Suggestions on improving Service delivery under NACP III

[Guest guest]

Dear Forum,

I would like to invite suggestions of the group members on improving

service delivery in NACP III under the following heads :

1.VCTCs

2.PPTCT

3.STI services

4.Blood Safety

5.Infection control

6.Bio medical waste management

Dr. S.Schadha

E-mail: <drsschadha@...>

[Guest guest]

Dear Forum,

Much has been done on blood safety.

Testing of the donors is the most important tool at our hand. However,

economically feasible tests carry the loophole of window

period.

To eliminate the high risk group, professional donors have been

strategically omitted. But in practice, how many are really omitted?

The patients' relatives when asked to donate blood, they get the

professional donors at times by paying them outside.

Hence Behavioral Change Communication amongst the donors is of vital

importance. Posters and other IEC materials should be developed and

effectively made use of to create the awareness amongst the donors.

If the donors start introspecting themselves from the community

health interest, there is a hope that they will stop donating the

blood irresponsibly. BCC should be planned and implemented in such a

way that every donor before donating the blood should ask question

to himself, Is My Behavior Safe and Is My Blood Safe to Donate?'

Awareness campaigns on large scale for Blood Donors in the necessity

of the time. Now the time has come to create awareness amongst the

donors, not only to donate the blood but to refrain from donating

the blood if the behavior is high risk one. And only donor can say

that definitely.

More interrogative forms should be developed to get detailed history

which will reflect on the medical history and behavioral pattern of

donor. This will help us to decide on acceptance or rejection of

donor. Such forms are being used by Red Cross Blood Banks in US.

Dr. Nishikant Shrotri

E-mail: <nishparna@...>