Global Advisory Panel on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies


VNRBD - Assessment of targeted population
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: ______________------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
VNRBD - Annual Activities Calendar
GAP VNRBD Update - May 2020
GAP VNRBD Newsletter - March 2020
Guideline to a pre-donation talk_French
Template: Guideline to a Pre-donation Talk
GAP Annual Report 2018
Template: Sample Memorandum of Understanding (for customising)
MEMORANDUM OF UNDERSTANDING between The Ministry of Health and [NS - insert name] The use of this Case Study Template Memorandum of Understanding (MOU), and all associated documents referenced within, is at the user's own risk and the Global Advisory Panel (GAP) on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies disclaims any liability for its use. It is at the user's sole discretion to implement a more or less stringent procedure, subject to the user's own operational context and requirements, and it is strongly advised that comprehensive stakeholder collaboration between parties is conducted to verify the document is relevant and effective for local processes. In providing a copy of this example MOU, and all associated documents referenced within, GAP does not undertake to provide updates nor warrant its fitness for any purpose other than as a representation / sample of an operational agreement undertaken within the National Society's operational context. GAP disclaims any liability arising out of the use of the MOU, and all associated documents referenced within, or any document derived from this MOU. General This Memorandum of Understanding (MOU) expresses the understanding and intentions of the [insert name] (hereafter referred to as NS name) and the Ministry of Health (hereafter referred as insert name / MOH) concerning the responsibilities and contributions of both parties in regard to the Blood Donor Recruitment component of the National Blood Transfusion Program. Background The [NS name] is guided by the Seven Principles of the International Red Cross Red Crescent Movement and aims to assist the most vulnerable people (in this case those needing transfusion) within the country. It is acknowledged that the [NS name] is in a position within the community to mobilize voluntary non-remunerated blood donors. In ( Year ) the [NS name] was established by an Act of Parliament and the Government of Red cross recognised the [NS name] as an auxiliary to public authorities and is accordingly fully indemnified by the Red cross Government. Purpose The overall purpose of [NS name] engaging in blood donor recruitment and advocacy activities is to assist the [name / MOH] to improve blood adequacy and safety within the National Blood Transfusion Program. In partnership with the [name/MOH], [NS name] aims to increase the number of voluntary non-remunerated blood donors and therefore the number of safe blood units in stock. Contributions and Responsibilities The [NS name] will undertake a Blood Donor Recruitment Program to assist the [name / MOH] improve blood safety within the National Blood Transfusion Program. [NS name] will consult on a continuous basis with the [name / MOH] regarding the National Blood Transfusion Program however, [NS name] will only engage in activities relating to blood donor recruitment. Blood donor recruitment does not involve any aspects of bleeding, testing, transfusion or any other technical components of the National Blood Transfusion Program. Thus, [NS name] shall not be held responsible for any error or omission which should occur through the implementation of these practices. The [name / MOH] will work together with [NS name] to establish an effective and thorough pre and post donation counselling system for donors their families. 4.1 Contribution and Responsibilities of the [NS name] ADD OR REMOVE AS REQUIRED 4.1.1 Support and consistently engage with the [name / MOH] to carry out blood donor recruitment activities 4.1.2 Develop a blood donor recruitment plan and database 4.1.3 Educate the community about the importance of voluntary blood donation 4.1.4 Conduct community awareness campaigns utilizing appropriate and affordable media 4.1.5 Utilize community network to facilitate recruiting when required 4.1.6 Establish and implement a donor motivation scheme to encourage donor retention 4.1.7 Assist with donor care eg.serve refreshment provided by the [name / MOH], as well as pre and post counselling 4.1.8 Support the Blood Bank and Health Partners in the implementation of research 4.1.9 Facilitate appropriate training and sharing of resources and lessons learned amongst other partners and agencies in the Region where supported by the IFRC or sister National Societies. 4.1.10 Provide narrative and financial reports to Donor agencies 4.2Contribution and Responsibilities of the [name / MOH] ADD OR REMOVE AS REQUIRED 4.2.1 To take responsibility for the National Blood Transfusion Program and specifically to undertake all technical aspects of the Program including bleeding, testing, follow up and transfusion 4.2.2 To continue to implement, maintain and review confidential blood donor records 4.2.3 To provide blood donation facilities and infrastructure as necessary and appropriate 4.2.4 To support Laboratory staff to participate in blood donor recruitment activities and to work in partnership with the [NS name] 4.2.5 Assist the [NS name]in the development of IEC (Information, Education and Communication) and promotional materials, and in running media campaigns 4.2.6 To provide transport for blood donors to and from the Blood Bank 4.2.7 To conduct pre and post counselling for donors and their families 4.2.8 To provide refreshments for blood donors 4.2.9 To provide the [name] and Laboratory staff who engage in the blood transfusion program on-going training opportunities as appropriate Mutual Understanding of Both Parties Both parties understand that voluntary blood donor recruitment will be improved by the [NS name] and the [name / MOH] working together towards this same purpose. Both parties agree to work together in an open and consultative manner. Arbitration Should any disagreement arise on the part of either the [NS name] or the [name / MOH], the National Blood Transfusion Committee should negotiate with both parties and try to resolve the problem. Review and Evaluation The [NS name] and the [name / MOH] will work together to review the blood donor recruitment activities in one year from the date of signing this MOU. At this time both parties will discuss the need for resources including funding and potential strategies for the continuation of the agreement. It is the intention of both parties that this agreement will be ongoing. A thorough evaluation of the agreement may be undertaken in two years from the date of signing this MOU subject to the funding of the review at this time. The [Ns name] and the [name / MOH] will cooperate wherever necessary to ensure that true and accurate information is available for the purpose of program reporting, review and evaluation. Duration This Memorandum of Understanding is valid upon signature by authorised representatives of both parties. The continuation of the MoU is subject to review by both parties 12 months after the date of signing. Once validated by signatures, this MoU supersedes all previous MoUs on these topics. Signed at duplicate on the of..................... 2018 Signed for and on behalf of the Ministry of Health of [insert] .......................................... .................................. ........................................ NameSignature Title Signed for and on behalf of the [name] Red Cross / Red Crescent National Society. Secretary General NameSignature Title
GAP VNRBD Newsletter - May 2019
GAP VNRBD NewsletterUpdate from the Global Advisory Panel (GAP) onVoluntary Non-Remunerated Blood Donation (VNRBD)MAY 2019VOL 1, ISSUE 2STORIES IN THIS NEWSLETTER:World Blood Donor Day 2019 | New VNRBD resources |In Depth: Blood donor retention | Regional activitiesWatch and readCAMPAIGN FOCUS: WORLD BLOOD DONOR DAY 2019SAFE BLOOD FOR ALL. 14 JUNE 2019, RWANDAAccess the materials hereEvery year, on 14 June, countries around the worldcelebrate World Blood Donor Day. The event servesto thank voluntary donors for their life-saving gifts ofblood and to raise awareness of the need for regularblood donations. Sufficient blood sourced fromvoluntary non-remunerated blood donors ensures thequality, safety and availability of blood and bloodproducts for patients in need.This year the host country for World Blood Donor Dayis Rwanda. The campaign aims to raise awareness ofthe universal need for safe blood in the delivery ofhealth care and the crucial roles that voluntarydonations play in achieving the goal of universalhealth coverage.The 2019 Theme is "Safe blood for all." The "Keymessages" and "What you can do" as well as a rangeof tools and templates are available on the WHOwebsite here.NEW RESOURCES FOR VNRBDA number of new resources are available to support National Society blood donorrecruitment activities.1. Online TrainingAccess the NEW RC / RC online toolfor blood donor recruitment trainingon the IFRC Learning Platform here.You will need to sign up to the IFRCLearning Platform here this is at no cost.2. Volunteer Blood Educational Tools e-CBHFA*Access IFRC volunteer materials(information, toolkits, games) forpromotion of community awarenesson blood and donor recruitment here.Note. The modules on voluntary nonremunerated blood donation are located in thesection of the website entitled "PRIMARYPREVENTION MODULES on the IFRC site.* e-CBHFA Community-Based Health andFirst Aid.3. Downloadable recruitment templatesAccess customisable marketing templatesfor blood donor recruitment here.These materials are easy to edit and adapt toyour own program (including adding logos).If you require assistance with this please contact GAP.4. Webinars on blood donationThe 2019 GAP VNRBD webinar schedule will be available soon.The GAP VNRBD webinar series consistsof regular, online presentations on blooddonor recruitment and retention.Access previous webinar materials here:A deep dive into social media: Playrecording / Request slides hereGroup donation programs on abudget: Request slides hereWATCH AND READGAP Global MappingAccess the first edition of the GAP GlobalMapping Report here.This report provides a global, regional andcountry specific overview of Red Cross / RedCrescent involvement in blood programs, basedon the information provided in the GAP GlobalMapping survey and also obtained from publicsources.Promotional Videos for referenceThe Republic of Korea National Red CrossBlood Service (KRCBS) has recentlyproduced two promotional videos, intendedto promote group blood donation in schoolsand public/private corporations in Korea.Watch these informative videos here.IN DEPTH: DONOR RETENTIONWHY IS DONOR RETENTION IMPORTANT?Studies consistently demonstrate that the safest* group of blood donors arethose that donate blood regularly (regular donors). These donors are wellinformed about the importance of leading a healthy lifestyle with low riskbehaviours, to improve blood safety. Retaining regular donors also ensuresthe sustainability of the blood supply in a cost-effective way.Ten tips to improve blood donor retention:1. Ensure you design great experiences for the donor (as your customer) andprovide good customer service. Ensure the experience meets the donor'sexpectations.2. Use a donor database to recall donors, e.g. when there is a shortage of a certainblood group. Note: this database must ensure the privacy and confidentiality ofdonor information.3. Implement strategies to target family replacement donors that have testednegative for transfusion transmissible infection (TTI) to convert them to regularvoluntary blood donors. Contact GAP for more information.4. Remind donors when they are next eligible to donate blood - studies haveshown they are more likely to return.5. Consider partnering with local telecommunications companies to send outtext messages to current donors.6. Send communication emails (they're free!) - for example, an anxiety reductionemail pre-donation, and a post-donation thank you email.7. Ensure appropriate pre and post donation care is provided, i.e. advice onhydration pre-donation, donor refreshments and what to avoid after donation. Thiswill reduce the likelihood of donor adverse events during and following donation.8. In the blood collection centre, display images and stories of the patientswhose lives have been saved by blood donation.9. Complete the Online Training in Blood Donor Recruitment (IFRC LearningPlatform login required) ask staff and volunteers to do the same.10. Conduct training in donor retention strategies for your blood collection staff,including what they can say to the donor before, during and after the blooddonation.Keep an eye out for GAP's future webinars for more information and advice.* safest the least likely to test positive for a transfusion transmissible infection on blood donationREGIONAL ACTIVITIESVNRBD WORKSHOP FOR ASIA AND MIDDLE EAST AND NORTHERN AFRICA (MENA)NATIONAL SOCIETIESA two day joint-regional workshop was held in Thailand on 26-27 February 2019. Theworkshop was led by GAP, in cooperation with the IFRC, and was attended by 47participants from 21 National Societies, IFRC and government.The workshop assisted National Societies to improve their capacity to promoteVNRBD in their countries and make family replacement donors safer in the transitionto 100% VNRBD. It provided the opportunity for regional and inter-regionalknowledge sharing and development of networks, supporting shared experiences ofprogram strengths and challenges.Above: Participants at the Joint-regional VNRBD for Asia and MENA NationalSocieties in Bangkok, February 2019CONTACT GAPE to change how you receive these emails?You can update your preferences or unsubscribe from this list
GAP Annual Report 2017
GAP ANNUALREPORT 2017Good governance, safe bloodGlobal Advisory Panelon Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent SocietiesThe Global Advisory Panel on CorporateGovernance and Risk Management ofBlood Services in Red Cross and RedCrescent Societies (GAP) is a globalnetwork of Red Cross and Red CrescentBlood Services with specific expertisein risk management and corporategovernance of blood programmes.Our PurposeGAP advocates and supports theestablishment of safe and sustainableblood systems, promotes the adoptionof best practice, and facilitates resourcemobilization and knowledge transferbetween blood services.Contents1Message from the President32017 Highlights4Governance9International Events11Global Mapping17Self-assessment18Country Support Programs20Disaster Response23VNRBD Program25Financial ReportMessage from the PresidentThis last year, GAP hasmade remarkable progressin compiling and analysingthe results of the globalmapping survey to determinethe level of involvement ofNational Societies in theircountrys blood program.These results are being compiled into acomprehensive landmark report whichwill be distributed to all 190 Red Cross /Red Crescent National Societies in 2018.The invaluable information and analysesgained through global mapping willenable an accurate picture of the role ofRed Cross/Red Crescent in the provisionand support of blood programs globally.Additionally, the report will assist GAPin assessing blood program disasterresponse as well as identifying level ANational Societies for inclusion in the GAPSelf-assessment process.But why is this information important?In the event of a disaster, the NationalSocietys ability to provide a safe andeffective blood service may be impacted.GAP has an agreed role with IFRC toprovide coordination assistance to theaffected National Society Blood Servicefor the recovery of their blood program.The global mapping report provides keyinsights on the scale and scope of everycountry blood programs, and is thereforea critical resource in rapid disasterresponse.The GAP Self-assessment processprovides visibility to the countrys NationalSociety of any potential risks to the longterm stability and sustainability of theirblood service.Professor Philippe VandekerckhoveMD PhDGAP President1| GAP Annual Report 2017So at this point you may be askingyourself, why are National Societiesinvolved in blood programs? The RedCross was originally founded by HenryDunant after he observed the battle ofSolferino in 1859. He witnessed firsthandhow few people on the battlefield wereable to take care of wounded soldiers,along with a lack of sufficient materialsand medical supplies. He advocatedfor the formation of a neutral voluntaryorganisation that would provide support towounded soldiers in times of war thusthe Red Cross Movement was born.ideal organisation to become heavilyinvolved in blood donation. Voluntary nonremunerated blood donation has lowerrates of transfusion transmissible diseasecompared to paid or family replacementdonations, making voluntary donationthe safest and most effective way ofsupplying blood needs.In 1948 The League of the Red Cross(later named IFRC) adopted a resolutionrecommending National Societiestake an active role in blood transfusionand cooperate with their respectivegovernments in establishing bloodtransfusion centres, or organise thesecentres themselves. By the mid 1970s,the Red Cross was active in the nationalblood program in approximately 95% ofcountries. The majority of this involvementwas in blood donor recruitment andeducation.Two decades on, in the 1990s we sawa number of highly visible incidentsand legal liabilities surrounding the HIVepidemic which arose in the 1980s.Understandably the IFRC were concernedabout the risk to National Societies bytheir participation in blood. To addressthis risk, the IFRC set up a group ofexperts to share knowledge and provideadvice around the management of riskassociated with blood programs. In 1999,these experts convened to form the GlobalAdvisory Panel on Corporate Governanceand Risk Management of Blood Servicesin Red Cross and Red Crescent Societies(GAP).Since then GAP has continued to advocatesafe and sustainable blood systems byproviding advice and support on corporategovernance and risk management toNational Societies around the globe. Itdoes this through its many core programsand projects, the updates of which areproudly shared with you in the pages thatfollow.The provision of safe blood for lifesaving transfusion later became partof the movement. As a volunteer-drivenorganisation with a high moral influenceon the public, the Red Cross was theMessage from the President | 22017 HighlightsGovernanceVOLUNTARY NON-REMUNERATEDBLOOD DONATION PROGRAMCOMMENCED4New 3 year program promotingVNRBD & making family donorssafer in transition to 100% VNRBDExpansion of GAPs scopePRIORITYCOUNTRIESSUPPORTEDBangladesh, Honduras, Indonesia and Nepal.82NATIONALSOCIETYRESPONSERATE:96%Global Mapping report: summarising NationalSociety involvement in bloodprograms on track for completion inmid-2018.WELCOMED NEWREPRESENTATIVECommenced in Americas region and continued in India sub-regionINTERNATIONALCONFERENCESIFRC Statutory Meetings, TurkeyRed Cross / Red Crescent BloodSymposium, ThailandChief Executive OfficerBelgian Red CrossBlood ServiceProf Wolfgang MayrVice PresidentMedical CouncillorAustrian Red CrossBlood Servicefrom GAP membercountry - Japanese RedCross Blood ServiceNATIONAL SOCIETIES PARTICIPATED INSELF-ASSESSMENTGAP representation atProf PhilippeVandekerckhovePresidentDr Rudolf SchwabePermanent BoardmemberChief Executive OfficerTransfusion SwissRed CrossGAP is led by an Executive Board,the members of which play a vitalrole in governance and decisionmaking for theorganisationsactivities and strategic direction.Boardmembers are generallyappointed for a three-yearterm, butmay be eligible forreappointment if required.In addition to the generic skills thatare required for most boards, ourBoards skills include knowledgeand expertise in clinical productand service delivery, specifically inrelation to National Society bloodprogrammes.The GAP Executive Boardconvenes regularly to review,approve and action GAP-relatedactivities and objectives.STEPWISE ACCREDITATIONPROGRAM PROGRESSEDExamining the feasibilityof fundamental standardsas minimum standards foraccreditation.Ms Shelly ParkBoard memberChief Executive OfficerAustralian Red CrossBlood ServiceCONTINUED NEPAL POST-EARTHQUAKE COORDINATIONSUPPORTContinued provision of technical advice for the design and construction ofinfrastructure including new blood service buildings and the procurement ofcritical blood service equipment.3| GAP Annual Report 2017Governance|4GovernanceThe GAP Association structure consists of GAP member National Societies and theirrepresentatives, Regional Coordinators, theGAP Executive Board, a Secretariat anda permanent observer who representsthe International Federation of Red Cross/RedCrescent(IFRC).GAP MembershipGAP Membership is open to National Society bloodservices which meet the criteria for membership,includingthe effective operation of a full LevelA blood service (a blood service which collectsblood from donors and mayalso test, process anddistribute blood collected).Members pay an annual membership fee and arerepresented by the head of their National Societybloodservice or a nominated representative.GAPs regional coordinators provide a key networklink to GAP and relay information regarding anysignificant developments in their region.Below: GAP members at the 2017 AGM in CopenhaganThe regional coordinators also arrange the regionalmeeting which follows completion of the regionsSelf-assessment.Collectively, GAP members provide advice oncorporate governance and risk management of bloodservices and, at an individual level, contribute theirexpertise and knowledge to support a range of GAPprograms designedtoassist National Society bloodservices.GAP is supported by a small secretariat whichis based inPerth, Australia and provided by theAustralian Red CrossBlood Service.Farewell and WelcomeGAP would like to thank Dr Kenji Tadokoro (left)who resigned from the Japanese Red Cross BloodService in 2017, and consequently vacated hisposition as a GAP member. GAP would like to offerits recognition and appreciation for his 11 yearsof service to GAP as a GAP member and RegionalCoordinator for Asia Pacific.THANK YOUGAP is pleased to welcome Dr Masahiro Satake(right) as the new GAP member representing theJapanese Red Cross Blood Service.5| GAP Annual Report 2017Governance|6GovernanceEurope and CentralAsiaRegional Coordinator - Dr Wolfgang MayrMembers:Austria - Prof. Wolfgang MayrAustrian Red Cross Blood ServiceBelgium - Prof. Philippe VandekerckhoveBelgian Red Cross Blood ServiceAmericasFinland - Dr Satu PastilaFinnish Red Cross Blood ServiceGermany - Prof. Erhard SeifriedRegional Coordinator - Dr Elizabeth VinelliGerman Red Cross BloodMembers:Transfusion CentreAmerica - Mr Chris HroudaAmerican Red Cross Biomedical ServicesSwitzerland - Dr Rudolph SchwabeMiddle East andNorthern AfricaTransfusion Swiss Red CrossHonduras - Dr Elizabeth VinelliHonduran Red Cross National Blood CentreAsia PacificRegional Coordinator - Dr Cheuk Kwong LeeMembers:Regional Coordinator - Prof. Eilat ShinerMembers:Australian Red Cross Blood ServiceIsrael - Prof. Eilat ShinarMagen David AdomAustralia - Ms Shelly ParkIndia - Dr Vanshree SinghIndian Red Cross Society Blood Bank National HQHong Kong - Dr Cheuk Kwong LeeHong Kong Red Cross Blood Transfusion ServiceJapan - Dr Masahiro SatakeJapanese Red Cross Blood ServiceGAPs current membership is 13 National Society bloodservices7| GAP Annual Report 2017Thailand - Dr Ubonwon CharoonruangritThai Red Cross National Blood CentreGovernance|8International EventsStatutory Meetingsin TurkeySymposium on Bloodin Asian RegionA representative of GAP attended theRed Cross / Red Crescent StatutoryMeetings in Antalya, Turkey inNovember 2017.GAP provided representation at the EighthRed Cross and Red Crescent Symposiumon Blood Programs, held in Bangkok inOctober.The primary aim of the trip was to collectmissing information from National Societieson the extent of their involvement in bloodprograms to enable completion of the GAPglobal mapping report.At the meeting, GAPs Exhibition Standwas highly successful in raising awarenessamongst attendees of GAP and our role insupporting Red Cross / Red Crescent bloodprograms. It also provided an excellentopportunity for many National Societyrepresentatives to discuss their bloodprogram with GAP on a one-on-one basis.The symposium was hosted by the Thai Red CrossSociety and the Japanese Red Cross Societyand attended by National Societies, governmentrepresentatives and stakeholders with the sharedgoal to work toward securing a stable supply of safeblood in the Asian region. Preventing transfusiontransmissible infections continues to be an issueof common concern for blood programs in manyAsian countries. This being the case, the RedCross and Red Crescent Societies advocate furtherstrengthening of cooperative ties within the regionthrough these symposiums.The event provided an excellent platform to promoteGAP and the new VNRBD program, and enablemember countries to discuss program and activitiesfor 2017-2018, and meet with other regional Level Apriority countries (Bangladesh and Nepal Red CrossNational Societies).During the Symposium, GAP VNRBD ProjectCoordinator (Ms Alexandra Brown) also participatedin a VNRBD panel meeting with IFRC, to guide thedevelopment of their new training module on VNRBDwithin the Community Based Health and First Aid(CBHFA) programs, specifically targeting IFRCvolunteers and the community.Above: Ms Olivia House (left) with National Society representativesfrom the Bahrain Red Crescent at the GAP exhibition stand.Key outcomes:9Discussions held with representatives from 40 countries on the role of the National Society in theircountrys blood program.Confirmed details for Global mapping report for 12 (of the 20) National Societies who had not yet providedinformation for the Global Mapping survey.Increased knowledge of GAP among National Societies, particularly those in the Africa region.Confirmed the need for VNRBD support for National Societies this was raised as a common challenge bymany attendees across all regions.Keen interest from one European region National Society on becoming a new GAP member.| GAP Annual Report 2017Left: GAP members and symposium leadersDr Ubonwon Charoonruangrit (centre) and DrMasahiro Satake (2nd from right) together withGAP representatives and symposium delegates atthe Bangkok meeting.International Events| 10Global MappingGlobal mapping provides visibility of the engagement of National Societies (NS) in the provision of bloodprograms, and the role of the NS and blood service in each country. During 2017, GAP continued to gatherinformation for the Global Mapping project (commenced in 2015), preparing for the release of the report in2018.Why global mapping?Global mapping provides a valuable source of reference for GAP on the scale andscope of country blood programs. It enables contextual assessment of the impactof any identified potential risks while also being a critical resource in rapid disasterresponse. The results are also used to identify Level A National Societies for inclusionin the periodic GAP Self-assessment process, which provides visibility to both theNational Society and the IFRC of potential risk areas for blood programs.The report will provide a global overview of the:level of engagement of all National Societies in their countrys national blood programnational context (size, population, health system etc.)national blood program (providers, regulation, trends, VNRBD rate etc.)National Society blood program (history, funding, statistics accreditation, partnerships etc.)any current changes in a National Society level of activity in a blood program or intentions to expand/decrease the level of activity.How was the data collected?How will the information be reported?The global mapping questionnaire was sent to all190 National Societies across the five IFRC regions:AfricaAmericasA comprehensive report compiling data from thequestionnaire responses, as well as informationresearched from public sources, will be publishedin hard-copy and available on the GAP website in2018.Asia PacificThe report will include an overview of:Level A: Full blood service provisionEurope and Central AsiaGAP and the Global Mapping projectGovernance Advocacy for appropriate use Product distribution Laboratory testing Component preparationMiddle East and Northern Africahistory of the Red Cross / Red Crescent inBloodGAPs role in disasters.The level of involvement of a National Society is either: Collection services/donor care Donor recruitment Promotional campaignsEducation and awareness Involvement in WBDDFor those National Societies operating a Level Ablood service, additional questions were included inorder to gain a comprehensive understanding of thescope of activities, including:Level B: Systematic blood donor recruitmentnumber of blood collectionsDonor recruitment Promotional campaigns Education and awarenessinvolvement in any fractionation, transfusion orcell tissue therapiesBlood Service accreditation. Involvement in WBDDLevel C: Advocacy for VNRBDThe report will provide a regional summary as wellas results for each NS. At a country level, the reportwill include contextual information such as:populationGDP per capitaHealth Development Index rankingprevalence of disease.Promotional campaigns Education andawareness Involvement in WBDDNil: No involvementTo view the GAP Global Mapping report, please visit the GAP website:| GAP Annual Report 2017Global Mapping| 12Global MappingNO.RECEIVEDNATIONAL SOCIETIESIN REGIONRESPONSE RATE2017Africa474898%Americas313589%40Asia Pacific3636100%30Europe & Central Asia5353100%20MENA151883%10TOTAL18219096%REGIONGAP Global Mapping results by zone and level - 9 July 201660Number of Countries500No ResponseNilLevel CLevel BLevel AAfricaAmericasAsia PacificEurope & CentralAsiaMENA1618221426121101914120141020933453Of the 182 responses, 156 are involved in their national blood program (86%).There are currently 36 known Level A National Societies (those involved in providing a full bloodservice).More National Societies are involved in the systematic recruitment of blood donors (Level B) than atany other level - 73 National Societies at the end of 2017.Unknown 4%At the end of 2017 the Global Mapping response rate was(182 responses from 190 National Societies)96%Level A 19%Nil 14%Global mapping resultsfrom all regionsin 2017 (total 190National Societies)This result demonstrates the great success of this latest project comparedto previous reporting periods. In 2013/14 the response rate was just 38%.Level C 25%13| GAP Annual Report 2017Level B 38%Global Mapping| 14Global MappingLevel A (full blood service - collection, processing, testing, distribution)Level B (regular recruitment of voluntary blood donors)Level C (promotion of voluntary non-remunerated blood donation - VNRBD)Nil (no involvement)No response to the global mapping surveyNo National Society15| GAP Annual Report 2017Global Mapping| 16Self-assessmentThe GAP Self Assessment questionnaire, developedin 2003, is used as a tool for Level A National SocietyBlood Services to measure the risk mitigationstrategies they have in place, and to assist them inaddressing the risks associated with the provision ofa blood service.It is a National Societys responsibility to mitigate therisks associated with the management and deliveryof its blood service activities, and it is GAPs roleto provide advice in managing these risks. GAPprovides assistance to National Societies in theirefforts to improve their corporate governance andCountry Support Programsrisk management through the development of anindividual Self Assessment feedback report foreach participating country. The report includesrecommended strategies and suggested next stepsfor reducing exposure to any current risks.A de-identified regional report, also provided byGAP, presents a comparison of performance in theregion in order to recognize common themes andchallenges. Findings are then discussed at a GAPmeeting held in the region once the Self Assessmentprocess is complete.In 2017, the Self-assessment questionnaire was completed by:PAKISTANINDIAGAP is undertaking an expanded Self-assessment process with the Indian Red Cross, aiming to provideincreased visibility on the risks which exist in each blood centre and for the Indian Red Cross blood programHONDURASSince 2014, GAPs bilateral partner, Swiss Red Cross (SRC), has been supporting the HonduranRed Cross (HRC) to strengthen the technical, administrative, governance and risk managementcapacity of the HRC national blood program. SRC GAP member, Dr Rudolf Schwabe, providesexpertise to this as a whole.Project outcomes in 2017:AMERICAS REGIONSix out of ten Level A National Societies in the Americas region participated in the GAP Self-assessmentprocess in 2017:ColombiaEcuadorEl SalvadorHondurasSurinameUSAThe regional meeting to discuss the results with participants for the Americas Self-assessment process isplanned for 2018 in Honduras.17| GAP Annual Report 2017A law and regulations to regulate the National Blood Policy based on voluntary non-remunerated blood donationwas approved by ministerial decree.The newly established governance structure for the blood service continued to function well to provide oversightof blood program management.A new blood cost model system was developed internally by the HRC with its own resources, and this becameoperational.Hospital transfusion committees were reactivated by HRC, this was welcomed by the Honduran government.New equipment for the blood service was purchased and is undergoing implementation.Ongoing training for medical and other staff.A new mobile unit to support voluntary blood donation was purchased.Blood donor recruitment activities, including the development of an online e-learning module, were progressed.The e-learning module was made available online in 2017.Country Support Programmes| 18Country Support ProgramsDisaster ResponseBANGLADESHNEPAL - POST EARTHQUAKE RECOVERYBangladesh Red Crescent Blood Service (BDRCBS) was retained as a priority country in2017 with continuing high level GAP advice and expertise provided by Dr Wolfgang Mayr.The Nepal Red Cross Society (NRCS) National Blood Transfusion Service has been a GAPpriority country blood service since 2010. Since this time GAP has provided risk managementand technical support, resulting in a strong & collaborative relationship between the BloodService and GAP.GAP assisted the Bangladesh Red Crescent Blood Service (BDRCBS) with the development of a National strategic plan for the blood service and preparation for seminars to be held in Bangladesh on the clinical use of blood,as requested by the Blood Service Director, Dr Tarique Mehedi. A bilateral support program is also being providedby the Australian Red Cross for the development and implementation of a quality system and technical training.In July, Dr Mehedi and the Deputy SecretaryGeneral of BDRCBS, Mr Jarkaria Khondkertraveled to Australia for 5 days to receive technicalassistance from GAP for the development of thestrategic plan for the blood service.Above: GAP Secretariat working with Dr Mehedi and MrKhondker on the strategic plan for the Bangladesh RedCrescent Blood Service.19 | GAP Annual Report 2017The completed strategic plan identifies the keystrategic pillars and the foundation requirementsessential for the Blood Service to deliver theirstrategy which includes a quality system,human resources and funding.Assistance was provided to BDRCBS to helpdevelop the key objectives, core activities andassociated monitoring and evaluation measures.The plan also considered funding, resourcingconstraints and other barriers to implementationand suggested ways to address these issues.It has been two years since the 7.9 magnitudeearthquake hit Nepal in April 2015 and left adevastating effect on infrastructure and livelihoodsof the people of Nepal.GAP has been providing assistance to the NRCS tocoordinate the recovery and further development ofits blood program since the earthquake.In January 2017, Ms Noelle Chow commenced as thededicated GAP Nepal Coordinator to continue GAPsadvisory and technical coordination role supportingthe NRCS National Blood Transfusion Servicedevelopment, in conjunction with associated PartnerNational Societies.GAPs program of support delivered by GAP and Partner National Societies has been refined to include thefollowing elements:1. Infrastructure rebuild or repair - GAP is providing technical advice for the design & construction of infrastructureincluding new blood centre facilities.2. Equipment procurement - GAP is developing recommendations, specifications and providing technicalassistance in accordance with individual partner National Society (PNS) preferred procurement arrangementsfor critical blood service equipment.3. Capacity building - GAP to provide technical advice and capacity building through training to NRCS BTS staff.4. Project coordination - GAP is providing technical advice and coordination assistance to the Nepal Red CrossSociety and project partners for the recovery of the Nepal blood program.Disaster Response | 20Disaster ResponseNepal Post Earthquake Recovery - 2017 Highlights:INFRASTRUCTURE REBUILD OR REPAIRGAP provided technical review and comprehensiverecommendations to NRCS on the building plans for thenew construction of the NRCS Central Blood TransfusionService (CBTS) generously funded by the Thai Red CrossSociety.GAP also visited regional blood banks in Bhaktapur(retrofitting supported by British Red Cross) andperformed a site inspection of the proposed location andtechnical review of the design plans.Above: GAP representative Ms Noelle Chow with NRCS staffreviewing building plans for Bhaktapur.EQUIPMENT PROCUREMENTThe equipment procurement was progressed in 2017 with GAP clarifying preferred supply modalities with PartnerNational Society (PNS) delegates including Belgian Red Cross Flanders whom are providing critical equipmentsupport for Gorkha district blood bank and Japan Red Cross Society whom are providing critical equipment supportfor Bhaktapur District Chapter Blood Bank.GAP also provided on the ground capacity building support including provision of donated equipment, assessmentand servicing of underutilised equipment as well as calibration of laboratory equipment.CAPACITY BUILDINGIn October 2017, GAP finalised and signed a Memorandum of Understanding with the Finnish Red Cross BloodService (FRCBS) to collaborate and provide liaison and coordination support for their three year project providingblood donor collection training and capacity building for the Nepal Red Cross Society Blood Transfusion Service.This partnership project will start in January 2018 with ongoing support until December 2020.PROJECT COORDINATIONIn August, the GAP team assistedwith the procurement andimplementation of biological wastemanagement containers to ensuresafe disposal of hazardous waste.21| GAP Annual Report 2017In March/April, a Memorandum of Understanding was signed between the NRCS BTS Director and GAPoutlining the funding and project coordination support arrangements for two technical officer positions for twoyears.The two technical officers, Mr Sanjeew Kumar Yadav (Senior Technical Officer) and Mr Shrawan KumarShrestha (Technical Officer) will be responsible for assisting with local Nepal-based project technicalcoordination and implementation issues. Funding is provided through GAP from the Australian Red Cross aspart of its support for the Recovery project coordination activity funding.Disaster Response | 22VNRBD ProgramVoluntary Non-Remunerated Blood Donation (VNRBD)is well established as a fundamental cornerstone in thedevelopment of safe and sustainable blood programs.Program ObjectivesKey Activities:The VNRBD Project Officer Ms AlexandraBrown was appointed and the program wascommunicated to GAP and IFRC networks.A VNRBD Questionnaire was developedIn mid-2017 GAP launched a three year program designedThe program represents an expansion of GAPs currentto promote VNRBD and make family donors safer in thesupport activities with National Society blood services andtransition to 100% VNRBD in countries with Nationalprovides:for National Societies and captureSociety blood programs.a dedicated focal point for VNRBD support and advicemeasures, with the results being usedThe program explores the challenges associated withstrategies and tools to improve the safety of familyto inform selection of the project pilotimproving VNRBD and addresses the reliance on familyand replacement donors; recognising that many countriesto identify key areas of VNRBD challengeand replacement donationscountries. The results of the questionnairestrategies for the conversion of safe family &also helped guide commencement of aare still dependent on these. As a result, the programreplacement donors to become regular, voluntaryassists in the development of appropriate strategiesdonorsrange of VNRBD support materials anddocumentations to be made available onfor improving VNRBD, ensuring the safety of the familytargeted tools and trainingreplacement donor population and conversion of theseadvocacy for VNRBD in high level and policysafe donors to regular voluntary donors.the GAP website in 2018.discussions globally.The program was developed in response to an increase inPlanning for regional workshopsproposed for MENA and Asia Pacificdemand for advice and resources for improving VNRBD incommenced, with the VNRBD Projectlow-resource settings.Officer providing additional technical adviceand workshop design input to IFRC Pacificoffice for planning of their own PacificVNRBD Workshop in March 2018.Ad-hoc VNRBD advice was providedto a number of countries that requestedsupport following the Red Cross / RedCrescent Statutory Meetings in Turkey(November 2017). GAP representation atLeft: GAP VNRBD Program Officerthis meeting provided an excellent platform(Ms Alexandra Brown) supportingto promote the new VNRBD programvoluntary blood donation in Australia.globally.GAPs new program is designed topromote VNRBD and make familydonors safer in the transition to100% VNRBD. National Society bloodprograms receive support in the formof VNRBD advice, advocacy andtargeted tools and resources.23| GAP Annual Report 2017The VNRBD Project Officer participatedat the Thai / Japan Red Cross EighthSymposium on Blood Programs for theAsia Pacific region to meet with regionalleaders and understand key challenges toshape the VNRBD program for the AsiaPacific region.VNRBD | 24Financial ReportIncome and Expenditure ReportActual I&E 2017(Includes Aust & SwissAccounts)Approved 2017 BudgetNotesActual I&E 2017(Includes Aust & SwissAccounts)Approved 2017 BudgetNotesAll figures in Swiss francs (CHF)Post disaster response - NepalOpening balanceGorka blood centre - supported by Belgian Red CrossGAP accountsAustralian account589,890Swiss accountCombined opening balance at 1 January589,89091,80191,801681,692681,692Income(111,656)(75,570)(30,000)0(48,000)(22,025)(107,357)(30,285)India Self-assessmentIn-country Self-assessment meetingSecretariat coordination, logistics and support4VNRBD programme (Funded by Swiss Red Cross HF and Belgian Red Cross)2017 Member contributions1231,000210,0002017 IFRC funding income265,000010,00025,863107,35769,7892017 Interest incomeProgram initiation, VNRBD salary and resource expensesTravel, workshop and expenses(1,801)MENA workshop(20,000)0Other IncomeVNRBD Consultancy(Belgian Red Cross)3MMR followup (salary and travel)4(33,800)(36,762)Stepwise accreditation5(54,400)0VNRBD project funding received186,269Website hosting and technical maintenanceVNRBD project funding transfer from Swiss GAP account toAustralian GAP account100,000InsuranceTotal Income413,357591,921(2,500)(413)(1000)(900)Bank fees(104)Investment fee and exchange rate gains/lossContingency fundsExpenditureSecretariatSelf-assessment salary and oncosts4(37,418)(39,656)Secretariat salary, oncosts and office expenses4(84,933)(90,024)subtotal(122,351)(129,680)Translation(5,000)(3,746)Professional expertise e.g. legal(1,000)0MeetingsStakeholder meetings(e.g. VNRBD W/S, IFRC)Bangladesh25(385,940)369,285887,673India membership fees for 2016 & 2017 (42,000 CHF) were received in Dec 2015.2.Funding from IFRC (65,000 CHF) received in January 2018.3.The first of two Belgium contributions for VNRBD consultancy (50,000 Euro each) was invoiced in December 2016 but not received until January 2017.(15,000)0Annual general meeting(14,000)(4,649)4.Budget allocation for salary provided in AUD may need to be revisited if significant movement in exchange rate.Executive Board meetings(2,000)(228)5.2017 activities and budget deferred until 2018 (as approved by GAP EB - March 2017).Teleconferencing Calls costs(2,700)0Exchange rates:Opening Balance Exchange rate as per XE Currency converter Oanda website 31 December 2016: 1 AUD = 0.734642 CHF.Post disaster support see separate line itemInterest Exchange Rate as per average rate for the year: 1 AUD = 0.74821175 CHF.Priority country - monitoring and evaluation(10,000)(602)Support program, travel and accomodation(60,000)(5,699)(48,000)(14,544)(11,000)0| GAP Annual Report 2017(725,764)1.Regional meetingsSupport program, travel and accommodation46,788Notes(3,951)Secretariat coordination, logistics and supportHondurasTotal Expenditure0(100,000)Project cost recovery(6,000)Priority country supportNepalVNRBD project funding transfer from GAP Swiss account to GAP AustralianaccountClosing balanceSpecialist Advice(1,767)(20,000)4VNRBD Consultancy Fees received in March used average exchange rate in March 2017 = 0.763480 CHF.Expenditure Exchange rate as per weighted average 1 AUD = 0.722275 CHFClosing Balance Exchange rate as per XE Currency converter Oanda website as at 31 December 2017: 1 AUD = 0.761793 CHFFinance| 26Financial Report27| GAP Annual Report 2017Contact GAPGAP SECRETARIATA 290 Wellington Street Perth WA 6000P +61 8 6213 5909F +61 8 6213 Governance, safe blood