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Browsing Blood Banks by Author "CAG of India"
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Item Compliance Audit on Functioning of Govt Blood Banks in West Bengal(CAG of India, 04-07-2016) CAG of IndiaThe functioning of blood banks in the State has scope for improvement in many aspects. There is an emergent need for setting up more blood banks in the State and for enhancing the capacity of the existing ones to bridge the gap between requirement and actual supply. Moreover, the blood bank network was not distributed evenly among the districts with blood bank/ BSUs not being available in rural areas. It was also a matter of serious concern that 53 out of 58 blood banks managed by the State Government do not have valid licenses. The basic tenet of providing safe blood, blood components and blood products was also compromised due to the absence of quality assurance mechanism in most blood banks. Quality aspect was further undermined by irregular supply of Elisa Reader, cross matching of blood by staff other than Medical Officers, ineffective calibration of equipment, absence of AMCs, etc. Performance of the blood banks as regards component separation was sub-optimal. There were instances of losses/ wastages of whole blood units, blood bags, test kits and reagents due to deficient inventory management. There were significant deficiencies in the blood bank automation software leading to possibility of pilferage of bloods/ kits. In the absence of interconnectivity among blood banks, available blood stocks in one blood bank could not be utilised by others in need, leading to wastage of stock. Deficient maintenance of records on the particulars of sero-reactive donors leaves possibilities of carriers of such deadly viruses remaining unaware and untreated. Non-compliance of the rules and inadequate monitoring by Drug Inspectors resulted in several deficiencies. Human resources management also calls for attention as 32 per cent Medical Officers and 20 per cent Medical Technologists attached to 17 test-checked blood banks did not have training on blood transfusion. Department of Transfusion Medicine was not established in nine Government MCHs of the State, neither was the separate cadre for Blood Transfusion Service created.Item Failure to Operationalise Blood Storage Units & Blood Component Separation Laboratory in Meghalaya(CAG of India, 19-12-2019) CAG of IndiaFailure to operationalise the Blood Storage Units and Blood Component Separation Laboratory resulted in non-achievement of the objective of strengthening blood bank services.Item Functioning of Blood Banks in Uttarakhand(CAG of India, 10-12-2019) CAG of IndiaThe blood banks could not make significant progress in phasing out replacement donors to achieve target of 100 per cent voluntary blood donation (VBD) as envisaged in the National Blood Policy. Information, Education and Communication activities carried out by State Blood Transfusion Council (SBTC) for promotion of voluntary blood donation was inadequate. There was significant difference in the percentage of VBD as per Annual Report of SBTC and figures obtained from the selected blood banks. Out of 35 blood banks in the State, 13 were operating with expired licence from five months to twenty years. Only 22 regular inspections could be carried out against 96 inspections required to be conducted during the period 2015-18. None of the blood banks selected by audit were inspected during 2015-18. Out of eight selected blood banks, five were not calibrating equipment in prescribed time. The Donor and the Master Registers were not being maintained in complete form as prescribed in the Act.Item Idle Investment on Equipments for Blood Banks in Chhattisgarh(CAG of India, 25-07-2015) CAG of IndiaSupply of equipments without ensuring availability of infrastructure resulted in idle investment of ₹ 17.57 lakh.Item Non Functioning of Blood Separation Units in Telangana(CAG of India, 29-03-2018) CAG of IndiaThree Blood Component Separation Units at Gadwal, Mahabubnagar and Tandur could not commence their operations for want of resources and equipment. As a result, the equipment bought at a cost ₹ 94 lakh remained idle for periods ranging from two to five years.Item Performance Audit of Blood Banks in Andhra Pradesh(CAG of India, 2011) CAG of IndiaBlood banks are regulated by Drugs and Cosmetics Act, 1940 (Act) and relevant rules made thereunder. Government of India formulated the National Blood Policy (NBP) in April 2002 to bring about a comprehensive, efficient and a total quality management approach to functioning of blood banks throughout the country to ensure easy access to adequate and safe blood. There were 233 blood banks in Andhra Pradesh as of May 2010. This performance audit by the CAG of India carried out, during July - December 2010, reviewed the functioning of 45 (out of 126) blood banks in eight districts over a period of three years (2007-10). This performance audit voices concerns about absence of relevant data, donor safety, sub-optimal utilisation of scarce resource, absence of adequate equipment calibration, huge shortage of drug inspectors as well as ineffective monitoring by drug inspectors. This performance audit found the functioning of blood banks in the State is far from satisfactory. Although specific rules were framed for ensuring the safety of blood donors, a majority of the blood banks verified in audit flouted the rules. Non-compliance with the Rules and ineffective monitoring by the Drug Inspectors had resulted in several deficiencies, endangering the safety of both the donor and the needy patients.