Pre and Post Donation Counselling Module-2

Counselling in Blood banks Motivate the donor at high risk to test for HIV Help the donor to take the right decision Creates awareness among the donors on HIV/AIDS and TTIs Encourage Voluntary Blood Donors to donate regularly.

Aims of Counseling Encourage HIV testing Ensure Voluntary Blood Donation Reduce wastage Develop safe donor pool

Donor Counselling Enables discussion on behaviours Ensure Confidentiality In other settings confidentiality might be missing combined with judgmental response

Checklist for a counsellor Greet the client and introduce yourself Define your role as a counselor Listen attentively Give time to what donor want s to say Avoid moralistic judgments Accept donors as they are Do not pretend - be informed

The Stages of Donor Counseling

Pre Donation Counseling Prevention of HIV transmission Help for self deferral if at risk Acknowledge the donor for blood donation Assure confidentiality Same procedure as pre-test counselling -refer-Submodule-6 of Module-2

Pre Donation Counselling Donors consent for testing of blood for all tests Provide an opportunity to ask questions and refuse donation Risk history assessment   Transfer knowledge of HIV and blood-borne infections  Donation and test information  Getting the reports after the tests.

Pre Donation Counselling Modes of transmission of HIV Window period assessment Tests carried out on donated blood Confidentiality of test results Alternative testing site

Assurance to the Donor Name will not be disclosed Reply on personal behaviour will not harm the donor or the recipient. The results will be shared only with the donor days.

Role play on Pre-donation Counselling Activity - 1 Role play on Pre-donation Counselling

Ethical Responsibilities of the Counsellor No coercion or pressure Follow the criteria for donor selection Assure confidentiality

Self Exclusion and Self Deferral Self exclusion – donor decides not to give blood Self deferral – donor waits for stipulated time to donate

Education about safe blood donation IEC materials on decision making and behaviour Self-exclusion materials on risk of HIV and TTIs Directory of services for referring to other agencies

Post Donation Counselling Result seeking donors should be given post donation information and counseling laboratory tests may indicate presence of TTI Donors may become very anxious if they are defferred.

Instructions to Donors after donation Drink more fluids in the next 4 hours. Do not smoke for half an hour Do not take alcoholic drinks for at least 6 hours. If there is bleeding, rise arm and apply pressure If there is feeling of faintness or dizziness, either lie down or sit with head between knees, if symptoms persist, consult the doctor. Remove the bandage/band-aid after 5-6 hrs.

Steps to be followed during deferral Explain the donor in clear Reassure the donor about his or her health . Explain whether the deferral is temporary or permanent Give information on further follow-up Refer the donor to an expert.

Counselling for donors who test positive for HIV Prepare them to live with HIV Help in deciding to disclose to family Information transmission and prevention (Refer sub module- of module – for post test counseling)

Role play - Post donation counseling for a donor who tests Positive Activity - 2 Role play - Post donation counseling for a donor who tests Positive

The Confidential Unit Exclusion Donor confidentially indicates that his or her blood should not be given to others For replacement donors, refusal may raise suspicion among their community Strict confidentiality must always be maintained

Confirmatory tests Mandatory Tests are so sensitive Refer for confirmatory tests Information about ICTC centers in the area.

Role Play on assessing the risk factors of the donor Activity - 3 Time – 15 minutes. Role Play on assessing the risk factors of the donor