A safe, effective blood transfusion service is the essential component to the provision of adequate health service. The functioning blood transfusion services up to upozilla- level hospitals are responsible for carrying out compatibility tests between blood donors and recipients and serve as an access point to all blood before final use. Blood Transfusion Service in the country started in 1950 in few centers which confined to only to basic serology. Till 2000 most of the required blood was met by professional blood donor. No mandatory blood screening done for TTI markers. Country blood supply remains dependable on paid donation. Those professional blood donors suffer from Hepatitis B, Hepatitis C Malaria, and Syphilis and others sexually transmitted diseases.
Restructuring of blood transfusion service:
Restructuring of blood transfusion service began in 2000 with programmatic approach. The aim is to development of blood transfusion centers. Introduction of Mandatory blood screening for 5 TTIs (HIV/AIDS, HBV, HCV, Syphilis & Malaria).Expansion of blood transfusion centers. Capacity development of blood transfusion centers. Advocacy and Support in development of policy, legislation and National Blood Programme. Development of networking and reporting system in blood transfusion centers. Support in regulatory system for private blood centers & support in phasing out of paid donation.
The program also support the formation of National Safe blood transfusion Council. Formation of National Safe Blood Transfusion Expert committee. Formation of National voluntary Blood Donor Committee & Hospital Transfusion Committee for all government Blood Transfusion Centers. Imparting training on blood transfusion. Regular Monitoring of the Blood Transfusion Centers. Periodical Quality control testing of screened blood samples. Compilation of DATA with the support of Reference laboratory. Both Public and Private sector provide Blood Transfusion Service. As blood Transfusion centre it is integrated with public Hospitals in Health Complex, District Hospital and tertiary level Hospital. In private sector blood transfusion service is being delivered by units in private hospital as well as by stand alone blood centre- independent of hospital. All blood transfusion centre recruits blood donors, screen cross-match and distribute blood as per hospital need.
Blood Transfusion Centre Under SBTP as Public sector:
185 (58%) blood transfusions centres belong to public sector are integrated with Hospitals at multilevel.14 (4%) centres run by defence ministry.20 (6%) centres operated by autonomous and other. In private sector 102 (32%) blood transfusion centres are integrated to Medical College, specialized clinics including stand alone blood centre- independent of institution. All centers in public sector is coordinated and supervised by National Safe Blood Transfusion Programme (SBTP). Private Blood transfusion centre operates after licensing from Gob. All centers in public and private sector report to National Safe Blood Transfusion Programme for blood screening and blood component monthly. In 2016 total 679,681 units of blood were collected. There are mainly two types of blood donor Relative/Replacement Blood Donor-4,78,475-(70%) Voluntary Blood Donor -2,00,906- (30%).A few philanthropic organizations work for voluntary blood donation.Sandhani, well-known medical and dental students' organization, Red Crescent Blood centre, Quantum & Bashan. TTI screening is done mostly on ICT method. Only in some centers screening, blood grouping & cross-matching is done by ELISA, CLEIA, Gel & automated method. Bangladesh maintains very low prevalence (< 1%) of TTI Markers
Blood Component and Aphaeresis facilities:
Blood Component facilities: 30 centers in the country have the blood component preparation facilities.30% of the collected blood is converted into various blood components such as Red cell concentrate (RCC),Fresh Frozen Plasma (FFP), of Platelet concentrate (PC), Platelet Rich Plasma (PRP), Cryoprecipitate & Plasma (Cryo)
Aphaeresis facilities: 22 centers both in public & private sector is doing the following Procedure such as Plateletpharesis, Plasmapharesis, Therapeutic Plasma Exchange in different diseases, Therapeutic Red Cell Exchange, Leukapharesis,stem cell pharesis & Erythrocytopharesis (in process) Autologus Platelet Rich Plasma (PRP) is used in the
Blood Policy, Faculty & Association related of Bangladesh:
Legislation on "Safe Blood Transfusion Act-2002" which was approved by the Parliament on10th April 2002. Enforcement of this Law has been started from 1st August-2004.The rules of this law completed and SRO-Issued-17th June-2008. National Blood Policy prepared and approved by National safe Blood Transfusion Council & MOHFW.It has published through BG press for proper action in November-2013.The major areas have been focused in the National Blood Policy backed by Safe Blood Transfusion ACT. From 1972 Post Graduate Diploma course DBS&T in Transfusion Medicine started & MD in 1997.FCPS (TM) in 2007, MCPS (TM) course in 2012 & Prohibition of PhD course in Transfusion Medicine. There are 100 experts working in Blood Transfusion services at various capacity. Blood Transfusion Society of Bangladesh is an active professional organization.