Regulatory and Quality Initiatives in Transfusion Medicinesbtp.gov.pk/wp-content/uploads/2019/06/who... · 2.1.1 Workshop Evaluation Reasons to attend the subject workshop 52.8% To

WORKSHOP REPORT

Regulatory and Quality Initiatives

in Transfusion Medicine

Safe Blood Transfusion Programme

In collaboration with

World Health Organization

© Safe Blood Transfusion Programme, Government of Pakistan

May 2015

Table of Contents

1. Introduction .................................................................................................................. 4

2. Workshop Proceedings ............................................................................................... 5

2.1 Karachi, April 20-21, 2015 ....................................................................................... 5

2.1.1 Workshop Evaluation ....................................................................................... 6

2.2 Islamabad, May 5-6, 2015 ..................................................................................... 10

2.2.1 Workshop Evaluation ..................................................................................... 11

2.3 Abbottabad, May 22-23, 2015 ............................................................................... 15

2.3.1 Workshop Evaluation ..................................................................................... 16

3. Pre and Post Assessment ......................................................................................... 20

3.1 Workshop 1 (Karachi): ............................................................................................ 9

3.2 Workshop 2 (Islamabad): ...................................................................................... 20

3.3 Workshop 3 (Abbottabad): .................................................................................... 21

Annexes ............................................................................................................................. 22

Annex A: Workshop Programme ..................................................................................... 23

Annex B: Certificate Design ............................................................................................. 25

Annex C: Shield Design ................................................................................................... 26

Annex D: Workshop Participants ..................................................................................... 27

Annex E: Evaluation Questionnaire ................................................................................. 33

1. Introduction

The Safe Blood Transfusion Programme in collaboration with the World Health Organization

organized a series of training workshops in Islamabad, Karachi and Abbottabad. The

workshop, Regulatory and Quality Initiatives in Transfusion Medicine, was conducted to

strengthen the regulatory part of the blood transfusion services. The workshop included state

of the art lectures on with hands-on training to improve the practical skill of the participants.

The participants included inspectors from blood transfusion authorities, medical officers,

blood bank officers, medical technologists and students from the discipline of biological

sciences.

The organization of the workshops would not have been possible without the cooperation of

the respective provincial programmes and the key partners in the private sector. The

Programme would also like to appreciate the coordination role of Dr. Zulfiqar Khan and Dr.

Khalid Saeed Bukhari from the WHO country office.

Also acknowledged is the role of facilitators who spared their valuable time to impart training

in these workshops. The SBTP Team including Dr. Amir Maqbool, Usman Waheed, Syed

Sajid Hussain Shah, Bilal Ahmed Tareen, Akhlaq Wazir, and Rehan Hafeez, deserve special

appreciation for their hard work and commitment in conducting these workshops in a very

professional manner.

Prof. Hasan Abbas Zaheer

National Coordinator/Project Director


Government of Pakistan

Ph: 0092 51 926 32 36

Fax: 0092 51 926 32 38

Email: [email protected], [email protected]

Website: http://www.sbtp.gov.pk

2. Workshop Proceedings

2.1 Karachi, April 20-21, 2015

The workshop in Karachi was conducted with support from the Sindh Blood Transfusion

Programme and Sindh Blood Transfusion Authority. Eminent experts were invited as guest

speakers including Prof. Hasan Abbas Zaheer (SBTP), Prof. Syed M. Irfan (LNH), Dr. Zahid

Hasan Ansari (Sindh BTA), Dr. Sarfraz H. Jafri (Husaini Blood Bank), Prof. Saba Jamal

(Indus Hospital), Prof. Akbar Agha (Dow University of Health Sciences), Dr. Ashraf Memon

(Sindh AIDS Control Programme), Dr. Muhammad Anwar (JPMC), Dr. Farrukh Hasan

(AATM), Dr. Saeed Ahmed (Husaini Blood Bank), Dr. Munira Borhany (NIBD), Dr. Farheen

Karim (AKUH) and Usman Waheed (SBTP). The inaugural session was chaired by Lt. Gen.

Moinuddin Haider, HI(M), Ex-Governor Sindh and Interior Minister and Chairman,

Thalassaemia Federation of Pakistan. The participants belonged to public and private sector

blood banks of Karachi. The speakers discussed the need for having a standardized

inspections tool for all blood transfusion authorities. The meeting also included practical

sessions on (1) screening of TTIs with ELISA and rapid devices and (2) cross matching

procedure using the column agglutination technology.

2.1.1 Workshop Evaluation

Reasons to attend the subject workshop

52.8% To acquire up-to-date knowledge regarding Transfusion Medicine

33.3% To get acquainted with importance of quality and regulation in Transfusion Medicine

2.8% To learn about importance of blood transfusion services

11.1% Miscellaneous answers

Which presentation did you benefit most from?

22.2 % Donor management in blood transfusion services

19.4% Cold chain in blood transfusion services

16.7% Investigation and management of adverse transfusion reaction (ATR)

8.3 % Blood components therapy and QC requirements

8.3% Screening assays for TTIs

5.6 Basic immuno-haematology and QC requirements

5.5% TTI screening assays (Rapid ICT technique & ELISA)

2.8% Record keeping and data management in BTS

2.8 % Need of regulation in BTS

0% Inspection criteria for licensing of blood banks

0% Haemovigilance

On a scale of 1-10 (where 10 is best) how did you rate the following?

Workshop Program

Knowledge Provided

Venue

Discussion

How did you rate the quality of presenters?

Planning and organization

Communication and interaction

Training, coaching and mentoring

Time Management

Confidence

Focus

2.2 Islamabad, May 5-6, 2015

The training

workshop was

conducted in

Islamabad with

collaboration of the

Islamabad Blood

Transfusion

Authority, Ministry of

National Health

Services. The

workshop was

facilitated by Prof. Hasan Abbas Zaheer (SBTP), Dr. Amir Maqbool (SBTP), Dr. Faiza Fahim

(KRL Hospital), Dr. Fahed Parvaiz (CIIT), Dr. Afrose Liaquat (Shifa Hospital), Mr. Asim

Ansari (Kulsum Hospital) and Mr. Usman Waheed (SBTP). The participants included

Medical Technologists and In-charges of the licensed blood banks of Islamabad. In addition,

students from Rawalpindi Medical College and International Islamic University also

participated. Practical sessions were also organized which demonstrated the standardized

protocols for several blood banking procedures.



52% To acquire up-to-date knowledge regarding Transfusion Medicine

17% To get acquainted with importance of quality and regulation in transfusion Medicine

16% To learn about importance of blood transfusion services

15% Miscellaneous answers


16.5% Haemovigilance


11.3% Blood components therapy and QC requirements

9.2% Introduction to Gel card Technology in blood banking


9.2% Record keeping and Data management in BTS

7.4% Emerging & re-emerging TTIs

5.6% Screening by rapid ICT technique & ELISA

5.6% Nucleic Acid Testing

3.8% Donor management in blood transfusion services


3.5% Inspection Checklist of IBTA

1.9% Need of regulation in BTS

On a scale of 1-10 (where 10 is best) how did you rate the following? Workshop Program

Knowledge Provided

Venue

Discussion





Time Management

Confidence

2.3 Abbottabad, May 22-23, 2015

The third workshop of the series was conducted at the Ayub Medical College, Abbottabad for

the participants from Khyber Pakhtunkhwa (KP). The attendees included Medical Officers,

Medical Students, Medical Technologists and representatives from KP Blood Transfusion

Authority. The workshop was facilitated by Dr. Muhammad Idrees (Consultant

Haematologist, AMC), Dr. Noaman Siddiqui (Head of Medical Education, AMC), Dr. Zarmina

Hussain (BTA), Mr. Muhammad Khalid (BTA), Mr. Asim Ansari (KIH), Dr. Muneeba Azmat

(AMC), Dr. Fahed Parvaiz (CIIT) and Mr. Usman Waheed (SBTP). The inaugural session

was chaired by Principal AMC, Prof. Shahid Sultan and during his address, lauded the

efforts of SBTP and WHO for building up the capacity of blood bank professionals. He also

advocated the need for having a post graduate educational programme in the field of

transfusion medicine. The workshop was helpful in showing the participants how to

implement the regulatory framework in blood transfusion services. The KP Blood

Transfusion Authority has been established in 2014 and is planning to initiate the process of

registration, inspection and licensing of blood banks to stop the mushroom growth of non-

standardized centres.



48% To acquire up-to-date knowledge regarding Transfusion Medicine

39% To get acquainted with importance of quality and regulation in Transfusion Medicine

9% To learn about importance of blood transfusion services

4% Miscellaneous answers


16.5% Haemovigilance


11.2% Blood components therapy and QC requirements


9.3% Introduction to Gel card Technology in blood banking

9.2% Record keeping and Data management in BTS

7.4% Emerging & re-emerging TTIs

5.6% Nucleic Acid Testing

5.2% Screening by rapid ICT technique & ELISA

3.9% Donor management in blood transfusion services


3.5% Inspection Checklist of IBTA

1.8% Need of regulation in BTS

On a scale of 1-10 (where 10 is best) how did you rate the following? Workshop Program

Knowledge Provided

Venue

Discussion





Time Management

Confidence

3. Pre and Post Assessment

The pre- and post-course assessment is an effective method to assess the learning

effectiveness and continue improving the instructor’s teaching ability. Pre- and post-course

assessment was done for every workshop to have a systematic collection and analysis of

information to improve participants’ learning. Participants were given a questionnaire with 50

multiple-choice questions at the beginning and at the end of training to assess their pre- and

post-course knowledge. Twenty-three of the questions related to pure quality issues, while

the remaining pertained to regulation and basic processes as applied to BTS. Participants

were given 30 minutes to provide answers to these questions. The results of the analyses

provided valuable inside information regarding the participants’ learning and effectiveness of

teaching. Furthermore, the results will be used to continue improving teaching efforts since

the results have shown which topics students had difficulty learning and where the instructor

should pay closer attentions in the classroom. Overall, the knowledge after the post-course

assessment has been raised.

3.1 Workshop 1 (Karachi):

The participants scored 73.8% on an average in the post-course assessment as compared

with 53.9% in the pre-course assessment.

3.2 Workshop 2 (Islamabad):

The participants scored 78.1% on an average in the post-course assessment as compared

with 50.7% in the pre-course assessment.

3.3 Workshop 3 (Abbottabad):

The participants scored 73.7% on an average in the post-course assessment as compared with 44.6% in the pre-course assessment.

Annexes

Annex A: Workshop Programme

DAY 1

Time Subjects Format Presenter

08:45 Registration Individual All participants

08:50 OPENING

08:50-08:55 Recitation from the Holy Quran Recitation

08:55-09:00 Introduction of the participants Joint activity All participants

09:00-09:05 Pre-course Assessment Joint activity

09:05-09:10 Welcome Address / Objectives of the Workshop Speech

09:10-09:40 Need for Regulation in BTS: IBTA Experience Presentation

09:40-10:10 Regulation of BTS in Sindh: SBTA Experience Presentation

(30 min)

10:40-11:10 Donor Management in Blood Transf. Services Presentation

11:10-11:40 Blood Component Therapy and QC Requirements Presentation

11:40-12:20 Basic Immunohaematology and QC Requirements Presentation

12:20-12:40 Inspection Criteria for Licensing of Blood Banks Presentation

12:40-01:10 TTI Screening Assays (Rapid ICT and ELISA) Presentation

(40 min) Lunch Break

01:50-02:10 TTI Screening Assays (CLIA and NAT) Presentation

02:10-02:50 Practical Demonstration (Rapid ICT and ELISA) Practical

02:50-03:00 Q/A Session Discussion

03:00 Conclusion

Time Subjects Format Presenter

09:00-09:30 Record Keeping and Data Management in BTS Presentation

09:30-09:50 Using Data for Quality Improvement in BTS Presentation

09:50-10:30 Example of a Functional BT-IS Presentation

(30 min) Tea Break

11:00-11:30 Haemovigilance Presentation

11:30-12:00 Investigation and Management of Adverse Transfusion Reaction (ATR)

Presentation

12:00-12:30 Cold Chain in Blood Transfusion Services (BTS) Presentation

12:30-12:40 Q/A Session Discussion

12:40-12:50 Pre-course Assessment Joint activity

12:50-01:00 Concluding Remarks Speech

01:00-01:10 Souvenirs/Certificates Distribution Joint activity

(40 min) Lunch Break

Annex B: Certificate Design

Annex C: Shield Design

Annex D: Workshop Participants

Karachi

S.No. Name Organization

1. Muhammad Abdullah

2. Dr. Saleem Khan

3. Dr. Bipin Nepal

4. Abdul Basit Khan

5. Muhammad Farrukh Khan

6. Muhammad Farrukh

7. Amir Ahmed

8. Naveed Ahmed

9. Muhammad Kashif

10. Ghulam Mustafa

11. Mudabbir Khan

12. Kundan

13. Mehboob Ali

14. Mazhir Hussain

15. Faryal Butt

16. Hina Khan

17. Mouzzama Maqsood

18. Umm-e-Rukhsar Ali

19. Fatima Allan

20. Anum Haider

21. Yousra Seraj

22. Sonia Butt

23. Qurat-ul-Ain Butt

24. Durakhshanda Mughal

25. Mehr Rafiq

26. Dr. Hyder Ali

27. Syed Zubair Hussain

28. Dr. Saifuddin

29. Dr. S. Fehmida

30. Adeena Siddiqui

31. Moinuddin Ahmed

32. Dr. Zahid H. Ansari

33. Muhammad Amjid

34. Muhammad Akbar

35. Johson Alfrel

36. Omair Iqbal

37. Hisa Muslim

38. Tasneem Zehra Nisar Hussain

39. Tayyaba Naseem

40. Mahfooza

41. Fida Hussain

42. Muhammad Salman

43. Muhammad Ahmed

44. Syeda Farah Bukhari

45. Ali Haider

46. Imran Ali

47. Muhammad Hassam

48. Shan Masih

49. Aamer Abbas

50. Imtaiz Hussain

51. Haider Ali Shah

52. Ali raza

53. Azeem Saleem

Islamabad


1. Dr. Syed Mohsin Manzoor (Surg. Lt. Cdr.) PNS Hafeez, Islamabad

2. Mr. Muhammad Khalid KRL Hosp. Islamabad

3. Mr. Munir Iqbal Khan KRL Hosp. Islamabad

4. Mr. Pervez Yaqub Quid-e-Azam Int. Islamabad

5. Mr. Muhammad Tanveer Quid-e-Azam Int. Islamabad

6. Mr. Muhammad Kashif Usman Maroof Int. Hosp. Islamabad

7. Mr. Muhammad Naveed Adil Maroof Int. Hosp. Islamabad

8. Ms. Farah Shafiq RMC, Rawalpindi

9. Ms. Aneeqa Qayyum Khan RMC, Rawalpindi

10. Ms. Arbab Ahmed IIU. Islamabad

11. Ms. Sumaira Iftikhar IIU. Islamabad

12. Mr. Muhammad Ansar RMC. Rawalpindi

13. Ms. Rabia Ayub IIU. Islamabad

14. Ms. Qudsia Jabeen PMAS, ARID, Rawalpindi

15. Ms. Faiza Jabeen PMAS, ARID, Rawalpindi

16. Ms. Sadia Ashraf PMAS, ARID, Rawalpindi

17. Mr. Sultan Sikandar Khan PNS Hafeez, Islamabad

18. Ms. Batha Shahab Kazmi PMAS, ARID, Rawalpindi

19. Mr. Muhammad Amjid PMAS, ARID, Rawalpindi

20. Mr. Raja Muhammad Ali PMAS, ARID, Rawalpindi

21. Mr. Muhammad Raza Jaffary Meritorious Business

22. Saeed uz Zaman PIMS, Islamabad

23. Aslam Sherani PRCS, Islamabad

24. Abdul Sattar Federal Gen. Hosp. Islamabad

25. Talat Mehmood Federal Gen. Hosp. Islamabad

26. Muhammad Yousaf Gondal

27. Muhammad Kashif Ali Med. Center, Islamabad

28. Muhammad Aftab Ahmed Ali Med. Center, Islamabad

29. Abdul Wafa Poly Clinic, Islamabad

30. Abdul Wahab Poly Clinic, Islamabad

31. Muhammad Ramzan Mailsi RIHS, Islamabad

32. Rizwan Ahmed Kiani PIMS, Islamabad

33. Muhammad Tariq Aziz PAF, Hosp, E-9, Islamabad

34. Ghulam Abbas PAF, Hosp, E-9, Islamabad

35. Dr. Bushra Anwar RIHS, Islamabad

36. Muhammad Sohail PAEC, Hosp. Islamabad

37. Husnain Ahmed Kulsum Int. Hosp. Islamabad

38. Imran Zeb Kulsum Int. Hosp. Islamabad

39. Amar Riaz Poonch Med. Colg. Rawalakot

40. Salman Faisal RIC, Rawalpindi

41. Malik Ehtsham Medicsi, Islamabad

42. Babar Hameed Awan Maroof Int. Hosp. Islamabad

43. Noor Hameed PIMS, Islamabad

44. Afsar Ali Nafees Med. Colg. Islamabad

45. Dr. Maria Shabbir Maroof Int. Hosp. Islamabad

46. Zahid Mehmood Pak. Bait ui Mal, Islamabad

47. Anwar Ullah IDC, Islamabad

48. Faiz Ellahi Bio Care lab

49. Zahid Hussain FGH, Islamabad

50. Ahsan Nazir IBTA, Islamabad

Abbottabad


1. Muhammad Khalid SBTP, KPK, Peshawar

2. Muhammad Asif Zeb Khyber Med. Uni. Peshawar

3. Aman Ullah Khyber Med. Uni. Peshawar

4. Shamas-Ur-Rehman SBTP, KPK, Peshawar

5. Sami-Ul-Haq SBTP, KPK, Peshawar

6. Dr. Wali Ullah HMC, Peshawar

7. Shakir Ullah HMC, Peshawar

8. Sifat Ullah LRH, Peshawar

9. Muhammad Zakir SBTP, KPK, Peshawar

10. Khushdil Khan RR Hospital Peshawar

11. Abdul Latif Khyber Teach. Hosp. Peshawar

12. Siraj Khan HMC, Peshawar

13. Riaz Khan Khyber Teach. Hosp. Peshawar

14. Dr. Rashid Azeem SBTP, KPK, Peshawar

15. Fatima Siraj Woman Med. Colg. Abbottabad

16. Madiha Jadoon Woman Med. Colg. Abbottabad

17. Fatima Aman Woman Med. Colg. Abbottabad

18. Mehr bano Woman Med. Colg. Abbottabad

19. Iqra Bibi Woman Med. Colg. Abbottabad

20. Sana Javed AMC, Abbottabad

21. Saeed Ullah LRH, Peshawar

22. Muneeba Azmat AMC, Abbottabad

23. Dr. Fahed Pervaiz CIIT, Islamabad

24. Muhammad Saeed Abbott Labs. Abbottabad

25. Shoukat B.B.S.H, Abbottabad

26. Muhammad Zaman Abt. Med. Association, Abbottabad

27. Azhar Ali AMC, Abbottabad

28. Bilal Ahmed HTC, Haripur

29. Muhammad Ibrahim HTC, Haripur

30. Dr. Muhammad Junaid Shah AMC, abbottabad

31. Dr. Sana Ullah AMC, Abbottabad

32. Haider Zaman IKD, Peshawar

33. Dr. Zarmina Hussain SBTP, KPK, Peshawar

34. Hanif AMC, Abbottabad

35. Asim Ansari Kulsoom Itnt. Hosp. Islamabad

36. Ahsan Rasool AMC, Abbottabad

37. Ahmed Ali AMC, Abbottabad

38. Noman Munir Khan Club 25, Abbottabad

39. Hamza Bin Abdul Qayyum AMC, Abbottabad

40. Farhat Ullah Khan Pak. Cancer Support Group

41. Qadir Zaman IKD, Peshawar

42. Imtiaz Khan GMH, Peshawar

43. Haneef-ur-Rehman HTC, Haripur

44. Assad Zeb HTC, Haripur

45. Muhammad Sohail Kamran AMC, Abbottabad

46. Faiq Ahmed Khan AMC, Abbottabad

47. Dr. aazeb Javed Khan AMC, Abbottabad

48. Dr. Fahad Khan Jadoon AMC, Abbottabad

Annex E: Evaluation Questionnaire


Government of Pakistan

H. No. 4-B, Street No. 17, Sector F-8/3, Islamabad.

Website: www.sbtp.gov.pk

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