Tools

Disclaimer: Before using these resources, please consider which materials are relevant and appropriate for your National Society's level of involvement in blood programs and tailor accordingly. The use of these templates, and all associated documents referenced within, is at the user's own risk.List of Potential Blood DonorsBlood Donation CampaignInstitution:Date of the Campaign: Name Telephone Email

Disclaimer: Before using these resources, please consider which materials are relevant and appropriate for your National Society's level of involvement in blood programs and modify / tailor accordingly. The use of these templates, and all associated documents referenced within, is at the user's own risk. Example Form: Assessment of the target populationOrganisation / Institution: _____________________________________________________Contact Name: ____________________________________________________________--------------------------------------------------------------------------------GENERAL1. Are prospective donors aged between 18 and 65 years?Yes No 2. Was the last campaign held more than 3 months ago?Yes No 3. Is the institution located in a risk zone?Yes No 4. Is there good access to the proposed location?Yes No 5. Does the organisation / institution want to be involved?Yes No --------------------------------------------------------------------------------INFECTIOUS RISK6. Is the population generally fit and healthy?Yes No 7. Does the area have an increased risk exposure to malaria, syphilis or other transfusion transmissible infections? Yes No 8. Has the area had any recent outbreaks or infection?Yes No --------------------------------------------------------------------------------OTHER FACTORS9. Are any other events planned?Yes No --------------------------------------------------------------------------------EVALUATIONDoes the organisation / institution meet all the conditions to conduct the Blood Donation Campaign? Yes No --------------------------------------------------------------------------------COMMENTS:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Name of person completing form: ________________________ Date: ______________------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------