of blood is donated voluntarily • Many “donations” are solicited from-often unsavory donors by patients’ families • Blood is not uniformly tested for HIV, HBV, or HCV – especially in outlying regions • Crossmatching of RBCs and whole blood too often is performed inadequately

  11. Transfusion Challenges • Blood bag labeling too often is performed inaccurately • Blood too often is stored or transported inappropriately • Blood too often is utilized inappropriately • Transfusion reactions usually go undiagnosed and unmanaged

  12. Transfusion Challenges • Insufficient blood is available to meet the needs of all patients – particularly in emergencies • Most hospitals do not have transfusion committees • The costs of blood often are often borne entirely/primarily by the patient • Most hospitals do not have adequate access to blood components

  13. FA Fasola et al. Audit of the Red Cell Units Supply of a Busy Hospital Blood Bank in Nigeria. Nigerian Journal of Clinical Practice 2009; 12: 165-168. “The demand is three times greater than the supply of blood.”

  14. The Safe Blood Africa Project • MISSION: To improve the safety and expand the availability of blood in Nigeria. • VISION: To be the model provider of medical and technical assistance and resources as we use all means at our disposal to improve transfusion-related healthcare in Nigeria. • GOAL: To assist our in-country colleagues in the development of exemplary and sustainable medical-technical programs aimed at improving blood safety and availability throughout Nigeria.

  15. Objectives of the Safe Blood Africa Project • Develop a training and educational program designed to enhance the knowledge and experience of existing health-care personnel in pertinent aspects of blood banking. • Provide suitable technology, equipment, and supplies to support the above. • Work closely with Nigerian colleagues, in a “train-the-trainers” mode, to disseminate these materials to as many deserving hospitals as possible and provide a framework for both other U.S. blood centers/transfusion services and our in-country colleagues to duplicate this work over as much of Nigeria as possible.

  16. STATE GOVERNMENT SUPPORT

  17. New BB Fridge Provided by Rotary Club of Eureka and District 5130 at Jericho Specialist Hospital,Ibadan

  18. Successful Blood Drive at Jericho Hospital, NBTS Staff

  19. Keynote Talk Re USA Blood Banking

  20. Administrators and Donor Recruiters

  21. And the Rains Came, 3 meters in 1 day, TRUE STORY

  22. Some Good News • UUTH VNRBD 1% in 2010, 25% in 2016, 100% in 2020 is Goal. • Braithwaite Donor Room

  23. Major Issues For Project • “Western Education is a Sin” aka Boko Haram Terrorism • Security • Weather • Tracking results • Culture of Corruption, “It is way we do business” • Funding

  24. Issue Options • Distance Learning • Multiple Blood Center Involvement in USA • Rotary International/Local Rotary Clubs -Worldwide • Global Healing • Safe Blood for Africa • Safe Blood Africa • Vendor Support

  25. Progress Steps • UUTH & Project Team Training Donor Recruitment at Hospitals in Nigeria • Nigerians Train at NCCBB (March,2013) • Nigerians Train at Blood Source (2013) • Nigerian Team Attends ABC Meeting (2013) • Nigerians Train at Blood Source (2014) • Nigerians Attend AABB (2014) • UUTH MD attends ABC 2017

  26. Progress Steps Continued • UC Davis and UUTH working together with Project Team on Distance Learning (Hold) • Equipment for Transfusion Medicine acquired and sent to UUTH • UUTH trains other transfusion services in Akwa Ibom State, 1st training completed • Additional USA Blood Centers get involved with individual hospitals. Fresno, Dallas • Working with AIHA in Ukraine

  27. Nigeria Team at NCCBB

  28. Equipment Shipment to Lagos

  29. CCBC Bloodmobile at UUTH

  30. Sincerely YIRS • Rotary Clubs of Carmel Valley, Seaside, Marina, Monterey Sunrise, Visalia County Center, Eureka, Arcata Sunrise, Sebastopol Sunrise, Old Town Eureka • Also, Central California Blood Center, Global Healing, UC Davis, UCSF, Blood Source, ABC Foundation, Stanford, Abbott • Eureka Rotarians, Kim Bauriedel & John Gierek, who I keep reminding that “YRWBGIH”

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