The Royal Government of the Kingdom of Cambodia recognises that blood transfusion is an important tool of modern health care. It saves the lives of many Cambodians every year. The main beneficiaries are women who haemorrhage during pregnancy or childbirth, severely anaemic children affected by malaria or dengue haemorrhagic fever, landmine and trauma victims. The Ministry of Health (MOH) also recognizes the importance of ensuring that transfused blood does not harm the health of the patient or transmit any infections such as syphilis, hepatitis and malaria. In 1991, a decree issued by the MOH officially gave the National Blood Transfusion Center (NBTC) the responsibility for organising and supervising the collection and supply of blood throughout the country. In 1994, also by government decree, the MOH adopted a policy of promoting voluntarily non-remunerated blood donation. This document has been designed to clarify a number of policies and regulations concerning the collection, fractionation, screening, storage and distribution of human blood and blood products, and to explain the principal strategies that are necessary to develop the National Blood Transfusion Services (NBTS) during the next five years. The policies, regulations and strategies described in this document are in accord with the strategic plan for the development of NBTS developed at the beginning of the year 2000. This policy paper has as its aim the strengthening in the mid-long term of four basic policies: 1) adequate blood collection and selection of blood donors; 2) strengthening blood screening and quality control; 3) optimal use of blood, blood products and blood substitutes; 4) the institutional development and long-term sustainability of the NBTS and 5) the implementation of a self-supporting financial system for the National Blood Transfusion Services.
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