This document discusses phasing out replacement blood donation and moving towards 100% voluntary blood donation (VBD) in India. It defines replacement donation as donation from a patient's family/friends that often involves coercion or payment. The document outlines reasons not to allow replacement donation, including that it is promoted by private blood banks for business and government banks to avoid responsibility. It discusses measures taken by the National Blood Transfusion Council (NBTC) and State Blood Transfusion Councils (SBTCs) to encourage VBD. It calls for hospitals and blood banks to publicly disclose voluntary versus replacement donations, share plans to phase out replacement donations, and for strong messaging against replacement donations from regulatory bodies.

1. Phasing out of Replacement
Blood Donation –
March towards 100% VBD
Biswaroop Biswas
Secretary
Federation of Indian Blood Donors
Organisations [FIBDO]

2. Definition of
Replacement Donor
1. A donor who gives blood when it is required by a member of the
patient's family or community. This may involve a hidden paid
donation system in which the donor is paid by the patient's family.
2. A family / replacement donor is one who gives blood when it is
required by a member of his/her family or community. This often
involves coercion and/or payment which compromise the safety
of the blood.

3. Definition of
Replacement Donor
3. A member of the family or a friend of the patient who donates
blood in
replacement of blood needed for the particular patient without
involvement of any monetary or other benefits from any source.
Source :Voluntary Blood Donation Programme
- An Operational Guideline

5. Why NO Replacement Donation

6. Who Promotes Replacement Donation & WHY
1. Private Blood Banks – Business ,Filling their blood stock
2. Government Blood Banks – Don’t take the responsibility
3. Apps ,donor directory & website – Gimmick ,Money Transaction
4. Blood donor Agents - Gimmick ,Money Transaction
5. Philanthropic youth – emotion , fame
6. Scrupulous Media - yellow journalism

7. What Measures taken by NBTC
1. Blood Bank to Blood Bank Transfer
2. Private Hospital Based Blood Banks allowed to go for outdoor
camps
3. SBTC Maharastra

8. What Measures
taken by SBTC

9. What We need NOW
Each hospital must be made to publicly disclose
the collection of blood from truly voluntary
blood donors versus blood donors who have
been forced to donate because the hospital
asked the family to organise donors (whatever
name the hospitals choose to give to cover up
this grave malpractice)

10. What We need NOW
Each blood bank must be asked to share a plan on
how they are going to move from their current
level of replacement donation to zero
replacement in a time bound manner and the
reporting of this should be integrated with the
existing systems of monitoring blood banking.

11. What We need NOW
There should be clear messaging from National
Blood Transfusion Council and other regulatory
bodies strongly condemning, discouraging and
legally limiting the process of replacement blood
donation

12. What We need NOW
• SBTCs to take monthly report from Private Hospital based Blood
banks regarding -
a) the outdoor/indoor blood donation conducted by them and the
number of donors in each camp.
b) Batch No. of Blood Bags issued for in house patients and patients
from other hospitals.
• Real time stock status digitally displayed outside blood bank

13. What We need NOW
• Proper functioning of Eraktkosh
• Educating the SBTCs regarding the National Blood Policy

14. What We need NOW

15. What We need NOW

18. WHAT FIBDO SAYS
NO
Replacement