Rotary Blood Donation Global Network

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

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.

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.

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

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).

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

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.

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

Be a gift to the World
Voluntary Non-remunerated Blood Donation and Rotary
International

Rotary Blood Banks
in
INDIA

-Financial Support to other NGO established
Blood Banks
-Established along with other NGOs
-Established and being operated by Rotary
Clubs

CHALLENGES
- Suitable Man Power
- Cost Effective
- 24x7 Service
- Lack of Voluntary Donors

CHALLENGES
- Lack of Awareness
- Misconceptions
- Role of Quacks
- Licensing Procedure
- Delay by Government Authorities

VOLUNTARY DONOR CAMPS
- Support from Local Rotary clubs
- Support from other NGOs, Organizations

VOLUNTARY DONOR CAMPS
- Organizing Outdoor Donor Camps
- Organizing Donor camps in Blood
Bank Premises

“Be a Gift to the World”
through Blood Donation

THANK YOU
PDG Kishore Kumar
RI District 3020, India
Rotary Blood Bank,Visakhapatnam
Chairman 2001-13

2016 RI ConventionGlobal Network
for Blood

Global Network
for Blood
1. History
2. Expansion in France
3. Conditions for success
4. Advantages for Rotary
5. Development of MBFO
6. Conclusion
Plan of the presentation
My Blood For Others

Global Network
for Blood
History
First blood
collection in
Toulouse
District 1700,
France,
in1998
My Blood For Others

Global Network
for Blood
History
1998
25 Rotary,
Inner Wheel
and Rotaract
Clubs
involved
(200 volunteers)
My Blood For Others

Global Network
for Blood
History
1998 :
1400 donors
welcomed in
1 day : a
european
record !
My Blood For Others

Global Network
for Blood
Expansion in France
Since1998,
more than
100 cities
have joined
MBFO
My Blood For Others

Global Network
for Blood
Expansion in France
292.000
donors
welcomed
in 18 years
My Blood For Others

Global Network
for Blood
Out of France
Mali,
Togo,
Benin,
Gabon,
Senegal,
Ivory Coast,
Reunion Island
My Blood For Others

My Blood For OthersGlobal Network
for Blood
Conditions for success
Location
in city
centers
to attract
new
donors

Global Network
for Blood
Numerous
and varied
associated
events
My Blood For Others

Global Network
for Blood
Advertising &
communication
My Blood For Others

Global Network
for Blood
Advantages for Rotary
• promotion of the image of Rotary
• common action between several clubs
• numerous lives saved
• opportunity to show what Rotary can do
My Blood For Others

Global Network
for Blood
Development of MBFO
Many Rotary-Clubs, all over the world,
organize blood collections
In order to obtain a better visibility,
inside and outside Rotary, we wish to
convince them to use the same name “
My Blood For Others”
My Blood For Others

for Blood
Many thanks for your attention
and sorry for my poor English ….

for Blood
I am ready to answer your
questions
Speak slowly, please …

Governor’s Challenge

1996 – Governors’ Challenge D5790
2001 – D9300 Johannesburg area joins
2002 – D5810 joins the Challenge
2007 – RI approves GNBD as a RAG
– first exhibiting at the RI Convention Salt
Lake City
2010 – Districts in Texas embrace Challenge
and many others follow
– D5790 & D5810 Challenge reaches 100,000
units collected
GNBD Milestones

2011 – Cowboys and Indians competition
– Collaborative agreement with the
Association for Donor Recruitment
Professionals (ADRP)
2013 – Partnership with the Global Blood
Fund
2016 – 10th year exhibiting at the RI
Convention (Seoul)
GNBD Milestones

• 40+ Rotary Districts around the globe
have embraced the Challenge.
• Approximately 800K units of blood are
donated annually by Rotarians.
• Approximately 75M units of blood are
donated every year around the globe.
• 15% of Districts report clubs are involved
in helping blood centers acquire
technology, equipment of training.
BLOOD DONATION FACTS

GOVERNORS’ CHALLENGE
• Golden Vampire
D5810 & D5790
• Cowboy Challenge
in Zones 21b & 27
• Spreading the
word at
Conferences,
Assembly's and
Conventions

GOVERNORS’ CHALLENGE
In May of 2011, RI
President Elect,
Kaylan Banerjee
Challenges Districts
and Clubs in India to
join the Governors’
Challenge.

EASY SERVICE PROJECT
CLUB MEMBERSHIP
City Manager
City Management
Police Chief
Bank President
Newspaper Editor
Chamber Board Member
Financial Planner
Insurance Agent
School Administration
Prominent Business Owners

RI AREAS OF FOCUS
62
Peace and Conflict
Prevention/Resolution
Disease Prevention
and Treatment
Water and Sanitation
Maternal and
Child Health
Basic Education and
Literacy
Economic and
Community Development

GNBD AND AREAS OF FOCUS
Disease Prevention and
Treatment
• A safe, pure, efficacious and
readily available blood supply
is key component to a
successful healthcare delivery
system.
• GNBD promotes safe voluntary
blood donation through
Rotarians.
Maternal and Child Health
• 75% of transfusions in
restricted economy countries
are given to OB and pediatric
patients. A number of these
patients die due to
unavailability of blood.
63

Korean approach to donor motivation
and retention through the Red Cross Society
Kim, Sunhee
Korean Red Cross Blood Services

Since taking over the National Blood Center in 1958, and being
delegated the national blood services from government (presidential
decree No. 10285) in 1981
 No. of Blood Donors increased from 370,000 to 2.9million in 2015
 No. of Staff in Blood Service is 2,046 (60.5% of Red Cross Staff)
No. of Blood Donation 2,872,156
(100% unpaid donation)
Annual Supply of Blood
components
6,278,079 units
Financial Status in 2015
Income 309,235 million won
Expense 306,475 million won
Annual Surplus 2,760 million won
Glance at the Korean Red Cross Blood Services
67

Relevant Laws
68
○ Blood Management Act Article 6 (Blood Management)
Only the following persons may implement blood management:
Provided, That a person who falls under subparagraph 3 shall not
collect blood among blood management:
2. The Korean National Red Cross established under the
Organization of the Korean National Red Cross Act
○ Organization of the Korean National Red Cross Act Article 7
(Services)
○ Regulation on the Safety of Medical Supplies Article 11

Blood Management
Committee
KRC Blood Services:
15 blood centers & others
Hospital Blood Centers
Government
Ministry of Health and Welfare
Ministry of Food & Drug
Safety
93.2% of Blood donations collected by Korean Red Cross (2015)
Structure of Korean Blood Services
69
Korea Center for Disease
Control and Prevention (KCDC)

Name Roles and Responsibilities Dept.
Ministry of Health and
Welfare (MoHW)
- Overall blood supply-demand management
- Permission of the establishment of blood center
- Decision of the price of blood products
Division of
Bioethics
Policy
Ministry of Food &
Drug Safety (MFDS)
- Overall collection and supply management of
pharmaceutical product
- Overall plasma fractionation management
Korea Centers for
Disease Control and
Prevention (KCDC)
- Evaluation of blood establishments
- Investigation of transfusion-associated infection
Division of
Human Blood
Safety
Surveillance
6
Roles and Responsibilities - Government

• 100% VNRBD
• Number of Blood Donations
• Number of Blood Supply (Korean Red Cross)
2012 2013 2014 2015
Total 2,722,609 2,914,483 3,053,424 3,082,918
RC(%) 2,542,495(93.4) 2,708,173(92.9) 2,844,538(93.2) 2,872,156(93.2)
Blood Service Statistics
Year
Number of Units
Supplied
For Transfusion For Fractionation
Sub-Total % Sub-Total %
2015 6,278,079 4,048,199 64.5 2,229,880 35.5
2014 6,272,253 4,099,483 65.4 2,172,770 34.6
2013 6,186,007 4,242,147 68.6 1,943,860 31.4

Red Cross played a leading role
- Rapid growth in number of blood donations
- Lack of government’s investment
(government’s subsidies in ‘91~ ‘04 : 12m$)
- Lack of government’s inspection & evaluation
- Focusing on group donation (56%)
- Focusing on individual donations (65%)
- Strengthening government’s investment
(government’s subsidies in ‘05 ~’12 : 117m$)
- Strengthening government’s inspection &
evaluation
- Appearance of private blood centers
Government played a leading role
History
72
1954. 6. The Korean government established National Blood Center
1958. 2. KRC took over the National Blood Center and renamed it as KRC Blood Center
1974. 4. KRC declared prohibition of paid donation and encouraged VNRBD
1981. 7. The Korean government entrusted the national blood services to KRC

(Updated April 2016)
President
Vice President (2)
Central
Committee(28)
General Assembly
of
National
Representative
Blood Centers (15)
Plasma Fractionation Center (1)
Blood Transfusion Research Institute (1)
Blood Laboratory Centers (3)
Audit Office
Financial Supervisor
Legal Advisor
Secretary General
Blood Services Headquarters
Voluntary service
central committee
Policy
and
supporting
Headquart
ers
Busin
ess
Planni
ng
Burea
u
Hospital(6)Training
Institute
Chapter(14)
Chairman(1)
Vice chairman(2)
Director
Planning&
Manageme
nt
Bureau
Bloo
d
Safe
ty
Bur
eau
Informa
tion
Manage
ment
Office
Busin
ess
Prom
otion
Burea
u
Humanity
business
Headquart
ers
Intern
ation
al,
inter-
Korea
n
Coop
eratio
n
Hospi
tal/
Healt
h
&
Safety
Intern
ation
al
Huma
nitari
an
Law
Speci
al
Welfa
re
Progr
ams
Blood
Donatio
n
Promoti
on
Bureau
Organization Chart of Korean Red Cross
73

Institutions
74
Jeju
Blood Service HQs
15 Blood Center
3 Laboratory Center
Plasma Fractionation Center
Blood Transfusion Research
Institute

Manufacturing and supplying blood products for transfusion
(Self-sufficiency based on Voluntary Non Remunerated Blood Donation)
Manufacturing and supplying blood products for fractionation
(Self Supply rate 95.4% in 2015)
Importing plasma derived medicinal products (12 kinds including tetanus)
Management of blood donor information
Donor Recruitment of hematopoietic stem cell transplantation
What Korean Blood Services does
75

Donor Motivation and Promotion

Donor Motivation & Recruitment activities in Korea
• Donation pledge by organization
First time donor Regular donor
Donors in their 30, 40s
General citizen - Raising awareness on VNRBD
Every blood donor
- SMS after blood donation : Thank you for the participation, next donation date
- World Blood Donor Day celebration, Blood Donation Day event
- Sharing Blood Test result
• Donors’ Hall of fame
• Award ceremony(30th
~ 400th)
Poster, Leaflet, Advertisement, Newspaper, Website, SNS, ABO exploration hall
Mobile application(Smart Blood donation), Education materials (Text book), and etc
• Thank you card
• First donor kit
• Guideline for the second
donation

○ Annual Report, Statistics Report, Brochure, Leaflet, etc
Produce IEC materials

• Introducing KRC Blood Services, providing information on blood
donation and etc
• Providing services : Reservation, Search for Blood Donation Center,
Counselling, Electronic Donor Interview, blood test result and etc
• No. of Visitors : 40 thousand donors use electronic donor interview
and 500 donors make a reservation a week on average
• Since 2002
• http://www.bloodinfo.net
Website – bloodinfo.net

• Developed in cooperation
with SK Telecom
• 150 thousand downloads
(2014.10.31)
• Ranked at the 10th of Mobil
Apps in health and welfare
field in 2012 (the No. of
downloads)
• Menu: Find Blood Donation
Center, Reservation,
Electronic Donor Interview,
Donation Information and
etc
• No. of Users /week : 1000
Electronic Donor Interview,
500 reservation
Mobile application

2016. 01
45,934
2016. 01
visitor 788,650
neighbor 962,248
Social network Services
Kakao story Facebook Blog

Celebration for Blood Donors – World Blood donor day

- Famous Entertainers : Singer, Comedian, Sport Star,
Actor, Actress, etc
PR Ambassadors

• Providing information about blood donation and
creating intimacy & friendship on blood donation
for the future donors
• located in National Science Museum
• Can experience Blood Cell Kaleidoscope,
Measuring Blood Volume, Quiz, Blood Vessel
Experience Rider and etc
• Operated since April 2014
ABO Blood Donation Exploration Hall

Providing opportunity for donors to donate
money equivalent to their blood donation
gift to the need
- 2014 529,800,000won (51,201people)
- 2015 645,894,000won
Blood Donation Voucher

• Blood donors who pledged to donate blood regularly
• established in 1999 in order to ensure stable blood supply
• Donor who donated more than 2 times within a year can be a member
Registered Blood Donor System
Year
Total no. of
donation in
Red Cross
New registered
donor
Accumulated
registered
donor
No.of donation
%/total
donation
2015 2,872,156 136,233 780,620 1,224,410 42.6%
2014 2,844,538 128,295 709,181 1,157,294 40.7%
2013 2,708,173 121,504 654,124 1,026,147 37.9%
Provide a chance to participate in the special events(Movie, Tour, Book
event, and etc) for the registered blood donors

Culture Events for Registered Donors(ABO Friends)

Year 2012 2013 2014 2015
No. organizations 187 388 677 944
Corporate partners which pledges to donate blood regularly
Group (company, public institution, etc) pledges to take
part in blood donation movement and activities to
proliferate donation culture regularly every year
Goal: To promote the participation of middle-aged donors

Awards program
- 30 times : silver medal
- 50 times : gold medal
- 100 times ~ 300 times :
honorary medal
For donors who donated more
than 400 times - presenting
memorial tablet with
celebration in blood
donation center
Registration in the hall of
fame(website)
- 100 times donation donors :
4,660
Donations 30 ~ 50~ 100~ 200~ 300~ 400~ 500~ 600~
2014 64,117 25,711 5,789 846 162 43 7 3
Programs to Appreciate Regular Donors

Voluntary Hour Recognition
 4 Hours Recognition per donation
 since 2010. 7. 1
 all kinds of blood donations
 limited to 5 times for WB donation, 24 times for
Apheresis , 96 hours at the maximum a year donation

• University & High school students or Red Cross
Youth who participate in blood donation
promotion
• Main Activities
- Regular promotion with blood center and
blood donation center
- Every 13th ‘Blood Donation Day’ campaign
- Donation campaign and publicity to women
and middle-aged people
Blood Donation Supporters & Red Campaigner

Providing education
materials to schools
Using blood donation
ad for the lesson plan
Providing education materials including school text book

Family Donors are Critical and Legitimate
in Developing Countries
Cees Th. Smit Sibinga
President RAG GNBD

Safety of the Gift of Life to the World
Viral Marker Prevalence
Is there a difference between FADs and first time VNRDs?

Family/acquaintance blood donors (FAD)
considered less safe than voluntary
non-remunerated blood donors (VNRD);
Pressure and coercion are considered
unethical.
Assumptions –
97

 FAD are actively discouraged by
international organizations (IO);
 Affluent countries support these IO;
 Existing shortages continues.
Consequence –
98

 Viral marker data of 1st time VNRD and
FAD, corrected for gender and age show,
no significant difference;
 Basic motive for VNRD and FAD is
benevolence rather than altruism;
 FADs are willing to become VNRD and to
repeat donation if asked.
Viral Markers
99

Viral Markers
Type of Donors N Donors Confirmed
Anti-HIV (%)
HBsAG (%) Confirmed
Anti-HCV (%)
FAD 17,449
(68.3%)
550 (3.2) 2521 (14.4) 583 (3.3)
VNR 8094
(31.7%)
110 (1.4) 1027 (12.7) 248 (3.1)
First time 4911 98 (2.0) 824 (16.8) 223 (4.5)
Regular 3183 12 (0.4) 203 (6.4) 25 (0.8)
Prevalence in VNR and FA blood donors in Mali – HIV, HBV, HCV
From: J-P Allain – ISBT Science Series 2010;5:169-75
100

Viral Markers
Country Type of Donors N Donors confirmed
HIV (%) HBsAg (%)
Cameroun First time
VNRD
272 11 (4.0) 49 (18.0)
FAD 3053 114 (3.7) 233 (7.6)
Ghana First time
VNRD
6640 69 (1.0) 919 (13.8)
FAD 4380 50 (1.1) 649 (14.8)
Guinea First time
VNRD
1784 26 (1.6) 259 (14.5)
FAD 8956 42 (0.5) 1142 (12.8)
Prevalence of HIV and HBV in first time VNR and FA donors
From: J-P Allain – ISBT Science Series 2010;5:169-75
101

FAD in the Blood Supply in Four Continents
Americas Africa Asia Europe
<20% 20-79% >80%
Argentina Benin Algeria Angola China Albania
Bolivia Botswana Burk. Faso Cameroon India Greece
Brazil Burundi Erytrea Chad Iran Montenegr
Chile CAR Gambia Congo Kuwait
Columbia Côte d’Iv. Guinea DRC KSA
Cost. Rica Malawi Kenya Ethiopia Oman
Cuba Namibia Morocco Gabon Pakistan
Ecuador South Afr. Mozamb. Ghana Thailand
El Salvador Ruanda Tunisia Guin. Biss. Turkey
Guatam Senegal Zambia Madagasc.
Honduras Uganda Mali
102

FAD in the Blood Supply in Four Continents (2)
Americas Africa Asia Europe
<20% 20-79% >80%
Jamaica Mauritania
Mexico Sierra Leo
Nicaragua Tanzania
Paraguay
Peru
Surinam
Uruguay
Venezuela
103

TTI Marker Prevalence in non-SSA Countries post-2009
country donors % prevalence
Anti-HIV Anti-HCV HBsAg
ft VNRD FAD ft VNRD FAD ft VNRD FAD
Albania 52,767 8.1 8.6
India 47,558 0.32 0.41 0.61 0.71 1.77 1.77
39,060 0.36 0.54 0.20 0.23 1.22 1.23
Nepal 33,255 0.7 0.4
Pakistan 13,888 0.0 0.06 1.44 1.56 1.44 1.56
Thailand ? 0.67 0.72
Ghana 6,421 10.8 11.6
Camer. 543 1.5 5.4 2.6 6.0 8.8 10.9
Mozamb. 679 8.9 12.7 8.6 11.8
104

Family/Acquaintance Donors
FAD are almost exclusively called upon in
countries with considerable blood
shortages
In life-threatening situations due to severe
shortage, pressures are extended on both
VNRD and FAD
FAD blood are cheaper than ‘one time
only’ VNRD
105

Statements
1. FADs meet all basic criteria of VNRD;
2. FAD remain a critical source of
(regular) VNR blood;
3. At this point in time, FADs are
- legitimate and indispensable
- should not be discouraged.
106

However –
4. FAD should be encouraged to become
regular VNR donors;
5. FAD are a good potential to bridge the gap
to reach 100% VNRD.
Statements
107

Evidence Base - GNBD Study Proposal
There are limited comparitive and reliable
studies available to provide a solid evidence
base.
Objective–
To re-open the assessment (evidence base)
on whether the ban on FAD in developing
countries is justified.
108

Developing countries –
 Selected countries from Low and
Medium HDI (4 continents);
 Demographic, logistic and statistical
data collection on
- blood donor typology
(first time VNRD & FAD);
109

- viral marker epidemiology
(TTI marker prevalence);
- frequency of blood donation
(% regular vs first time/one time only for VNRD
and FAD);
- blood usage/consumption and suppl
(supply or demand driven);
110

 Focus on 1st time/one time only VNR and
FAD donation;
 Collection of (confirmed) TTI marker
prevalence;
 Correction for gender and age;
 N = to be determined (statistical
significance).
111

Message from RAG GNBD
Be a Gift to the World
Donate BLOOD on a voluntary and non-
remunerated principle
Preferably do that regularly!
112

Rotary Blood Donation Global Network

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