R.
A 7719: “National Blood Services Act of                To lay down the legal principle that the
1994”                                                     provision of blood for transfusion is a
                                                          professional medical service & not a
- An act promoting voluntary blood donation,              sale of a commodity;
providing an adequate supply of safe blood,              To provide for adequate, safe, affordable
regulating blood banks & providing penalties for          & equitable distribution of supply of
violation thereof                                         blood & blood products;
                                                         To inform the public of the need for
- “Nat’l Blood Services Act of 1994”
                                                          voluntary blood donation the hazards
- May 5, 1994                                             caused by the commercial sale of blood;
                                                         To teach the benefits & rationale of
RA 1517 – an act regulating the collection,               voluntary blood donation existing health
processing & sale of the human blood & the                subjects of the formal education system
establishment & operation of blood banks &                in all public/private schools, in the
blood processing laboratories                             elementary, high school & college levels
                                                          as the non-formal education system;
        - June 16, 1956                                  To mobilize all sectors of the community
        - Repealed by RA 7719
                                                          to participate in mechanisms for
       Several innovations & changes are
                                                          voluntary & non-profit collection of
        introduced like:
                                                          blood;
    -   Promotion of voluntary blood donation to
                                                         To mandate the DOH to establish &
        discourage commercialization of human
                                                          organize a National Blood Transfusion
        blood.
    -   Phase out of commercial blood banks to            Service Network (NBTSN) in order to
        operate in a non-profit basis.                    rationalize & improve the provision of
    -   To lay down the principle that blood              adequate & safe supply of blood;
        transfusion is a humanitarian act.               To provide for adequate assistance to
    -   Providing the heavier penalties in case           institutions promoting non-profit blood
        of violations that will give more teeth to        services, either through system of
        the new law.                                      reimbursement for costs from patients
                                                          who can afford to pay, or donations from
AO no.9 s.1995                                            governmental       &    nongovernmental
                                                          entities;
    -   April 28, 1995                                   To require all blood collection units &
    -   Implementing guidelines: Rules           &
                                                          blood banks/centers to operate on a
        regulations implementing RA 7719.
                                                          non-profit basis;
        AO no.2008-0008                                  To establish scientific & professional
    -   Rules & regulations governing the                 standards for the operation of blood
        regulation of blood service facilities            collection unit & blood banks/centers in
    -   May 2, 2008                                       the Phils.;
    -   Classification       Blood         Services      To regulate & ensure the safety of all
        capabalities                                      activities related to the collection,
                                                          storage & banking of blood; and
        Purpose: Declaration of Policy                   To require        upgrading    of   blood
       To promote & encourage voluntary
                                                          banks/centers to include preventive
        blood donation by the citizenry & to
                                                          services & education to control spread
        instill public consciousness of the
                                                          of blood transfusion transmissible
        principle that blood donation is a
                                                          diseases.
        humanitarian act;
SCOPE                                                    services w/in the premises of a hospital
                                                         end w/c can perform compatibility
       These rules shall apply to all hospitals,        testing of blood
        entities & establishments/institutions,         Non-hospital-based                    blood
        government owned & operated or                   bank/center – not located & not
        private engaged in blood transfusion             performing blood bank services, w/in the
        services in the Phils. Whether full time /       premises of a hospital & not as part of a
        part time, local / foreign.                      hospital.
                                                        Commercial blood bank – a blood
        Definition of Terms:                             bank that exist for profit, money or any
       Secretary of health – any other person
                                                         material gain earned out of sale of, or
        to whom the Secretary delegates the              exchange for, blood/blood products w/c
        responsibility of carrying out the               profit, money / any material gain are not
        provisions of this Act.                          used solely for the operation &
       Blood/blood product – refers to human
                                                         maintenance of blood bank service
        blood, processed or unprocessed &               Blood       collection      unit    –    an
        included blood components, its products          institution/facility duty authorized by the
        & derivatives.                                   DOH to recruit & screen donors &
       Blood transfusion services – a set of
                                                         collect blood.
        activities & functions related to blood         Blood station – a gov. or private
        transfusion such as, but not limited to:         hospital / a Phil. Nat’l Red Cross chapter
              o Motivation & recruitment of
                                                         w/c has not been licensed as a blood
                  donors
                                                         center but has been authorized by the
              o Blood collection
              o Testing & screening of blood             Dep’t to store & issue blood & blood
                                                         product, & perform compatibility testing,
                  donor
              o Preparation          of      blood       when necessary.
                                                        Blood service facility – any unit, office,
                  components        storage      &
                                                         institution providing any of the blood
                  distribution    of    blood    &
                                                         transfusion services, w/c can be a Blood
                  components
              o Components inventory control &           bank/center, BCU or BS.
                                                        Blood       transfusion      transmissible
                  quality assurance
       Blood bank/center – a laboratory or              disease – dse w/c may be transmitted
        institution w/ the capability to recruit &       through blood transfusion, including but
        screen blood donors, collect, process,           not limited to, AIDS, hepaB&C, malaria
        store, transport & issue blood for               & syphilis.
                                                        Blood banking equipment – essential
        transfusion & provide information and/or
        education      on blood       transmission       lab machines, instruments & their
        disease.                                         accessories used in the different steps
       Voluntary blood donor – one who                  in the blood banking processes such as
        donates blood on one’s own volition /            those used to centrifuge blood/separate
        initiative & not induced, directly /             blood      into     various    components;
        indirectly w/o money compensation.               preserve blood/blood products in cold
       Walking blood donor – an individual              storage or freezer.
                                                        Blood bags – sterile, sturdy plastic
        who has been screened by history &
        physical exam, found to be fit to donate         bags containing anti-coagulants; it can
        blood; ready to donate blood when                either be single/multiple types & have a
        needed.                                          integral sterile needle & collection
       Hospital-based blood bank/center –               tubing.
        located & performing blood bank
   Reagents – substances employed to                    Promotion in school & communities,
    detect/measure                   another              professional education,
    substance/convert 1 substance to                      establishment of blood services
    another by means of the rxn it causes.                network:
                                                              o DOH
                    Composition                               o PSHBT
   A national voluntary blood services                       o PSP
    program committee is hereby created &                     o PMA
    shall be chaired by the Sec.of health. It                 o PNRC
    shall be composed of , but not limited to,
    the heads of the ff offices & assoc.:         Sec.7. All commercial blood banks shall be
        o DepED                                   phased-out over a period of 2 years after the
        o DILG                                    effectivity of this act, extendable to a maximum
        o DOF                                     period of 2 years of the secretary.
        o DSWD                                    Sec.8. All blood banks/centers shall operate on
        o PRC                                     non-profit basis; provided that they may collect
        o PNRC                                    service fees bot greater than the maximum
        o PBCC                                    prescribed by DOH w/c shall be limited to the
        o PSHBT                                   necessary expenses entailed on collecting &
        o PSP                                     processing of blood. Blood shall be collected
        o PMA                                     from healthy voluntary donors only.
        o PHA
        o PAMET                                             Regulation of blood services
                 Functions:                              It shall be unlawful for any person to
   Formulation         of       a       5-year           establish & operate a blood banl/center
    Directional/strategic plan                            unless it is registered & issued a license
   Operationalization & institutionalization             to operate by the dep’t provided, that in
    of the NVBSP including budgetary                      case of emergencies, blood collection &
    allocation for program activities                     transfusion under the responsibility of
   Monitoring & evaluation of NVBSP                      the attending physician should be
    activities                                            allowed in the hospitals        w/o such
   Creation       of    multi-sectoral    sub-           license     under     certain   conditons
    committees                                            prescribed by the dep’t.
   Generation of multi-sectoral & inter-
    disciplinary support for nat’l activities                            Licensing
    focused on blood services                            Private – shall be required to submit
-   Meetings shall be at least quarterly                  their voluntary blood donation program
              Programming funding                         plan.
   Budgetary allocation of the Dep’t                    Gov’t hosp – VBDPP accompanied by
   PCSO                                                  preceding      year’s blood donation
   PAGCOR                                                program report
   Trust liability account of Duty free shop
   Contributions of other agencies                                  AO no.2008-0008
         Promotion of Voluntary Blood                    Classification of blood service
                      Donation                            capabilities;
   Composition. The nat’l advocacy &                        o Ownership – gov’t / private
    promotion sub-committee shall be                         o Intitutional character – hosp /
    composed of, but not limited to,                              non-hosp based (PNRC)
    representatives of DOH, PNRC, PBCC,                      o Service capabilities – BS /
    PIA, & other similar organizations.                           BCU
                                                             Emergency blood transfusion
                         Blood station
        Advocacy & promotion of voluntary              Blood     collection    &      immediate
         blood donation & healthy lifestyle              transfusion in hospital w/o license as a
        Provision of WB & p-RBC; storage,               blood bank may be allowed in
         issuance, transport                             emergency situation subject to the ff
        Distribution    of    WB     &     p-RBC;       conditions:
         *Compatibility testing of RC units
                                                             o   That     the     medical/surgical
               Blood collection unit                             condition poses & immediate
        Advocacy & promotion of voluntary                       threat to the patient’s life
         blood donation & healthy lifestyle
        Recruitment, retention, & care of                   o   that the collection & transfusion
         voluntary blood donors, screening                       is done under the direct
        Selection of voluntary blood donor,                     supervision       &     w/    full
         conduct health education                                responsibility of the attending
        Counseling services, collection of blood                physician
         (mobile/facility based) from
        Qualified VBD; transport of blood to BC             o   that the existing standards &
         for testing & processing                                specs for donor screening
         *Compatibility testing of RC units                     including history & PE on
                                                                 asepsis & biosafety & on use of
Blood bank                                                       proper     &    good     quatity
                                                                 equipment & materials &
Advocacy & promotion of voluntary blood                          supplies are complied w/
donation healthy lifestyle; storage, issuance of
WB & blood components obtained from BC;                      o   That the required test for hgb,
Compatibility testing of RC units; Direct Coomb’s                syphilis, HIV, hepatitis & for
test; RC antibody screening; assist Hospital                     compatibility testing including
Blood Transfusion Committee (HBTC) in the                        cross matching are also
conduct     of    post-transfusion    surveillance               performed before transfusion.
(hemovigilance)
Advocacy & promotion of VBD & healthy
lifestyle; recruitment, retention, & care of VBD;
collection of blood (mobile/facility based) from
qualified VBD; conduct health education &
counseling; testing of units of blood for
transfusion transmitted infections (TTIs);
processing & provision of blood components;
storage, issuance, transport & distribution of
units of WB &/or blood products to hospitals &
other health facilities.
        The DOH in collaboration w/ the PNRC
         shall be the lead agency in the
         celebration of the blood donors week
         w/c shall be held annually every 2nd
         week of july.