Government of Nepal, in it's policy declaration of 1991, has mandated Nepal Red Cross Society as the sole authority in conducting blood programmes in Nepal. Therefore, a great responsibility has fallen on the Society and to prove its capability, it is systematically strengthening itself with resources available nationally and exploring resource possibilities internationally. The Kathmandu-based Central Blood transfusion service , so far being the only referral centre for the whole country, has been planning not only to upgrade the Centre but also in upgrading regional blood centres of Biratnagar, Pokhara, Nepalgunj and Chitwan. It is also considering the possibilities of upgrading the Dharan and Dhangadhi blood centers in view of the establishments there of major hospitals and coverage area. As it stands today, there are 21 district level blood banks, emergency units in 17 and 25 hospital units of the services in the country.
The Central Blood Transfusion Service Center (CBTSC) in Kathmandu is responsible for management of services in the Kathmandu valley, and for supervising and monitoring the technical standards of the district centers, providing guidance to ensure the collection and supply of safe blood. Thus, the CBTSC not only serves the blood transfusion needs of the people in Kathmandu valley, but also provides technical and other supports to the blood service centres across the country. In the year 2008 nationwide 1,78652 units of blood and blood products were provided to the patients from different blood centers.
Four of the five regions have blood transfusion service centers at Biratnagar, Pokhara, Nepalgunj and Chitwan. Those provide local services, and thus there is no distinct functioning management structure at the regional level.
The district BTSCs are managed by NRCS district chapters. These centres are supposed to comply with guidelines provided under the 1983 NRCS regulations and the 1998 Standard Operating Procedures. However, some of them operate independently, each setting up independent systems and charges. They receive no government funding, but some support in procurement of supplies provided by the Central Blood Transfusion Service Centre.
Blood Transfusion Service Centers in Nepal
|Types/Levels of BTCs||Number||Coverage|
|Regional BTSCs||4||Biratnagar, Pokhara, Nepalgunj, Chitwan|
|Emergency BTCs||17||17 districts|
|Hospital units||25||In different hospitals and medical colleges|
Note: Emergency BTSCs have no storage facilities, but keep a list of donors who can be called upon to donate blood in an emergency. They provide basic cross-matching and testing services.
[Source: Nepal Redcross Society]
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