1. Pre and Post Donation Counselling
Module-2

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.

3. Aims of Counseling Encourage HIV testing
Ensure Voluntary Blood Donation
Reduce wastage
Develop safe donor pool

4. Donor Counselling Enables discussion on behaviours
Ensure Confidentiality
In other settings confidentiality might be missing combined with judgmental response

5. 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

6. The Stages of Donor Counseling

7. 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

8. 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.

9. Pre Donation Counselling
Modes of transmission of HIV
Window period assessment
Tests carried out on donated blood
Confidentiality of test results
Alternative testing site

10. 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.

11. Role play on Pre-donation Counselling
Activity - 1
Role play on Pre-donation Counselling

12. Ethical Responsibilities of the Counsellor
No coercion or pressure
Follow the criteria for donor selection
Assure confidentiality

13. Self Exclusion and Self Deferral
Self exclusion – donor decides not to give blood
Self deferral – donor waits for stipulated time to donate

14. 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

15. 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.

16. 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.

17. 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.

18. 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)

19. Role play - Post donation counseling for a donor who tests Positive
Activity - 2
Role play - Post donation counseling for a donor who tests Positive

20. 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

21. Confirmatory tests Mandatory Tests are so sensitive
Refer for confirmatory tests
Information about ICTC centers in the area.

22. Role Play on assessing the risk factors of the donor
Activity - 3
Time – 15 minutes.
Role Play on assessing the risk factors of the donor