Philanthropy Verses Professionalism

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May 1, 2023 TRANSCON 2014, PatialaIItalia et al., Valsad Raktdan Kendra

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Philanthropists V/S Professionals

Dr. Yazdi Italia, Ph.D.(Bom.)

Hon. Secretary,Valsad Raktdan Kendra

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Source : CMIS NACO, MOH&FW

PROPORTION OF VOLUNTARY BLOOD DONATION

> 60 %41% -60 %21% -40 %< 20%

OurGujarat

72 %

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May 1, 2023TRANSCON 2014, PatialaI

Italia et al., Valsad Raktdan Kendra

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Source : CMIS NACO, MOH&FW

PROPORTION OF VOLUNTARY BLOOD DONATION

> 60 %41% -60 %21% -40 %< 20%

MyValsad

Valsad Raktdan Kendra100 % Voluntary Blood Collection

Jan. to Dec. 2009 Collection : 16,460Free Blood Bags Issued: 4,281 (26 %)

Population of Valsad: 1,20,00013.7 % people of Valsad donates

blood.We are PROUD of them.

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We All Work With a Basic a Motto

No One Should Die Without Donating Blood.

No One Should Die Due to Lack of Blood.

All Ethical Efforts to Achieve this Motto is

JUSTIFIED.

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Three Incidences that led to the topic of Philanthropy V/s Professionals 1. Some of the Philanthropists and Social

Workers consider themselves above the law because of political approach.

2. American Red Cross was fined $ 4.5 and 6.5 mil. for not following proper criteria for Vol. Blood Donor Selection. (in 2005 & 2006)

3. New Blood Banks run by corporate sector by professionals.

May 1, 2023TRANSCON 2014, PatialaI

Italia et al., Valsad Raktdan Kendra5

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• Blood transfusion is a complex science that links healthy blood donor with the ailing patient in quest of a new lease of life with various intermediaries and a system.

We need humanitarian as well as

scientific ethical approach.May 1, 2023 TRANSCON 2014, PatialaI


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• Initially blood banks were managed by Philanthropist either from medical field or by Social Workers from various fields.

• These Philanthropists were either Medical Persons or Social Workers, e.g. Dr. Mavlankar at Ahmedabad and Mrs. Moolgaonkar at Mumbai, who where successful in creating a social awareness, before 1970.


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• In 1980 in West Bengal , Dr. Labanyakumar Ganguli, an Eminent

Medical Educationalist (who started North Bengal Medical College), along with

Mr. Arunabha Chattopadhyay and Debabrata Ray, one Electrical & other Mechanical Engineer, started Association of Voluntary Blood Donors - West Bengal.

• All had Philanthropic ideas of giving selfless service to the society.


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• All these people have started their activities voluntarily.

or • in other words they have taken up a

social responsibility with the aim of helping needy people without any expectation of making an earning out of these activities.

• A Self Assigned Responsibility.May 1, 2023 TRANSCON 2014, PatialaI


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• These philanthropic ideas have resulted in charitable blood banks collecting blood from voluntary blood donors and providing blood either free or at low cost.


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• With the beginning of ISBTI (1973), initiated by Dr. Jolly and Mrs. Swaroopkrishna from Chandigadh, a new era of Transfusion Medicine started.

• ISBTI was formed with a basic idea of including the so called Philanthropist and Social Workers in the main national stream as Indian Society of Haematology and Blood Transfusion (ISHBT) included only medical doctors and technicians.


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• With the introduction of Diploma and Master degree courses in Transfusion Medicine or Ph.D. with Transfusion Medicine subjects, a new crop of Professionals came in management of blood banks.

• They were either newly inducted in blood bank officers to look after technical sides or in some blood banks replaced in place of existing MBBS doctors, who were very often retired medical practitioners.


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• To help these medical professionals there are ready candidates with Masters degrees in Business Management (MBA) or Social Work (MSW) to run the blood banks more professionally.

• These new MBAs started taking over management of blood banks from the so called Social Workers or Philanthropists.

May 1, 2023 TRANSCON 2014, PatialaItalia et al., Valsad Raktdan Kendra

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a That is the beginning of

Philanthropists V/S Professionals.


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• With the introduction of mandatory HIV testing in 1989 by FDCA and the Supreme Court verdict in 1996,

- it has become clear that the blood banks

need Professionals to run blood bank activities.

or - a move toward Professionalism has

become obligatory.


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Later on it became a MUST……. that We need professional approach to maintain

the quality of blood,

• not only to manufacture different components

but • also to make it safer in terms of transfusion

transmitted diseases and also in terms of low immunological consequences.


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Failing of Philanthropists and Social Workers to provide or develop a better Transfusion Services or a better approach to adopt concept of 100 % safe blood transfusion by 100 % disease free and ‘Zero” error, has resulted in a deterioration of Quality Services of blood banks.


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a We also know that as such Blood Transfusion is Hazardous.

Hence Judicial Use of Blood Product is a Must.


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• To guide our end users of blood (doctors), we also need well qualified professional, who can guide them with appropriate use of blood components

and • can assure them of better and safer blood

products (by testing like 4th generation ELISA or NAT Testing or Leuco-reduced blood products, etc.)


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a Looking at all these prerequisite

Professional is an obligatory.

May 1, 2023 TRANSCON 2014, Patiala, October 2014Italia et al., Valsad Raktdan Kendra

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• But to achieve all of these best qualities,

we need THE BEST raw material.

And that is where the importance of Non-remunerated regular/repeat Voluntary Blood Donor

comes in picture. May 1, 2023 TRANSCON 2014, PatialaI


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Voluntary Blood Donor The word Voluntary

is once again attached to

Philanthropy.

May 1, 2023 TRANSCON 2014, PatialaI Italia et al., Valsad Raktdan Kendra

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a • The voluntary blood donation drive is proportionate to the Philanthropic activities run by blood bank.


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• What are the parameters of Philanthropic Activities?

Unfortunately• The philanthropic activities are

gauged by free blood units provided to needy poor patients and at what low cost it is provided to general public.


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• The ideas of philanthropist of low cost and free blood supply, might result in poor management of blood banks and inferior quality of blood products putting recipients into more trouble during the transfusion or for future transfusions.

• While the so called better quality products may become out of reach of common persons.

………The cost of one blood unit ranges from free to Rs. 200/- at charitable blood banks to Rs. 4,500/- in corporate hospital blood banks.


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Very often to maintain the cost low, the staff is underpaid, resulting in a deterioration of blood bank services.

Please note The Philanthropist / Trustees

may be doing charities but

the staff has to earn for their family.They should not depend on other’s charity.

They must be paid respectable salary.


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a Mind WellBlood Donation is free

butThe Quality of Blood Costs a Lot.


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We have to consider Strengths & Weaknesses

of Philanthropists as well as Professionals.

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Strengths of Philanthropists:

• Philanthropic approach – enjoys people’s faith• Dedication• More Contacts with Community Based

Organizations (CBOs)• Flexibility• Low cost products for common man


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Strengths of Professionals:

• Better Scientific approach• More Quality Conscious • Better Training to Blood Bank staff• ?????? - a lot more they will argue.


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Education and

Training of Staff & Volunteers

is fundamental.

Evidence indicates that India is unable to meet their identified

training needs in both × Quality of training &× Quality of staff performance

This includes training for Volunteers and Social Workers

in blood banks.

Certain Facts:

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The Attitude of the Staff Plays a Major Role.

( Approach Like a Corporate Office or a Call Center)

A Courteous Welcome, Ever Willing to Help Attitude with Soft Words and a Gentle Request Turns Patient’s Relatives & Friends into

Voluntary Blood Donors.

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Lack of Professional approach of the staff

• Many blood bank staff members are unwilling to leave their families to attend training programs. Some have received inadequate training in the past & work under limited supervision.

• Some of the blood banks have no dedicated staff for Blood Donation Drive.

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MIND WELL

Blood Bank should realize that

money and time

spent for all these training is

an Investment and not an Expense.


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We need a balance in both. The Professionals should respect the ideas

of philanthropists and their dedication to the noble cause

and It is time for philanthropists to understand

the need of a professional for better quality of blood and for better safety of the recipient.


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Don't know where I heard it:

• Love or hate me but never try to change me!!!

• Behavioral change is most Difficult ………but a MUST.

Attitude of Professionals & Philanthropists towards Better Approach for Development for Overall All Blood Bank Activity MUST Change.

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a Thanks a lotLet us Work Hand in HandWith Due Respect to all.


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Tribute to Great Scientist

An Austrian Biologist and PhysicianFounder of ABO Blood Group system - 1910 Winner of Nobel Prize in Physiology & Medicine - 1930 Identified the Rh factor with Alexander S. Wiener - 1937Landsteiner and Erwin Popper discovered the poliovirus - 1909

Karl Landsteiner has never thought about

Karl Landsteiner June 14, 1868

-June 26, 1943

Philanthropy V/s Professionalism

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Philanthropy Verses Professionalism