Blood Transfusion Services - ia Tech：输血服务-佐治亚理工.ppt

puting for Global Health ? Health problems are exacerbated by: ? Ignorance of health risks ? Lack of timely information on prevention and treatment ? Scarcity of resources including medical supplies ? Limited medical expertise ?… These problems are more acute in developing regions puting for Global Health ? Many attempts to use the and other communication devices, ., ? Tele-medicine ?-based screening ? PDA-based guides for diagnosis ? Disease tracking ? Etc. Varying ess. Often not sustained. 3 John Pitman ? Africa Correspondent for VOA ? Health Officer, CDC Met at John Howell Park in Atlanta. Works in the Blood Safety division of the Global AIDS Program (GAP). 4 Blood Safety ? Major problem ? Especially in developing countries ? Blood supply does not match demand ? Blood could be infected ? Problem: how to monitor and improve blood safety? 5 Big Problem ? In 2002, transfusions were identified as the cause of 5-10% of HIV infections in developing countries. 1 1 WHO. Blood Safety and Clinical Technology Progress 2000-2001, 2002. 6 President ’ s Emergency Plan For AIDS Relief ? PEPFAR supports Ministries of Health and/or National Blood Transfusion Services in 14 countries: Botswana Kenya South Africa Cote d ’ Ivoire Mozambique Tanzania Ethiopia Namibia Uganda Guyana Nigeria Zambia Haiti Rwanda ? 5 Billion for 5 years. Renewed last year for 5 more. 7 PEPFAR blood safety monitoring ? Countries submit quarterly reports on about 80 indicators aggregated nationally. CDC uses these reports to assess progress and plan ahead. ? Till 2007, the reports were on paper ? Then moved to an Excel spreadsheet ? Aggregation done manually 8 Spreadsheet weaknesses ? Difficulty in tracking versions of multiple files as new data were entered and updated by different users ? Countries' inability to quickly modify, clean or correct a data set after a file was submitted to CDC ? Transcription and other errors as multiple versions of the spreadsheet were merged prior t