Pre and Post Donation Counselling

Module-2

Counselling in Blood banks

• Motivate the donor at high risk to test for HIV

• Help the donor to take the right decision

• Creates awareness among the donors on HIV/AIDS and TTIs

• Encourage Voluntary Blood Donors to donate regularly.

Aims of Counseling

• Encourage HIV testing

• Ensure Voluntary Blood Donation

• Reduce wastage

• Develop safe donor pool

Donor Counselling

• Enables discussion on behaviours

• Ensure Confidentiality

• In other settings confidentiality might be missing combined with judgmental

response

Checklist for a counsellor

• Greet the client and introduce yourself

• Define your role as a counselor

• Listen attentively

• Give time to what donor want s to say

• Avoid moralistic judgments

• Accept donors as they are

• Do not pretend - be informed

The Stages of Donor Counseling

Pre Donation Counseling• Prevention of HIV transmission

• Help for self deferral if at risk

• Acknowledge the donor for blood donation

• Assure confidentiality

• Same procedure as pre-test counselling -refer-Submodule-6 of Module-2

Pre Donation Counselling• Donors consent for testing of blood for all tests

• Provide an opportunity to ask questions and refuse donation

• Risk history assessment  

• Transfer knowledge of HIV and blood-borne infections 

• Donation and test information 

• Getting the reports after the tests.

Pre Donation Counselling

• Modes of transmission of HIV

• Window period assessment

• Tests carried out on donated blood

• Confidentiality of test results

• Alternative testing site

Assurance to the Donor

• Name will not be disclosed

• Reply on personal behaviour will not harm the donor or the recipient.

• The results will be shared only with the donor days.

Activity - 1

Role play on Pre-donation Counselling

Ethical Responsibilities of the Counsellor

• No coercion or pressure

• Follow the criteria for donor selection

• Assure confidentiality

Self Exclusion and Self Deferral

• Self exclusion – donor decides not to give blood

• Self deferral – donor waits for stipulated time to donate

Education about safe blood donation

• IEC materials on decision making and behaviour

• Self-exclusion materials on risk of HIV and TTIs

• Directory of services for referring to other agencies

Post Donation Counselling

• Result seeking donors should be given post donation information and counseling

• laboratory tests may indicate presence of TTI

• Donors may become very anxious if they are defferred.

Instructions to Donors after donation

• Drink more fluids in the next 4 hours.

• Do not smoke for half an hour

• Do not take alcoholic drinks for at least 6 hours.

• If there is bleeding, rise arm and apply pressure

• If there is feeling of faintness or dizziness, either lie down or sit with head between knees, if symptoms persist, consult the doctor.

• Remove the bandage/band-aid after 5-6 hrs.

Steps to be followed during deferral

• Explain the donor in clear

• Reassure the donor about his or her health .

• Explain whether the deferral is temporary or permanent

• Give information on further follow-up

• Refer the donor to an expert.

Counselling for donors who test positive for HIV

• Prepare them to live with HIV

• Help in deciding to disclose to family

• Information transmission and prevention

• (Refer sub module- of module – for post test counseling)

Activity - 2

• Role play - Post donation counseling for a donor who tests Positive

The Confidential Unit Exclusion

• Donor confidentially indicates that his or her blood should not be given to others

• For replacement donors, refusal may raise suspicion among their community

• Strict confidentiality must always be maintained

Confirmatory tests

• Mandatory Tests are so sensitive

• Refer for confirmatory tests

• Information about ICTC centers in the area.

Activity - 3

Time – 15 minutes.

Role Play on assessing the risk factors of the donor