Crisis management experience of egyptian blood services by dr f moftah
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Crisis Management Experience of Egyptian Blood Services by: Dr F Moftah. Background, 1. World wide Promotion of Safe and Sustainable Blood System Global: Man Made and Natural Unrest & Disasters Risk is the Probability of Adverse Event will happen Crisis is the happening of an adverse event.

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Crisis Management Experience of Egyptian Blood Services by: Dr F Moftah

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Crisis management experience of egyptian blood services by dr f moftah

Crisis ManagementExperienceofEgyptian Blood Servicesby: Dr F Moftah


Background 1

Background, 1

  • World wide Promotion of Safe and Sustainable Blood System

  • Global: Man Made and Natural Unrest & Disasters

  • Risk is the Probability of Adverse Event will happen

  • Crisis is the happening of an adverse event


Background 2

Background,2

  • People in all societies have the right to expect that any blood and blood products supplied to them, be provided in a way that is safe, sustainable and supports their communities and their health systems

  • Health security is a fundamental and indispensable prerequisite to global, national and individual development

    Ref; IFRCRCS


Egypt experience 1

Egypt Experience,1

  • Presence of Contingency Plan

  • Stereotype Scenarios

  • Major Accident

  • Political Trigger

  • Always practiced

    [N.B. Natural Incidents are not anticipated]


Egypt experience 2

Egypt Experience,2

  • Crisis planning is an essential part of Egyptian MOH. It includes all measures to respond to sudden increase in demand under all circumstances.

  • Egyptian National Blood Transfusion Services (ENBTS) after being reconstructed, established a contingency plan to deal with any crisis. However; plan's scope focuses on specific incidents/accidents but not nationwide disaster.


Introduction 1

Introduction (1)

  • ENBTS faced a unique situation during January 2011, [Egyptian Revolution]. It was nationwide crisis including all governorates.

  • ENBTS management team dealt with it on an ad hoc basis.

  • 800 deaths were reported, and over 6,000 have been injured in different governorates during the first week of the revolution.


Introduction 2

Introduction (2)

  • Situation of instability lasted more than a month [ and still !!! ].

  • Instability passed through different stages.

  • The Organization's vulnerability and capacity; supported proper handling of the situation.

  • MOH Officials disappeared


Introduction 3 examples of difficult situations

Introduction (3)Examples of difficult situations

  • Staff stranded in homes and in work place.

  • Violent demonstrations in front of NBT center.

  • Staff strikes, and strange demands.

  • Banks closed, no salaries for staff.

  • Interrupted supplies delivery.

  • No gas for vehicles.

  • Many others


Crisis management experience of egyptian blood services by dr f moftah

Aim

  • Improving the response to unexpected disaster situations.

  • Reducing vulnerability, is achievable by incorporation of blood services in the health /national crisis plans.


Material method 1

Material & Method (1)

Stage1; Jan 26 till Feb 1,

  • 93 units collected at NBTC (in Cairo)

  • No telecommunication, cellular phones, internet.

  • Curfew was declared and national security was deteriorated.

  • Crisis management began from top of organizational hierarchy and immediate action plans for possible consequences were prepared by management team.

  • Possible measures to maintain adequate blood.

  • Curfew hindered blood collection through mobile drives, & stock distribution.


Material method 2

Material & Method (2)

Stage2; Feb 2 till 17,

  • 2798 units collected at NBTC

  • Adequate blood supply was achieved by calling for donation through media (TV), organizing secured blood drives, encouraging in-house donation, utilizing stocks of blood, consumables, testing kits and reagents within NBTS network.

  • Overwhelming reaction of donors and organizations for donation was managed by mobilizing staff to handle sudden donors' influx requiring accelerated drawing to meet emergent need.

  • Contingency team in all departments handled work over load.


Material method 3

Material & Method (3)

Stage3; Feb 18 till March 2,

  • 388 units collected at NBTC

  • Preventing blood wastage through this stage was achievable by slowing down collection rate, rescheduling blood drives.

  • Conducting workshops for donation staff to come up with better performance plan of action.


Results

Results

  • ENBTS was capable to overcome hazards of triggering events.

  • Neither shortage nor wastage of blood was experienced.

  • Collection during 3 stages of crisis reached 3270 donations from organized blood drives, 544 donations in-house at NBTC. It was sufficient and met demands.

  • 4200 units were collected during the same time in the previous year.

  • Regional Blood Centers all over Egypt followed the same pattern.


Conclusion

Conclusion

  • Most of BTS crisis plans are designed to deal with localized incidents assuring high certainty of information and communication.

  • Situation in Egypt highlighted the importance of having alternative telecommunication solution for the network (Intranet work)

  • Stocks should be available in hot spots that receive emergency cases outside NBTS.

  • Integration of NBTS plan within National Health plan is mandatory.

  • Proportion between blood collection and demand should be optimized to prevent shortage/wastage during different stages of crisis.


Recommendations

Recommendations

  • Risk management is important for modern BTS.

  • Scenarios should include untraditional stories.

  • Contingency plan should be integrated with National Health one.

  • Learn lessons from other situations.


Crisis management experience of egyptian blood services by dr f moftah

THANK YOU

THANK YOU


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