GAP ANNUAL REPORT 2015 - Global Advisory Panel...2 | GAP ANNUAL REPORT 2015 OVERVIEW | 3 Since...

GAP ANNUAL REPORT 2015Good Governance, safe blood

OVERVIEW | 1

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Overview 1GAP’s purposeVision and missionMessage from the President2015 Performance Highlights

Governance 4MembershipExecutive BoardZonal CoordinatorsGAP Elections

IFRC 8Memorandum of UnderstandingWorld Blood Donor DayEveryone Counts ReportIFRC Reference Centre

Activities 10Global MappingSelf-assessmentPriority Country SupportDisaster Response – Nepal Earthquake

Finance 25Income & Expenditure Report 2015Audit Report

GAP is an independent Association, registered under Swiss Law and affiliated with the International Federation of Red Cross and Red Crescent Societies (IFRC).

The network’s purpose is to:

– Provide technical advice in terms of corporate governance and risk management to National Society Blood Services;

– Promote knowledge sharing, networking and partnership among and between National Society Blood Services and external partners;

– Develop and provide tools, guidelines and priority country assistance to National Society Blood Services most in need;

– Coordinated assistance to National Society Blood Services in post-emergen-cy situations including blood program recovery;

– Influence global blood policy in conjunction with its partners;

– Provide advocacy and support to the IFRC and National Society Blood Services on issues affecting blood programmes.

OUR VISIONAll Red Cross/Red Crescent blood pro-grammes will be safe, well governed and self-sustainable, based on the principle of voluntary non remunerated blood donation for the benefit of patients and to safeguard blood donors.

OUR MISSIONGAP will support Red Cross/Red Cres-cent blood services in risk management and corporate governance of blood pro-grammes and promote good practices and knowledge exchange.

OVERVIEW

The Global Advisory Panel on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies (GAP) is a global network of Red Cross and Red Crescent Blood Services with specific expertise in risk management and corporate governance of blood programmes.

OVERVIEW | 32 | GAP ANNUAL REPORT 2015

Since GAP’s early beginnings back in 2000, the risk identification programme has been based on the use of a self-assessment tool specifically designed to highlight key areas of risk. The analysis by GAP of the information provided through the assessment, the devel-opment of advice and strategies to address these risks and challenges, and the provision of advocacy for voluntary non remunerated blood donation, remains the fundamental ba-sis of GAP’s support for National Societies.

In recent years however, GAP’s role has further evolved and adapted to the chang-ing needs of National Society blood pro-grammes and their areas of activity, as well as adapting to the needs of IFRC to support the implementation of the blood policy. GAP has increased the visibility of its support ser-vice capability and expertise among National Societies, through its recognised role as an IFRC reference centre. Simultaneously, GAP has had an increased level of involvement in the field, directly supporting a number of priority country Blood Services through dedicated assistance programs and partic-ularly, in the last 12 months, in the provision of post-disaster recovery assistance and coordination.

In terms of disaster response, the existence of a quality blood service is critical to meet the high healthcare demand for blood during the initial emergency phase. While the avail-ability of blood may be a concern in the event

of a disaster, ensuring the safety of the blood supply is also of paramount concern. The recent experience of the devastating earth-quake in Nepal demonstrated the active role that GAP has in this arena, assisting the Na-tional Society to restore a functional and safe blood supply as soon as possible following the disaster and importantly in coordinating the long-term rebuilding and recovery of the blood programme once the initial urgency had passed, in conjunction with the support of Partner National Societies.

Healthcare systems world-wide require reli-able access to a safe and sustainable blood supply, which is based on the principle of vol-untary non-remunerated blood donation. We at GAP hope to continue our path of working together with Red Cross and Red Crescent National Societies to assist them in ensuring the availability of a safe supply of blood and blood products, and in doing so, to maximal-ly assist those most vulnerable populations around the globe.

Professor Philippe Vandekerckhove, MD, PhDGAP President

Professor Philippe Vandekerckhove, MD, PhDGAP President

MESSAGE FROM THE PRESIDENT

OUR 2015 PERFORMANCE HIGHLIGHTS

2015 has seen GAP continue to deliver its core programme of work, which centres upon providing assistance to Red Cross and Red Crescent National Societies to identify any potential risks associated with their involvement in a blood programme and providing specialist support to help address any risk areas.

GLOBAL NETWORKS

3 Completion of GAP website

3 GAP recognised as an IFRC reference centre

3 Participation in 2015 World Blood Donor Day (Shanghai, China)

MEMBERSHIPS

3 New member in 2015 – Indian Red Cross

IFRC

3 Participation of GAP in 2015 World Blood Donor Day

3 Promotion of VNRBD through priority country activities in Bangladesh and Nepal.

3 Funding of VNRBD online recruitment training module for the Honduran Red Cross Blood Service.

COMPLIANCE

3 Self-assessment distributed to 10 Indian Red Cross Society blood centres

3 Revision of Self-assess-ment questionnaire to address new and emerg-ing risks

SAFETY & GOVERNANCE

3 Priority country support to the Bangladesh Red Crescent Blood Service, expertise provided by Dr Wolfgang Mayr.

3 Priority country support to the Honduran Red Cross Blood Service, expertise provided by Dr Rudolf Schwabe.

3 Training programme for the Director of the Nepal Red Cross Blood Service provided by GAP member, Australian Red Cross Blood Service

3 Library of resources available on the GAP website

RELATIONSHIPS

3 Coordination of the Nepal post-earthquake recovery for the blood programme, with NRCS, IFRC and Partner National Societies

GAP ASSOCIATION GOVERNANCE

AMERICA

HONDURAS

GERMANY

BELGIUM

AUSTRIA

SWITZERLANDISRAEL

INDIA

Mr Chris HroudaDr Richard BenjaminAmerican Red Cross Biomedical Services

THAILANDDr Ubonwon CharoonruangritDr Soisaang Phikulsod Thai Red Cross National Blood Centre

Dr Martti SyrjäläDr Satu PastilaFinnish Red Cross Blood Service

Dr Elizabeth VinelliHonduran Red Cross National Blood Centre

Dr Wolfgang MayrAustrian Red Cross Blood Service

Prof Eilat Shinar Magen David Adom - Israel

Dr Veer BhushanIndian Red Cross Society

Dr Rudolf SchwabeTransfusion Swiss Red Cross

AUSTRALIAMs Jennifer WilliamsAustralian Red Cross Blood Service

Dr Cheuk Kwong LeeDr Che Kit Lin Hong Kong Red Cross Blood Transfusion Service

HONG KONG

PERTHGAP SecretariatAustralian Red Cross Blood Service

GENEVADr Gabriel PictetDr Julie Hall IFRC Permanent Observer on GAP

Prof Philippe VandekerckhoveBelgian Red Cross Blood Service

Dr Erhard Seifried German Red Cross Blood Transfusion Centre

FINLAND

Dr Kenji Tadokoro Japanese Red Cross Blood Service

JAPAN

GOVERNANCE | 54 | GAP ANNUAL REPORT 2015

The Global Advisory Panel structure consists of GAP Members and their representatives, Zonal Coordinators, GAP Executive Board, the Secretariat and IFRC representatives (permanent observer on the GAP Executive Board and Senior VNRBD Officer). GAP MEMBERSHIP

GAP Membership is open to National Society Blood Ser-vices which meet the criteria for membership, including the effective operation of a full Level A blood service. Members pay an annual membership fee and are represented by either their Chief Executive, head of their National Society Blood Service or a nominated representative.

Collectively, GAP members provide advice on corporate governance and risk management of blood services and at an individual level, GAP members contribute their expertise and knowledge to support a range of GAP pro-grams designed to assist priority country blood services. A General Meeting of all GAP members is held annually.

MEMBERSHIP CHANGES IN 2015

GAP member representatives who retired during the year:

Welcome to new member representatives in 2015:

American Red Cross Biomedical Services

Richard Benjamin

Americas Zone Coordinator

Thailand National Blood Centre

Dr Soisaang Phikulsod

Hong Kong Red Cross Blood Transfusion Service

Dr Che Kit Lin

Thailand National Blood Centre

Dr Ubonwon Charoonruangrit

Hong Kong Red Cross Blood Transfusion Service

Dr Cheuk Kwong Lee

Finnish Red Cross Blood Service

Dr Satu Pastila

New GAP member in 2015

Indian Red Cross Society is GAP’s newest member country. India joined GAP in December and member repre-sentation is being provided by Dr Veer Bhushan, Joint Secretary of the Indian Red Cross Society.

The GAP Executive Board members play a vital role in governance and decision making for the organisation’s activities. Board mem-bers are generally appointed for a three-year term, but may be eligible for reappointment. In addition to the generic skills that are required for most boards, our Board’s skills include knowledge and expertise in transfu-

sion medicine and National Society blood programmes. An IFRC permanent observer holds a position on the GAP Exec-utive Board to ensure the flow of information and coordination with the IFRC. The Exec-utive Board convenes regularly to review, approve and action GAP-related activities and objectives.

Prof Philippe Vandekerckhove PresidentChief Executive OfficerBelgian Red Cross Blood Service – Flanders

Dr Wolfgang Mayr Vice PresidentMedical CouncillorAustrian Red Cross Blood Service

Dr Rudolf Schwabe Permanent Board memberChief Executive OfficerTransfusion Swiss Red Cross

Ms Jennifer Williams Board memberChief Executive OfficerAustralian Red Cross Blood Service

Dr Julie Hall IFRC Permanent Observer

GAP EXECUTIVE BOARD

GOVERNANCE | 76 | GAP ANNUAL REPORT 2015

GAP ZONAL COORDINATORS IN 2015

AMERICASDr Richard Benjamin (USA) and Dr Elizabeth Vinelli (Honduras)

EUROPE & CENTRAL ASIADr Wolfgang Mayr (Austria)

ASIA & PACIFICDr Che Kit Lin (Hong Kong) and Dr Kenji Tadokoro (Japan)

MENAVacant in 2015

AFRICAVacant in 2015

The role of the GAP Zonal Coordinators is to liaise closely with their local IFRC zone office and look for opportunities to collaborate on activities in the critical area of corporate governance and risk management for National Societies involved in blood programmes.

GAP ELECTIONSIn 2015, GAP held an election for all Execu-tive Board and Zonal Coordinator positions which came to the end of their 3 year terms in December 2015. The result of this was that all members were re-elected to the same positions commencing from 1st January 2016.

Prof Eilat Shinar (MDA Israel) was newly elected to the previously vacant position of Zone Coordinator for the Middle East and Northern Africa region.

In June 2015, a GAP representative attended the World Blood Donor Day celebration which also included a round-table discussion on the promotion of voluntary non-remunerated blood donation (VNRBD) in Shanghai, China.

This was a joint initiative by the World Health Organisation (WHO), the International Society of Blood Transfusion (ISBT), the International Federation of Blood Donor Organisations (FIODS) and the Shanghai Blood Bank.

The objective of the round table discussion was to address the challenges of promoting VNRBD, ways to overcome barriers and to share new initiatives for VNRBD promotion. GAP provided a presentation which included information on the history and role of GAP and current activities, including the promo-tion of VNRBD and global mapping.

39

International Federation of Red Cross and Red Crescent SocietiesEveryone Counts | Progress 2015

5.5 Promoting safe blood systems

To serve others by donating your spare money, time, orskills is commendable. To give of your own self is trulynoble. It is, therefore, unsurprising that the Red Crossand Red Crescent has been associated with blood servicesever since the technology became available. Safe andaccessible blood supplies are crucial to save or preservelife in medical care and in the aftermath of accidents,violence, and disasters.

Alongside the World Health Organisation, we stronglybelieve in a policy of 100 per cent voluntary non-remu-nerated blood donation,because that is safest.At present,only 60 countries have fully achieved this norm. Givenworldwide shortages of blood and its components, there isa long way to go to achieve global blood security. Culturalattitudes are an undoubted constraint in some places.

Of the 108 million blood donations collected globally,about 21 million or a fifth are associated with Red Crossand Red Crescent blood services. Males tend to dominateas donors, and the Asia Pacific and Europe regions makethe most donations (Figure 5.11).

Operating a full-scale blood programme is a complex andhighly technical affair, with managing risk and main-taining safety and quality being the core concerns. Morethan 80 per cent of National Societies are involved inblood-related activities. A partial survey indicates thatthis is at three levels, ranging from promotion and advo-cacy for voluntary unremunerated blood donation, tothe systematic recruitment of blood donors, and finally,the provision of full blood services including collecting,testing, processing, and distribution (Figure 5.12).

Figure 5.11 Number of blood donors(2013 data from 178 National Societies22)

Source: FDRS

22 Number of National Societies reporting on blood donors in Asia Pacific: 32, Europe: 51, Americas: 35, Middle East and North Africa: 16, Africa: 44. Number of National Societies reporting on gender breakdown of blood donors: 121.

Figure 5.12 Types of National Society involvement in blood services(2013–2014 data from 74 National Societies)

Source: Global Advisory Panel on Corporate Governance and Risk Management of Blood Services in Red Cross and Red Crescent Societies

Africa

Middle East and North Africa

Americas

Europe

Asia Pacific

Top five National Societies:1. Japanese Red Cross Society2. American Red Cross3. The Republic of Korea National Red Cross4. German Red Cross5. Turkish Red Crescent Society

658+342=65.8%

Male

34.2%

Female

Global gender breakdown of the number of blood donors

JP KR

DE

US

TR

10,036,243

6,343,594

3,753,442

477,380

139,490

74 +54 +40 +36 Full blood service including collection

37%

Recruitment of blood donors

27%

Promotion and advocacy for voluntary non-remunerated blood donors

No involvement

20%

16%

18 ReD CRoss ReD CResCent RefeRenCe CentRes

GlobAl AdVisory pAnel (GAp) on CorporAte GoVernAnCe And risK MAnAGeMent oF blood serViCes in red Cross And red CresCent soCieties

Purpose of CentreThe purpose of GAP is to provide advice to National

Societies and their affiliated blood services, IFRC

and other related bodies in matters related to blood

service corporate governance and risk management.

Key services (e.g. Knowledge management, research, technical assistance, advocacy, networking)

1 Provide technical advice in terms of

corporate governance and risk management

to National Society blood programmes

2 Promote knowledge sharing, networking,

and partnership among and between

Red Cross and Red Crescent blood services

and external partners

3 Develop tools and guidelines as appropriate

within the area of National Society blood

programme delivery

4 Coordination of Red Cross/Red Crescent

assistance to National Society blood services

in post-emergency situations

HigHligHts

GAP has developed a Self-assessment tool to assist National Society blood services to ensure the long term stability and sustainability of their blood service without exposure to any unnec-essary risk. The Self-assessment is located at: www.globaladvisorypanel.org. On completion of the Self-assessment, GAP provides each blood service with a detailed feedback report, including analysis of the results, identification of areas of concern, and providing recommendations on risk management strategies to address the identified risks. GAP holds regional meetings for participant blood services to compare their performance against regional benchmarks and best practices. The results of the Self-assessment are outlined, regional issues are highlighted, and specific tools and information are provided to assist blood services to manage their key risks. Partnering opportunities for blood services with stronger regional counterparts are also identified.

Contact information ✉ : [email protected]

💻💻: www.globaladvisorypanel.org

💻💻: https://fednet.ifrc.org/en/resources/

health-and-care/blood/materials-and-tools/

8 | GAP ANNUAL REPORT 2015 IFRC | 9

GAP’s role and purpose is described in the IFRC’s blood policy “Promoting Safe and Sustainable Blood Systems” which outlines the specific responsibilities of the IFRC, GAP, National Societies and blood services in managing blood programme risk.

The IFRC was instrumental in the creation of GAP and participates as a permanent observer to ensure the flow of information and coordination with the IFRC. Regular communication and constructive ties be-tween GAP and the IFRC Secretariat ensure the coordination of work programs and support links, particularly with respect to VNRBD. The IFRC has a permanent standing invitation to attend the GAP Annual General Meetings and the Executive Board meetings.

Dr Gabriel Pictet (Acting Head of Health, IFRC) was the IFRC observer on GAP until September 2015, at which time Dr Julie Hall was appointed to this position (IFRC Head of Health)

Memorandum of Understanding

IFRC provided GAP with a grant in 2015 to strengthen GAP’s ability to act according to the IFRC Blood Policy “Promoting Safe and Sustainable National Blood Systems”. This grant was supported by a Memorandum of Understanding, agreed to by both parties.

The funding was provided to support the following GAP activities:

1. Extension of the GAP Self-assessmentprocess into an additional region in 2015

• The Self-assessment process wascompleted in the Middle East &Northern Africa (MENA) region andcommenced as an expanded activityin India in 2015.

2. Conduct Major Material Risk(MMR) follow-up and investigation:

• In 2015, GAP conducted a visitto India as a follow up to theSelf-assessment process.

3. Support for GAP priority countries:

• GAP provided support, includingin-country visits, to priority countriesBangladesh and Nepal.

Everyone Counts ReportIn 2015, GAP contributed to the IFRC publication, the Everyone Counts report. This report highlights the work of National Societies over the year which is measured through the seven key proxy indicators from the IFRC Strategic Plan. One of these indicators is the “number of people donating blood”. Each National Society provides the IFRC with their own data for this indicator and GAP provided additional information from its own global mapping activities. GAP also contributed a narrative to the publication which highlighted trends of National Society involvement in blood, as well as a human interest case study from the Australian Red Cross Blood Service.

IFRC Reference CentreGAP is recognised as an International Federation of Red Cross and Red Crescent Societies (IFRC) Reference Centre due to the specialist support function that GAP provides to Red Cross and Red Crescent National Societies with regard to their involvement in the provision of a blood programme. The Reference Centres are delegated functions of the IFRC and are hosted by Red Cross/Red Crescent National Societies around the world.

Each centre has a specific focus and sup-ports knowledge exchange essential for Na-tional Society operations including training, technical assistance, advocacy, knowledge management and research. “Their primary function as ‘centres of excellence’ are to de-velop strategically important knowledge and best practice that will inform the future oper-ations of the IFRC and National Societies in their key areas of interest and influence” .

In 2015, GAP was included in the IFRC Reference Centres brochures publication, which provides information on the individual reference centres and the support that they provide. The article on GAP highlighted the purpose and key services of the organisation as well as contact information. The IFRC Reference Centres brochure was distributed directly to all 190 National Societies globally and is available on both the IFRC and GAP websites.

OUR LINKS WITH IFRC

2015 World Blood Donor Day

In 2015, GAP commenced a global mapping exercise to de-termine the level of involvement of Red Cross and Red Cres-cent National Societies in the provision of their national blood programme. National Societies may be involved in a blood programme at 3 levels - Level A (full blood service provision), B (blood donor recruitment), C (advocacy for VNRBD) or they may have no involvement.

Understanding the scale of National Society involvement in a blood programme at the global level is important as a potential risk indicator and may impact on the likelihood of the existence of a Major Material Risk.

GLOBAL MAPPING 2015 RESULTS

Accurate information on all National Society Blood Services is critical for GAP and the IFRC to plan for future support activities and to conduct Self-assessment processes at a regional or global level.

Of the 190 surveys distributed, 57 (30%) of the 190 National Societies submitted a completed questionnaire in the latter half of 2015.

Global mapping results per region in 2015

A. Full Blood Service Provision

Governance • Advocacy for appropriate use • Product distribution • Component preparation • Collection services/donor care Donor recruitment • Promotional campaigns • Education and awareness • Involvement in WBDD

B. Systematic Blood Donor Recruitment

Donor recruitment • Promotional campaigns • Education and awareness • Involvement in WBDD

C. Advocacy for VNRBD

Promotional campaigns • Education and awareness • Involvement in WBDD

Level of involvement in Blood Program Activity

Level A17

Level B21

Level C8

Nil11

ACTIVITIES | 1110 | GAP ANNUAL REPORT 2015

Global mapping results from all regions in 2015 (total 57 National Societies)

REGION NO. RECEIVED

NATIONAL SOCIETIES IN REGION

RESPONSE RATE IN 2015

Africa 3 48 6%Americas 14 35 40%Asia Pacific 7 36 19%Europe & Central Asia 26 53 49%MENA 7 18 39%TOTAL 57 190 30%

Number of responses received per zone in 2015

2

5

3

1221

2 63

1

42

11

5

52

Asia Pacific

Africa

Middle East & Northern Africa

Europe & Central Asia

Americas

The questionnaire was developed in conjunction with the IFRC and contained questions specifically tailored for particular National Societies depending on their region and level of involvement.

– All National Societies were asked to provide information on the mode of coordination of activities, funding mecha-nisms, donor recruitment programs (if in place) and any potential plans to expand or scale back activities.

– For those National Societies operating a Level A blood service, questions were included for GAP to gain a comprehensive understanding of the scope of activity including:

• Number of blood collections

• Involvement in any fractionation,transfusion or cell/tissue therapies

• Accreditation

– The National Societies in Sierra Leone, Guinea and Liberia were asked supplementary questions relating to the Ebola recovery effort

– The survey was available in English, French and Arabic

The GAP global mapping questionnaire was distributed to National Societies in all IFRC regions (Africa, the Amer-icas, Latin America & the Caribbean, Asia Pacific, Europe & Central Asia and Middle East & Northern Africa) in the second half of 2015.

Once data collection is complete in late 2016, GAP will prepare a comprehensive report on all 190 National Societies which will include the results of the global mapping questionnaire, analysis and country narratives for each (obtained from both primary and secondary data sources).

This report will include information on:

3 National context (size, population, economy, health system etc.)

3 National blood programme (providers, regulation, trends, VNRBD rate etc.)

3 National Society Blood Programme (history, funding, statistics, accreditation, partnerships etc.)

3 Any current changes in a National Society level of activity in a blood programme or intentions to expand/scale back the level of activity

3 Regional and global summaries and visual mapping

In 2013, GAP received a completed Self-as-sessment survey from the Indian Red Cross Society (IRCS) New Delhi National HQ Blood Centre as part of the distribution of the Self-assessment (SA) to all Level A National Society Blood Services in the Asia Pacific region. Following the return of the SA Individual Feedback Report to the IRCS New Delhi Blood Centre and during the follow-up by GAP to the responses provided in the sur-vey, GAP became aware that there are 166 independently operating IRCS blood banks in India across the 36 states and Union Territo-ries. It was acknowledged therefore that the Self-assessment responses provided by the IRCS New Delhi National HQ in 2013 repre-sented the situation for one centre only and was not indicative of the activities in other Red Cross blood centres in India.

As it was not feasible for GAP to distribute the SA to all 166 centres, an expanded GAP Self-assessment process was undertaken in 2015 with the assistance of Dr Vanshree Singh (Blood Bank Director, India Red Cross Society, New Delhi National HQ). GAP distrib-uted the SA questionnaire to a subset of the largest Red Cross blood centres in India. 9 responses were received from:

• Ahmedabad (Gujarat);

• Voluntary Blood Bank and Blood Compo-nent Centre, Dist Panchmahal (Gujarat);

• Karnataka Red Cross Blood Bank;

• Tamil Nadu Branch;

• Blood Bank & Component SeparationUnit (Dadra & Nagar Haveli UT);

• Bombay City Branch Blood Centre(Maharashtra);

• Dr. Balchandra Blood Bank,Latur (Maharashtra);

• Blood Bank Service CentreThanjavur State Branch;

• Patna (Bihar).

SELF-ASSESSMENT

SELF-ASSESSMENT FOCUS INDIA

ACTIVITIES | 13

One of GAP’s major ongoing projects is the distribution and evaluation of the Self-assessment survey for each National Society Blood Service. The Self-assessment questionnaire assists National Societies to ensure that appropriate steps are being taken to support the long term stability and sustainability of their blood service without exposure to unnecessary risk. National Society Blood Services can measure their progress against a number of selected criteria identified as fundamental aspects of corporate governance and risk management.

Above: Ms Tonks visiting the Indian Red Cross Society New Delhi National HQ blood bank with Director Dr Vanshree Singh

Below: GAP delegates with Dr Agarwal (ICRS Secretary General)

QUESTIONNAIRE REVIEW

The Self-Assessment process provides individual feedback to the blood service on risk and governance issues including recom-mended strategies and suggested next steps for reducing exposure to current risks. GAP also provides de-identified regional re-ports to enable comparison of performance and identification of common themes or challenges within the region which are fur-ther discussed with National Society Blood Services at GAP regional meetings.

During 2015, the Self-assessment question-naire was reviewed by GAP members at the Annual General Meeting. A number of mod-ifications were made including the addition of supplemental questions, refinements to wording to improve clarity and improvement to the method of scoring the questions which are used to derive the overall percentage score of the blood service.

These opportunities for the improvement of the Self-assessment questionnaire were identified through:

– Feedback from GAP members and National Society Blood Services under-taking the process in 2014/2015

– GAP/IFRC discussions on Major Material Risk in developing countries due to lack of financial resources

– GAP priority country visits and third party information which has identified new National Society Blood Service risks.

The updated version of the Self-assessment questionnaire will be distributed in 2016.

As resources permit, GAP provides targeted assistance to a small number of identified priority country National Society Blood Ser-vices (NSBS). These NSBS are assessed by GAP as requiring specific support in corpo-rate governance and risk management of blood programmes following the completion of the Self-assessment questionnaire

This assistance may include:

• in-country support visits

• provision of GAP tools,resources and GAP expertise

• identifying partnering opportunities withother Blood Services

• co-ordination of technical assistancefrom GAP members or partners

PRIORITY COUNTRY SUPPORT

SELF-ASSESSMENT FOCUS INDIA cont.

14 | GAP ANNUAL REPORT 2015

In 2015, GAP’s priority countries were Nepal, Bangladesh, Honduras, Indonesia and Haiti.

The completed SA questionnaires were received from these IRCS blood centres between January and March 2015. The re-sponses were analysed and individual blood centre Self-assessment feedback reports were distributed to each centre with the as-sistance of Dr Vanshree Singh in May 2015. The reports provided a detailed analysis of the responses for each question and a summary of strengths and challenges for the blood centre.

In-country visit

A GAP delegation (Ms Emily Tonks and Ms Olivia House) visited India from 10th–17th September to validate the data provided in the survey results from these IRCS centres. During the visit, the delegation met with key representatives of major stakeholders in the national blood program. These included the Indian Red Cross Society (IRCS) at national, state and district level, the IRCS Blood Bank National Headquarters in New Delhi and two state IRCS blood centres, IFRC South Asia Regional Delegation office and NACO (National AIDS Control Organisation, Indian Ministry of Family Health & Welfare).

Through these meetings, and together with information provided by the Indian Red Cross centres in the GAP Self-assessment, GAP was able to assess the blood service, its operational context, and identify a number of areas of success and also some areas of remaining challenge.

The GAP delegation visited 3 IRCS blood centres who had completed the SA question-naire – New Delhi National HQ, Ahmedabad and Godhra (Gujarat). The Self-assessment results were discussed with the blood centre directors and representatives of the National Society and a summary of the strengths and challenges were highlighted. The delegation also reviewed the blood centre facilities and operations. The management and staff of the IRCS blood centres visited were highly engaged and eager to identify any areas in which they could improve their services and standards.

A Self-assessment sub-regional meeting will be held in India in 2016 following the distribution of the questionnaire to a second subset of IRCS blood centres. The meeting will enable a representative of each centre to come together to discuss the results, includ-ing country specific strengths and chal-lenges. The meeting will also aim to enable increased knowledge sharing and networking on regional issues.

Above: Ms House discussing the Self-assessment results with Director Dr Vanshree Singh

In December 2015, Dr Manita Rajkarnikar (Director, Nepal Red Cross Society National Blood Transfusion Service) commenced a 3 month training programme with the Australian Red Cross Blood Service, provided by GAP through the 2015 GAP-IFRC Memo-randum of Understanding funding for priority country assistance.

Dr Rajkarnikar commenced the training pro-gram in Perth, Western Australia, including an initial introduction and orientation session with the GAP secretariat. Key learning objectives were developed by GAP for each training element, to assist the delivery of the technical training program. The training schedule also included visits to Australian Red Cross Blood Services sites in Brisbane and Melbourne.

The programme included trainingin the following key areas:

• Donor eligibility/selection and collection(including fixed site and mobile bloodcollection)

• Quality Systems (GMP requirements,external quality assurance programs,change control, corrective andpreventative measures)

• Donor notification andcounselling services

• Testing and processing

• Order fulfilment & customer service

• Visit to a major hospital to observepre-transfusion laboratory processesand clinical use of blood

• Clinical transfusion practice (componentuse, transfusion guidelines, patient bloodmanagement, managing adverse events,hospital transfusion committees)

• Corporate and strategic planning,supply chain management andmonitoring inventory

• Disaster management and contingency

• Marketing and donorrecruitment strategies

• Finance (cost model development)

GAP received very positive feedback from Dr Rajkarnikar on the training.


“As NRCS is planning to construct new Central Blood Service building and other district buildings as damaged by earth quake, this training is very fruitful to learn about the system; database, new technology organizational structure, management and coordination with the stakeholders. Along with the training we had the chance to work on the post EQ recovery project. I convey my sincere thanks to GAP for all support to make this training possible and look forward to continued support and collaboration in future. I look forward to implementing in our field whatever I have learned and gained once I return back to the home country.” DR MANITA RAJKARNIKA, DIRECTORNepal Red Cross Society National Blood Transfusion Service

Above: Dr Manita Rajkarnikar at the Melbourne Processing Centre (Australian Red Cross Blood Service)

PRIORITY COUNTRY SUPPORT NEPAL

GAP has a well-established association with Nepal Red Cross Blood Transfusion Service through its priority country support program. Since 2010 GAP has been working with the Nepal Red Cross Society to provide specific risk management and technical assistance to the blood service.

In 2015, GAP provided additional financial support to Outcome 4 of the project with the approval of funding for an online donor recruitment training module. This will also be administered through the Swiss Red Cross as an adjunct activity to the existing bilateral support program. It is anticipated that this online tool will also be made available to other National Societies, with a view to assisting with the achievement of 100% VNRBD which is acknowledged as a major challenge in developing countries.

Haiti

The Haitian Red Cross was selected as a GAP priority country in 2010, following the Haiti earthquake. As GAP was not involved in any active support or engagement with the National Society Blood Service since 2012, the priority status of Haiti was closed in 2015. GAP will encourage the National Society Blood Service to continue to com-plete the GAP Level A Self-assessment questionnaire when the questionnaire is next distributed to the Americas, Latin America & The Caribbean.

Indonesia

The priority country status of Palang Merah Indonesia (PMI) was on hold in 2015 pending completion of their bilateral support programme with the Australian Red Cross Blood Service.

The Honduran Red Cross Blood Service has been a GAP priority country since 2012. The Swiss Red Cross (SRC) provides direct support to the Honduran Red Cross blood program as a dedicated bilateral project, including support for corporate governance and risk management issues. GAP member and Chief Executive Officer of Transfusion Swiss Red Cross provides expertise to the project alongside the Medical Director of the Honduran Red Cross Blood Service (and GAP member) Dr Elizabeth Vinelli.

The bilateral project “Strengthening of the Honduran Red Cross National Blood Pro-gram” is scheduled to be completed by end of 2016. The overall objective of this project is to assure the availability and security of blood and blood products for all patients, by strengthening the technical, administrative and governance capacity of the Honduran Red Cross’s National Blood Program.

The expected outcomes are:

1. Establishment of the National BloodProgram’s own, duly constituted gover-nance structure, with the delegation ofresponsibilities necessary to conducteffective technical and administrativemanagement.

2. Creation of a unified coordinated Na-tional Blood System based on voluntary,non-remunerated blood donation.

3. Strengthening the National Blood Pro-gram’s technical and administrative, gov-ernance and risk management capacity.

4. Strengthening voluntary blood donation.

In April 2015, the General Assembly of the Honduran Red Cross approved the revised statutes and the new governance structures of the organisation. In the revised statutes, the activities of the Blood Transfusion Ser-vice were included, and the mission to pro-vide safe and sufficient blood products from voluntary non-remunerated blood donors is explicitly mentioned.

Further central activities of the project were:

– Capacity building for collaborators and executives of the Honduran Red Cross

– Promotion of VNRBD in collaboration with the local chapters of the Honduran Red Cross.

ACTIVITIES | 19

PRIORITY COUNTRY SUPPORT HONDURAS HAITI & INDONESIA

In 2015 the Honduran Red Cross Blood Service was accredited by the AABB Accreditation Standards for the 6th time.

Left: Workshop with the Support commission of the National Blood Program of the Honduran Red Cross.

The Bangladesh Red Crescent Blood Service (BRCBS) was selected for GAP priority country support in July 2014 fol-lowing the completion of the GAP Self-assessment question-naire, which identified that some corporate governance and risk management challenges existed for the blood service.

In November 2014, a preliminary scoping visit was under-taken by GAP to assess the Blood Service, its operational context and to identify areas of success and areas that would benefit from support. Dr Wolfgang Mayr (GAP member and Medical Councillor for the Australian Red Cross Blood Ser-vice) provides ongoing advice and expertise to this project.

During 2015, two visits to Bangladesh were undertaken by GAP (in May and November) to meet with the Bangladesh Red Crescent Society (BDRCS) Blood Service Director and other key stakeholders in order to:

– further understand BRCS’s requirements for the specific areas of support requested by the BRCS Blood Service; and

– progress the options for GAP or bilateral partner support.

During each visit, the GAP delegation met with key staff of both the Bangladesh Red Crescent Society and Blood Service, including the BDRCS Director of Health and Blood, Mr Afsar Uddin and the Deputy Director and In-Charge Dhaka Blood Centre, Dr Tarique Mehedi. The delegation reviewed of the status of the blood service and any progress since the last visit, reviewed current and emerging challenges, and plans for future development of the BDRCS blood program.

Meetings were also held with representatives from the Ministry of Health and Family Welfare (Line Director Prof Md Shamiul Islam) and with the Bangladesh Red Crescent Society Secretary General, BMM Mozharul Huq and Treasurer, Advocate Tauhidur Rahman.

In consultation with Mr Afsar Uddin and Dr Tarique Mehedi, and taking into consideration the discussions held with var-ious key stakeholders, recommendations for a plan for GAP and bilateral partner support for the BDRCBS, against the following six areas of identified need were developed.

1. Assistance in advocacy with government

2. Support for an operationalisedstrategic plan

3. Assistance to design and implementa quality system

4. Training for technical staff, includingthe GAP Regional Training Programin Australia

5. Assistance in business case developmentfor Dhaka facility improvement/rebuild

6. Promotion to IFRC of the needfor VNRBD support

During the May visit, the GAP delegation attended a mobile voluntary blood donor collection session held at Standard Chartered Bank facilities in Dhaka and also observed the operational processes for collection, testing, processing and transfusion of blood at the Dhaka Blood Centre.

As well as visiting two district blood centres (Chittagong and Jessore), the focus of the November visit was on assisting the BDRCS to commence development of a National Strate-gic Plan for the Bangladesh Red Crescent Blood Service as a key corporate governance and risk reduction strategy, and culminated in a strategic planning workshop. The workshop included blood service participants from Dhaka and 5 of the 7 regional blood centres (Chittagong, Jessore, Sylhet, Natore and Rajshani).

PRIORITY COUNTRY SUPPORT BANGLADESH


Right: Dr Mayr reviewing laboratory processes with BDRCS Director and laboratory manager, Dhaka blood centre.

The GAP delegation and BDRCSBlood Service Director:

– Discussed the workshop purpose as well as the roles and responsibilities of each centre and GAP

– Developed a shared understanding of the strategic planning process and a typical strategic plan format

– Commenced the strategic planning process for BDRCS, including:

• Scanning the current internal andexternal operating environment

• Workshopping of strengthsand challenges of each centre

• Goal setting for each centre

– Discussed the next part of the strategic planning process

– Discussed and agreed on the next steps for development of the national strategic plan, including confirmation of strategic priorities and development of activities under each strategic priority

Following the advice provided by GAP to BDRCS during the November visit, the Blood Service Director, Dr Mehedi progressed the strategic planning activity by leading a local workshop in December 2015 with repre-sentatives from all 8 BDRCS blood centres across Bangladesh. The workshop was also attended by:

– the Chairman of BDRCS

– the Head of Delegation of IFRC, and

– the Line Director from the Ministry of Health and Family Welfare

One of the outcomes of the planning workshop was a comparison of performance and practice of each blood centre against selected key parameters (such as %VNRBD, testing technologies used, percent compo-nents issued), with a view to identifying areas of focus for future strategy.

BDRCS continues to progress and implement their strategic planning at a local level. Above: Dr Mehedi (BDRCS Blood Service Director) running local workshop

Above: Ms Tonks observing operational processes at the Dhaka Blood Centre

Immediately following the earthquake, GAP liaised with the Director of the Nepal Blood Service, Dr Manita Rajkarnikar, to pro-vide support. The impact had resulted in sig-nificant and extensive damage to the Nepal Red Cross Blood Service, both in Kathmandu and in regional and district areas. Several blood centres were extensively damaged. The earthquake and aftershocks had inten-sified pre-existing vulnerabilities resulting in serious concerns that the impending mon-soon season would increase both the level and urgency of needs and the challenges for relief and recovery.

The Central Blood Transfusion Service (CBTS) facility in Kathmandu, which serves as the primary coordination hub for the national blood service, was severely dam-aged and was structurally unsound for use. This resulted in the CBTS being transferred to temporary and unsustainable facility ar-rangements in tents. Emergency blood bank infrastructure, constructed by the British Red Cross in 2014/15, helped provide medium term facilities support to the CBTS, whilst they moved toward a longer term solution.

GAP has a specialist role in the provision and coordination of assistance to National Red Cross or Red Crescent blood services in post emergency situations in accordance with GAP’s Terms of Reference. This includes immediate, short-term assistance as well as long term support to rebuild the blood ser-vice once the initial urgency of the disaster response has passed. In this capacity, the Nepal Red Cross Society (NRCS) Secretary General requested that GAP coordinate the Nepal Blood Service reconstruction and recovery effort following the earthquake.

GAP attended the Nepal post-earthquake planning meeting in Kathmandu in June 2015 involving senior management from NRCS, IFRC, the International Committee of the Red Cross (ICRC), Government and the United Nations. The purpose of the meeting was to:

In August and September 2015, an expert assessment team was sent by GAP to Nepal to conduct a detailed scoping assessment of the affected NRCS Blood Service facili-ties throughout the country and to develop recommendations and proposed activities for the immediate and longer term support requirements necessary to rebuild the blood program following the disaster.

The team visited the CBTS in Kathmandu (as well as the Lalitpur Emergency Blood Bank) and regional centres in Bhaktapur, Pokhara, Kavre, Dhading, Gorkha and Nuwakot. Meetings were also held with the Nepal Red Cross Society to review the recovery proposal, which focusses on four key areas of support:

DISASTER RESPONSE NEPAL EARTHQUAKE

NEPAL RECOVERY PROGRAM Four Key Areas of Support


On 25th April 2015 a devastating earthquake of magnitude 7.9 occurred in Nepal. In addition to loss of lives, the earthquake caused extensive destruction and damage to infrastructure, housing and livelihoods.

• Endorse the strategic prioritiesin relation to relief, recovery andcapacity building of the NRCS;

• Endorse the framework forpartner support for Nepalincluding an initial mappingof needs to be addressed,objectives and targets to be met;

• Understand movement partners’capacities, resources andpractical arrangementsfor working in Nepal.

INFRASTRUCTURE

Rebuild or repair damaged NRCS blood service facilities and infrastructure, including the establishment of adequate temporary facilities for the CBTS. This includes the provision of building experts to assist with technical advice for the design of new buildings at CBTS and Kavre since these were extensively damaged in the earthquake and required replacement.

CAPABILITY

Delivery of comprehensive technical training and support for central, regional and district staff to assist the NRCS Blood Service to improve national capability. This includes training in collections, laboratory methods, quality management, clinical practice, policy management/organisation and facilities technical support (layout and GMP requirements).

EQUIPMENT

Provision of critical blood service equipment to support blood service operations immediately and into the future for eight NRCS blood service sites. The equipment includes transport vehicles, collections, processing and testing equipment as well as testing reagents and refrigerators.

PROJECT MANAGEMENT AND LOCAL SUPPORT

A dedicated GAP project manager will coordinate all aspects of the NRCS Blood Service recovery program with support from local teams in Nepal. This includes the coordination of funding assistance by Partner National Societies to ensure no duplication of activities or investment.

1234

Below: Temporary blood bank facilities in Kathmandu.

DISASTER RESPONSE NEPAL EARTHQUAKE cont.

Following the assessment visits, and devel-opment of the recovery proposal a GAP dele-gation visited Kathmandu in November 2015 to meet with potential partners, understand the post-earthquake recovery environment and seek funding commitments for the blood program recovery. Meetings were held with the Nepal Red Cross Society, IFRC, ICRC and potential Partner National Societies

The GAP team also included a building expert to assist with the design of the new buildings including the Central Blood Trans-fusion Service and Kavre facilities as these were extensively damaged in the earthquake and require replacement.

The GAP delegates met with potential partner National Societies to discuss the NRCS blood program recovery requirements and the proposed support plan. These discussions subsequently resulted in several partner National Societies confirming their support commitment to assist the blood program recovery with GAP’s coordination.

GAP will continue to maintain its close rela-tionship with the NRCS, the NRCS National Blood Transfusion Service and the Blood Ser-vice Director, Dr Manita Rajkarnikar, to deliver the post-earthquake recovery program and to enable the NRCS Blood Service to improve its own capacity to manage its challenges both in the short term and to ensure its long term sustainability.

FINANCE | 2524 | GAP ANNUAL REPORT 2015

Notes

“Total AUD Account (AUD)”

“AUD Converted to CHF

(CHF)”

“CHF account

(CHF)”

Approved 2015 Budget (CH

F)

“Actual I&E (CHF)

1 Jan-31 Dec 2015 (Includes Aust&Sw

iss Accounts)”

2016 Approved Budget (CH

F)

Opening balance

GAP accounts

Australian Account 402,578 326,987 326,987

Swiss Account 97,975 97,975

IFRC Funding account

Australian Account * 94,526 76,777 76,777

Combined opening balance at 1 January 497,104 403,764 97,975 501,738 514,374

Income

2015 Member Contributions

America 28,380 21,000 21,000 21,000 21,000

Australia 28,502 21,000 21,000 21,000 21,000

Finland 27,113 21,000 21,000 21,000 21,000

Israel 27,609 21,000 21,000 21,000 21,000

Japan 27,167 21,000 21,000 21,000 21,000

Switzerland 26,502 21,000 21,000 21,000 21,000

Germany 26,523 21,000 21,000 21,000 21,000

Austria 26,165 21,000 21,000 21,000 21,000

Belgium 26,742 21,000 21,000 21,000 21,000

Thailand 27,250 21,000 21,000 21,000 21,000

India α 42,000 42,000 0 42,000 0

Hong Kong - special status 0 0

Honduras - exempt 0 0

subtotal 313,952 252,000 210,000 252,000 210,000

2015 IFRC MOU funding Income

Income 87,862 65,000 65,000 65,000 65,000

2015 Interest Income

Interest- GAP Australian account

16,752 15,752 8,000 15,752 5,000

Interest - GAP Swiss account 8 8 0

Interest - IFRC funding account 1,302 1,225 1,225 500

subtotal 18,054 16,976 8 6,660 16,984 5,500

Payment from HKRC for Nepal Joint Project Contribution

Ψ

Total Income 419,868 333,976 8 281,660 333,984 280,500

FINANCIAL REPORT

Above: Dr Manita Rajkarnika at the temporary blood bank facilities in Kathmandu.

Right: GAP delegation in Nepal with Dr Manita Rajkarnikar.

Notes



(CHF)”

“CHF account

(CHF)”


F)

“Actual I&E (CHF)


iss Accounts)”


F)

Expenditure

Secretariat

Self Assessment costs: Salary and oncosts

@ (34,595) (35,979)

Online survey license fees

(458) 0

subtotal (35,052) (35,979)

Secretariat costs Secretariat salary and oncosts

@ (78,525) (81,666)

Phone, rent, office supplies, postage, stationery

(2,947) 0

Office equip-ment, soft-ware, training, sundry

(3,497) 0

subtotal (84,968) (81,666)

(143,772) (135,186) (120,021) (135,186) (117,645)

Postage, stationery (196) (184) (184)

Specialist Advice 0 0 0

Translation - Self assessment reports, GAP manual, ques-tionnaire

(1,246) (1,172) (10,000) (1,172) (5,000)

publications/standards (40) (37) (37)

Professional expertise eg legal 0 0 (2,000) 0 (1,000)

Stakeholder meetings (e.g. IFRC, Reference Centres,WHO, ISBT)

0 0 0

Travel & accommodation 0 0 (10,000) 0 (5,000)

Other meeting expenses 0 0 (2,000) 0 (1,000)

Regional meetings 0 0 0

Meeting costs (373) (351) (18,000) (351) (10,000)

Participant costs (1,953) (1,837) (10,000) (1,837) (5,000)

Annual General Meeting 0 0 0

Travel & accommodation (7,642) (7,186) (15,000) (7,186) (9,000)

Meeting venue/catering (1,723) (1,620) (3,800) (1,620) (2,000)

GAP networking events (dinner)

(1,005) (945) (2,000) (945) (2,000)

Other expenses (annual reports)

(423) (397) (1,000) (397) (1,000)

Executive Board Meeting(s)

Meeting venue/catering and travel accommodation

0 0 (1,200) 0 (2,000)

Teleconferences

Teleconferencing Calls costs (1,598) (1,503) (3,800) (1,503) (2,700)

Notes



(CHF)”

“CHF account

(CHF)”


F)

“Actual I&E (CHF)


iss Accounts)”


F)

Priority country support

Nepal Post disaster support - see separate line item

0 0 0

Support program, travel & accommodation

(35,357) (33,245) (30,000) (33,245) 0

Other expenses 0 0 (3,000) 0 0

Bangladesh Support program, travel and accomodation

(18,988) (17,854) (22,000) (17,854) (51,000)

Secretariat coordination, logis-tics and support

@ (9,107) (8,563) (37,733) (8,563) (39,242)

Honduras Travel & accommodation 0 0 (10,000) 0 (10,000)

Other Expenses (online VNRBD module)

(18,757) (17,637) (1,000) (17,637) (1,000)

Vietnam Travel & accommodation 0 0 (20,000) 0 0

Other expenses 0 0 (2,000) 0 0

Haiti 0 0 0 0 0

Indonesia Travel and accomodation 0 0 0 (6,000)

Post disaster response Nepal (78,835) (74,127) (113,000) (74,127) (130,000)

MMR followup (20,207) (19,001) (32,500) (19,001) (33,800)

Global mapping (new approved activity 2015-16)

(4,113) (3,867) (3,867) (43,391)

Stepwise accreditation (new activity for 2016) 0 0 0 (54,400)

Website hosting and technical maintenance (9,461) (8,896) (7,000) (8,896) (2,500)

Insurance 0 0 (1,000) (1,000) (1,000)

Bank fees (95) (89) (24) (113) 0

Contingency funds 0 0 (20,000) 0 (20,000)

Journal adjustment 0 0 0

2014 IFRC Funded Activities journalled in Jan 2015 (website, project support, Nepal joint GAP project with HKRC)

^ 0 0 0

2014 HRKC Expenditure already adjusted in the opening income balance

* 14,220 13,370 13,370

Total Expenditure (340,671) (320,325) (1,024) (497,054) (321,349) (591,657)

Closing balance 286,345 514,374 203,217

NotesExchange rates: Opening Balance Exchange rate as per XE Currency converter website 31 Dec 2014: 1 AUD = 0.8122324904 CHF

Weighted average rate for report 1AUD=0.9403CHF

Calculation of Weighted Average Rate

303,349 CHF - OB+IncomeReceived-CB 322,616 AUD - OB+Income Received-CB 0.9403 Weighted Avg 0 Check 0.9403

Closing Balance Exchange rate as per Oanda website conversion rate - 1 AUD = 0.7243 CHF

* Opening Balance in Q621 includes the adjustment of $14k HRKRC expenditure that was only reallocated to Q621 in Jan-15

α India membership fees for 2016 and 2017 (42,000CHF) invoiced in Dec 2015, but not yet received

^ 2014 IFRC Funded Activities relate to activities carried out in 2014. Due to timing of costs incurred, the projects were only finalised in early 2015.

** 2016 Budget Secretariat costs converted to CHF using the exchange rate:AUD/CHF 0.73815 Reference: Oanda 26 May 2015

@ Budget allocation for salary provided in AUD may need to be revisited if significant movement in exchange rate

FINANCE | 2726 | GAP ANNUAL REPORT 2015

HISTORY


AUDIT REPORT

GAP was formed in 2000 by a group of experts from National Society Blood Services in order to share knowledge on risk management and to provide advice to Red Cross/Red Crescent Societies on the proper management of risks associated with blood programmes.Since that time, GAP’s membership has grown and GAP has continued to provide technical support and assistance to National Society Blood Services. In June 2012, GAP was officially established as an independent association registered under Swiss law, and governed by an Executive Board.Currently GAP’s membership stands at thirteen National Society Blood Services, all of whom conduct Level A blood programmes.

Good Governance, safe blood

CONTACT GAP

GAP SECRETARIAT

A Level 1, 69 Walters Drive, Osborne Park WA 6017, Australia

P +61 8 6213 5909

F +61 8 6213 5949

E [email protected]

W globaladvisorypanel.org

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