Question : Transfer of Blood between Blood Banks


Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) the number of blood banks in public and private sector in the country, State/ UT-wise;

(b) whether the Government has recently granted permission for transfer of blood from one blood bank to another and issued guidelines for the purpose;

(c) if so, the details thereof along with the extent to which the move is expected to address the shortage of blood in the country; and

(d) the other measures being taken by the Government for better storage and utilisation of blood and blood components in the country?

Answer given by the minister

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI SHRIPAD YESSO NAIK)
(a): The number of blood banks in public and private sector in the country, State/UT-wise; as per information submitted by DCG(I) is at Annexure-I

(b): Yes.

(c): Policy of transfer for Blood from one blood bank to another has been approved so as to avoid wastage of surplus bloods in some blood banks, and mitigate scarcity of blood in other blood banks. The detail guidelines for transfer are placed at Annexure-II.

(d): Another policy decision has also been taken to allow for exchange of surplus plasma available with indigenous fractionators for fractionation and derivation of essential plasma derived medicine like human albumin and clotting factors.
Clinicians are also provided training on appropriate use of blood and blood components for optimal usages.
Annexure-I
Number of licensed blood bank in India State / UT wise up to Nov. 2015
S.NO NAME OF STATE Public including Govt. Blood Banks Private including charitable trust Blood Bank TOTAL
1 Andaman & Nicobar 2 1 3
2 Andhra Pradesh 32 93 125
3 Arunachal Pradesh 9 1 10
4 * Assam 37 28 65
5 * Bihar 32 35 67
6 Chandigarh 3 1 4
7 Chhattisgarh 19 30 49
8 Dadra & Nagar Haveli - 1 1
9 Daman & Diu 1 1 2
10 NCT of Delhi 22 47 69
11 Goa 3 1 4
12 Gujarat 30 106 136
13 Haryana 26 50 76
14 Himachal Pradesh 19 3 22
15 Jammu & Kashmir 29 4 33
16 Jharkhand 26 18 44
17 * Karnataka 39 144 183
18 Kerala 43 140 183
19 Lakshadweep 1 0 1
20 Madhya Pradesh 54 90 144
21 Maharashtra 74 236 310
22 Manipur 4 1 5
23 Meghalaya 5 2 7
24 Mizoram 8 2 10
25 * Nagaland 5 - 5
26 * Odisha 63 20 83
27 Pondicherry 3 10 13
28 * Punjab 48 53 101
29 * Rajasthan 48 54 102
30 Sikkim 2 1 3
31 Tamil Nadu 102 198 300
32 * Telangana 27 113 140
33 Tripura 6 2 8
34 * Uttar Pradesh 100 142 242
35 Uttarkhand 20 8 28
36 West Bengal 81 39 120
Total 1023 1675 2698
*Data up to Feb.-2015

Annexure-II
Bulk transfer of blood and blood components amongst licensed blood banks in the country would henceforth be allowed under the following conditions:-
I. Transfers shall be allowed between licensed blood banks in any sector (Public, NGO, and Private).
II. Transfer of blood and components in bulk shall be permitted across State borders to also ensure the availability at the point of need.

III. All transfers shall be done at the recommended temperature and as per prescribed storage conditions for whole blood and components. The supplier blood bank shall be responsible for compliance thereof.

IV. The recipient blood bank should have the capacity to hold the units requested for, at appropriate temperature till the time of utilization.

V. Broad based donor consent should be incorporated in the standard donor form to ensure that the donor agrees to his blood unit being utilized beyond the blood bank where it is donated.

VI. The supplier blood bank can levy the prescribed processing charges on the patient/recipient/recipient blood bank as per NBTC norms. However, the recipient blood bank can levy only processing charging for compatibility testing (cross-matching), in addition to charges levied by the supplier blood bank, from the patient/recipient for such transferred units.

VII. Only one transfer shall be allowed, and recipient blood bank cannot further transfer units obtained from another blood bank except to another blood storage center or a patient/ recipient.

VIII. Records of traceability shall be retained throughout the process.

IX. Supplier blood bank would be responsible for all the complications except for those related to compatibility testing, which will be the responsibility of the recipient blood bank. Recipient blood bank shall report and evaluate all the adverse transfusion reactions, including those happening due to blood that has been transferred from supplier blood bank.

X. Documents accompanying transfer shall include TTI testing report and record of transport in appropriate temperature.

XI. All recipient blood banks are considered deemed approved to act as functional storage centers for blood and blood components, even though the upper limit of 2000 units utilization per annum is not applicable.

XII. All blood banks and storage units be instructed to issue blood to all patients needing transfusion and not restricting blood issue to captive requirements of institution to which they are attached.

XIII. Blood banks would be informing regarding bulk transfers to SBTC and in case of inter-state bulk transfers to NBTC.

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