Further strengthening of blood services in Tajikistan
In January 2013, Tajikistan began implementation of a new national system for reporting adverse reactions, incidents and events related to transfusion therapy.
In preparation for this development, a WHO expert on blood services visited Tajikistan in October–November 2012 to assess the country’s reporting system. The assessment was carried out in various regions and districts (Dushanbe, Kurgan-Tube, Khodjent, Kulyab) and included a review of legislative documents, as well as visits to the Republican Scientific Blood Centre, three oblast blood centres, blood transfusion units and blood transfusion rooms of city and rayon health care facilities (specialized primary, secondary and tertiary care services).
Drawing from these visits, a national protocol for reporting systems was developed, including supporting forms for collecting haemovigilance information ranging from donor to recipient safety.
The next step towards implementation was taken in December 2012. Four training sessions addressing specialists working in/with blood transfusion services introduced the new classification of adverse reactions to transfusion therapy, the incident reporting flow and main related requirements. 100 staff were trained in Dushanbe, Kurgan-Tube, in Khodjent and in Kulyab.
Reform of blood services in Tajikistan has been supported in recent years through grants from the Global Fund to Fight HIV, Tuberculosis and Malaria, and implemented within the framework of biennial collaborative agreements between WHO/Europe and the national health authorities.
WHO technical assistance has focused on application of WHO Guidelines on Adverse Event Reporting and Learning Systems to country-specific environments. This work is conducted in close collaboration with the Republican Scientific Blood Centre of the Ministry of Health.