National Institute of Biologicals (NIB) is collaborating with the National Health Mission (NHM) of states in Uttar Pradesh (UP) and Orissa to ensure that safe blood is made available through implementation of quality management systems in the blood banks and training of blood bank staff. This will ensure inspection readiness of blood bank officials also.
SOPs and guidance document for the blood banks is currently being prepared as a part of the plan which will further be replicated across the country once the project is implemented successfully in UP and Orissa.
State drug inspectors and blood bank officials will be trained as a part of the programme based on the SOPs/guidance document framed for ensuring uniform inspections across all the blood banks. Other aspects of the plan includes implementing the haemovigilance programme in the country for reporting transfusion related adverse reaction, providing training to blood bank officials on transfusion transmitted infections (TTIs), external quality assessment system (EQAS) and blood group serology.
Haemovigilance is a set of surveillance procedures covering the entire blood transfusion chain intended to collect and assess information on unexpected or undesirable effects resulting from the therapeutic use of blood components, and to prevent their occurrence or recurrence. Signaling a major boost to the Haemovigilance Programme of India (HvPI), NIB is the nodal agency to implement the plan.
HvPI at the national level was launched by NIB and NIB is also serving as the national co-ordinating centre (NCC) of HvPI in medical institutions within the country to track adverse reactions associated with blood transfusion and blood product administration. The programme has till date trained over 4800 participants through the CMEs. During CMEs, hands on training on Haemo-Vigil software was imparted to the participants with reference to uplinkingHaemovigilance Data in transfusion reaction reporting form (TRRF) via Haemo-Vigil software.
With 236 centres located in healthcare institutions and blood banks registered under the programme, data is collected on blood transfusion related adverse reactions through a specialised software. Data is currently reported by blood banks on voluntary basis by offering training through Continuing Medical Education (CME) programmes in different regions of the country.
HvPI aims to identify trends in adverse reactions and events, thereby to form transfusion policy, target areas for improvement in practice, stimulate research, raise awareness of transfusion hazards, give an early warning of new complications to improve safety of transfusion for patients.
NIB is an autonomous institution under the Union health ministry which ensures quality of biologicals and vaccines in the country available through domestic manufacturers or imports. The National Rural Health Mission (NRHM) was launched in April 2005. The NHM focused especially on 18 states, with poor infrastructure and low public health. The Union Cabinet vide its decision dated 1st May 2013 has approved the launch of National Urban Health Mission (NUHM) as a sub-mission of an over-arching NHM, with NRHM being the other sub-mission of National Health Mission.