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The Kamuzu University of Health Science (KUHES), University of North Carolina (UNC) Project and Malawi Blood Transfusion Service (MBTS) has received funding from the National Heart Lung and Blood Institute (NHLBI) in the USA,to implement the Bloodsafe project whose goal is to identify optimal and sustainable strategies for ensuring collection of adequate and safe supplies of blood, thereby preventing unavoidable deaths resulting from blood shortage in Malawi. The KUHES whose mission is “to provide high quality student-centred and innovative health education informed by research that responds to policy, societal health and development needs in an efficient, sustainable and result -oriented manner, and to influence health policy and practice through generation of new knowledge” would like use part of the Bloodsafe Project funding to support a postgraduate research internship program. The key aims of the internships are (1) to identify areas for improving the quality of routine data for the blood management program and the safety of blood and blood products utilization, and (2) to develop audit and research skills among postgraduate students so that, upon graduation, they can contribute to strengthening the capacity the health system in Malawi to use routine program data for decision-making.
The Bloodsafe Internship program will support Masters-level students to implement data and clinical audits, as outlined in the appendix below, under the supervision senior academics and health practitioners. The internships will run from September to December 2021. Successful interns will receive a monthly stipend and their research-related expenses will be covered by their hosting institutions .At the end of the internship, they will be required to disseminate their findings through peer-reviewed manuscripts and/or conference presentations.

Eligible candidates are those who satisfy the following eligibility criteria:
1. Students enrolled in any relevant Master’s program at KUHES,or research fellows at KUHES research affiliates,
2. At least 12-months hands-on experience in the Malawian health sector, and,
3. Able to dedicate at least 8 hours (1 day) per week on the internship project.
Application Procedure
To be considered for the Bloodsafe internship program applicants must submit the following as one complete PDF document to the Bloodsafe Coordinator:
• A two-page cover letter that indicates your interest in the use of blood and blood products.
• Short CV or biosketch and undergraduate degree transcript
• One letter of recommendation from your current supervisor that indicates your availability to participate in the Bloodsafe internship program from September to December 2021.
The deadline for receiving applications is Monday 30th August 2021 at 23:59hrs.

BLOODSAFE Data audits Internship Descriptions

Topic 1: Evaluating hemovigilance and patient safety: analysis of acute and delayed transfusion reactions in six hospitals in Malawi.
Potential Lead Mentors: Dr Emmanuel Singogo, Dr Bridon Mbaya, Prof Mwapasa
Background: In Malawi,a well-established hemovigilance system is lacking and there is paucity of data on hemovigilance.The hemovigilance system cover processes throughout the entire transfusion chain, from blood donation, processing, and transfusion to patients for the monitoring, reporting, and investigation of adverse events and reactions related to blood transfusion. The ultimate goal of a robust hemovigilance system is to improve the safety of blood transfusion: for both blood recipients and as well as blood donors.In this research data audit,we aim to strengthen the coordination between the blood transfusion service, hospital clinical staff and transfusion laboratories,hospital transfusion committees, regulatory agency, and Ministry of health authorities to ensure a robust and functional hemovigilance system.

Summary Scope of work: This will be a cross-sectional survey of all transfusion related reactions in six hospitals from January 2020 to December 2021. The following will be the main objectives of this assessment
• Assess transfusion reactions in blood recipients by hospital name, age group, sex, month/year, diagnosis of blood recipient and clinic area/ward
• Assess post-donation reactions and donor safety at donation clinics by age, sex, donation times, district name
• Assess prevalence of anemia (low Hb) among blood donors age, sex, donation year, donation times, district
• Assess source of blood units: family replacement or MBTS by hospital name, month/year
• Asses reasons for deferral among blood donors by sex, donation times, age, district
Deliverables: A data analysis report and a draft manuscript.
Duration: 1st Sept – 30th December 2021
Topic 2: Using routine data to improve best practices in transfusion medicine and patient blood management in hospitals: A mixed-methods approach

Lead Mentors: Dr Andrew Likaka, Prof Adamson Muula, Dr. Emmanuel Singogo

Background: Better utilization of routine transfusion data has potential to provide better insights in patterns of care in patients that receive blood products. Good quality transfusion data is important to inform blood national needs and identifying gaps to improve documentation and local use of data for planning. The overall aim in this rapid survey is to assess how data can improve the implementation of best practices in transfusion medicine and patient blood management in both district and tertiary referral hospitals in Malawi.

Summary Scope of work: This will be a mixed-methods rapid assessment of how blood data is used for planning and documentation of potential quality improvement (QI) initiatives to improve data quality in six hospitals. The following will be the main objectives of this assessment;;
• determining patterns of blood use and blood order schedules by collating blood units/products ordered, received, used, expired at each hospital by type of blood product, calendar month and year
• documenting challenges in data collection, collation and reporting through interviews with hospital blood banks focal staff and transfusion hospital committees.

• establishing the utility of routinely collected data for local evaluation using focus group discussion (one at each selected hospital)

Deliverables: A data analysis report and a draft manuscript.
Duration: 1st Sept – 30th December 2021

To apply for this job email your details to

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