2016 ROTARY INTERNATIONAL CONVENTION Global Overview of Blood Donor Motivation and Mobilization Cees Th. Smit Sibinga President RI RAG GNBD

RAG Global Network for Blood Donation

 to develop an international network of Rotarians and others who are involved in supporting volunteer blood donations.  GNBD will promote voluntary (non- remunerated and regular) blood donation and support for local community blood centers. GNBD Mission

 Through their association in this Rotarian Action Group members are expected to share their expertise and experience with others engaged in the same type of efforts, thus promoting a fellowship of service throughout the world. GNBD Vision

The objectives of GNBD contain messages to each of the RI Six Areas of Focus (AoF) to be shared with the RCs and Districts. The main focus of the RAG GNBD is on the areas 2, 4 and 5. Objectives

1. Peace and conflict prevention/resolution – in peace and conflict an adequate blood supply is paramount to support those in need, whether diseased or wounded; Objectives

2. Disease prevention and treatment – safe and efficacious blood, available, accessible and affordable, is an integral part of the health care provision; Objectives

3. Water and sanitation – the effect of clean water and proper sanitation on the health status of potential blood donors is crucial to donation of safe and efficacious blood by healthy volunteer donors; Objectives

4. Maternal and child health – around 75% of all transfusions in the restricted economy countries are given to obstetric and paediatric patients, where still a considerable number of women in these countries die due to severe haemorrhage during delivery and the shortage of an adequate blood supply; Objectives

5. Basic education and literacy – promotion and advocacy of voluntary blood donation as well as the clinical informed consent (patients) on blood transfusion depend on literacy and basic education. Safe and voluntary blood donation is much more than just sticking a needle in a vein. Objectives

6. Economic and community development – the development of an all voluntary and self-sufficient blood supply goes hand in hand with the development of economy and the community. The higher the human development index (HDI) the better the health care and integrated blood supply of a country. Objectives

Blood Donation and Supply Systems

National Blood System/Service overarches. Possible ‘service delivering’ models –  A single service provider, either governmental or delegated to a not-for- profit, non-governmental organization (e.g. Red Cross, NFP-Foundation) Blood Donation and Supply structures

 Multiple service providers, including governmental and non-governmental organizations, and private institutions Blood Donation and Supply structures

Another approach is –  Horizontal – a limited number of operational units all with the same responsibilities and operational complexity, kind of federation under the final responsibility of the National Health Authority. Blood Donation and Supply structures

Such federation could consist of – governmental, NGO and private institutions (e.g. Rotary) with different economies of scale, but under the same rules and regulations to avoid different standards of quality of care. Blood Donation and Supply structures

 Vertical – a structure based on a spread of operations from central and larger economy of scale to peripheral and small economy of scale. Blood Donation and Supply structures

This usually is expressed in a differentiation of operational functions, from comprehensive down to just collection, storage and distribution. There is usually one organization responsible for the implementation of the operations (e.g. EFS, Sanquin, NHSBT, Red Cross). Blood Donation and Supply structures

The principle is a cascading down of operationalities, where adequate covering of distances (logistics of supply) are determining. Blood Donation and Supply structures

Particularly in larger geographical situations with low population densities, this approach and model may be successful to guarantee a continuous supply that meets demands, as well as quality and cost-effectiveness. Blood Donation and Supply structures

Donor motivation and mobilization may be supported through Rotary, but should always be organized and operated in close collaboration with the responsible Blood Centre, whether hospital-based, Regional or National. Donor Motivation and Mobilization

Terminology used – Blood drive Donor clinic Donor camp Donor session Mobile Team session Donor Motivation and Mobilization

Examples of successful support –  France: Mon Sang pour les Autres which is also operational in a number of francophone countries  US: Governor’s Challenge which led to the Cowboys and Indians initiative with Indian RI Districts Blood Donation and Supply structures

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