Technical Assistance for Improving the Blood Transfusion Management System in Turkey

Area of competence: 
Health Policy and Financing
Donor organization: 
EU (European Union)
Start of Project: 
End of Project: 
Value of service: 
€ 2,282,871
Partner Organisations: 
Hemosoft and Sanquin
Description of Project: 

Turkey has accomplished a variety of reforms in health services especially during the last 10 years. Similar improvements were achieved in blood banking and transfusion services as part of these comprehensive reforms. Ministries, institutions, and organizations that are actively involved in the fields of Blood Supply Chain and Transfusion Medicine have succeeded in very important projects and re-organisation studies in Turkey during this time. They have also made significant progress in promoting the appropriate use of blood and volunteer blood donation in Turkey. Although the Turkish blood supply chain has been strengthened to a certain level, there are still some aspects which can be improved further.

The overall objective of the project is to improve institutional capacity for social policy and inclusion in terms of policy-making, strategic planning, implementation, monitoring and evaluation.
The specific project objectives are as follows:
to contribute to the improvement, thus effective functioning of the blood supply system in Turkey in line with EU standards and guidelines in the field of public health under the area of consumer and health protection;
to support the national blood transfusion management system focusing on quality, self-sufficiency and appropriate clinical use of blood and blood components.

The beneficiary and main counterpart of this project is the Ministry of Health. The main target groups are physicians and healthcare staff in hospitals who are involved in transfusion of blood and blood components, health care managers, and staff of the Ministry of Health (MoH) the Turkish Red Crescent (TRC). The indirect target group is the public in general, meaning the patients, who will receive higher quality health care services and benefit from the projects’ outcomes.

The project is to achieve four major results that are divided into four complementary intervention categories:

Institutional capacity of MoH and major stakeholders involved in PBM and blood transfusion management developed.

Awareness on patient blood management and blood transfusion management successfully raised.
Scientific and technical studies on various aspects of PBM and blood transfusion undertaken with recommendations for improvement of blood transfusion system.
Cooperation and coordination mechanisms with regard to blood transfusion and PBM established.

Description of Services: 

Each of the four complementary intervention categories reflecting the four result areas, namely
1. Institutional capacity building,
2. Awareness raising,
3. Scientific and technical studies, and
4. Coordination and cooperation mechanisms
comprises of various activities which are interlinked and build up on each other:

The key and non-key expert team supports the MoH in the following:

1) Institutional capacity building
Prepare a national patient blood management (PBM) strategy and action plan that will be implemented in hospitals nationwide;
Generate/update national PBM guidelines regarding appropriate clinical use of blood and good practices;
Develop a PBM software and conduct respective trainings for future users;
Train all hospital personnel involved in the transfusion chain and in the haemovigilance system on national PBM guidelines;
Deliver training of trainers (ToT) to ensure knowledge transfer at the highest level possible;
Develop processes regarding the inspection capacity of MoH with respect to the blood transfusion chain, prepare an inspection guideline to obtain uniformity and homogeneity, and deliver respective trainings to staff;
Support in the establishment of a monitoring infrastructure and system for the appropriate use of blood.

2) Awareness raising
Create an identity-concept of the project
Promote awareness-raising on the topic of blood transfusion and PBM
Organize national and international events such as conferences, workshops, symposia, etc.
Promote national and international exchange of practitioners on best practices
Prepare visibility material such as visibility kits, a newsletter, a web site on blood transfusion, spot-films on the importance of PBM produced, etc.

3) Scientific and technical studies
Translation and adaptation of six international guidelines on PBM relevant to the Turkish system; 
Study on the decision-making procedures regarding PBM in 3 EU countries to analyse good examples for Turkey;
Analysis of higher education curricula and resident education/training curricula on transfusion medicine;
Analysis of clinical use of blood in Turkey in terms of patient health, compliance with international standards to provide a basis for the development of a strategy for decision-makers;
Projection study on blood supply and demand in Turkey in order to define future needs;
Analysis of effectiveness of electronic monitoring and management information systems used by MoH;
Analysis of the accountancy system and pricing policy in blood transfusion establishments;
Analysis of good practices in blood transfusion in Turkey
On-the-spot assessment of functional competency of existing blood transfusion centres.

4) Coordination and cooperation mechanisms
Conduct a series of workshops and consultation meetings with relevant stakeholders to develop a higher education and specialty in medicine curricula on transfusion medicine;
Conduct workshops with scientific associations which deliver trainings regarding PBM to standardize the trainings, monitor the process and improve effectiveness in a peer-to-peer approach;
Conduct follow-up workshops of trainings delivered within the scope of the project;
Conduct workshops to discuss good / innovative examples in blood transfusion in Turkey with participation of blood transfusion centres.

Project Volume: 
€ 4,755,982