 Population 1.

25 M
 Regional hospitals
Victoria Hospital
JNH
SSRNH
Jeetoo Hospital
Flacq Hospital
 Central health Lab
 Fully Automated –T Coag Destiny Max
 Semi Automated-Behnk Elektronik-
Thrombotimer 4 channel
 Nephelometer- Siemens- BN Prospec
 Fully Automated Blood Count Analyser-
Sysmex XN 2000
 JNH
 Automated Coagulometer-Behnk Electronik –
Thrombolyser XR
 Semi Automated-Behnk Elektronik-
Thrombotimer 4 channel
 Fully Automated Blood Count Analyser-
Sysmex XN 2000
 Jeetoo Hospital
 Automated Coagulometer Sysmex CA 510
 Semi Automated Axiom CoaData 4004 and
Thrombotimer- Behnk Elektronik-
Thrombotimer 4 channel
 SSR

 Automatic Coagulometer analyser-Trinity-

Amax Destinity plus
 Semi Automated - Biolabo
 Flacq Hospital
 Automatic Coagulometer analyser-Trinity-
Amax Destinity plus
 Semi Automated-Stago and Behnk Elektronik-
Thrombotimer 4 channel
 Siemens
 Technoclone
 Biolabo
 Helena Biosciences
 Stago
Clotting Screen Second line
 FBC-including  Correction studies
platelets counts  Factor Assay-VIII, IX
 Blood Film  Rare factors-VII, X,
examination XII
 Prothrombin time  Inhibitor Screen.
 Activated partial  Bathesda Assay
Thromboplastin  Von Willebrand
Time Factor
 Fibrinogen Assay
 D-Dimer/FDP
 Bleeding Time
 Lupus Anticoagulant
 Antithrombin measurement
 Protien C
 Protein S
 D-Dimer
 Wards
 Out patient
 Area Health centers
 Private labs and Clinics
 Transportation time ½ hour to 2 hours
 Cardiac unit
 Pre-operative
 Haemodialysis
 Oncology
 Bleeding disorders-Haemophilia and others
 Average Number of Tests / Month for JNH
Others / Bleeding Disorder,
310, 8%

Pre-operative, 1505, 39%

Cardiac Unit, 1825, 48%

Haemodialysis, 100, 3%
Oncology, 70, 2%

Cardiac Unit Haemodialysis Oncology Pre-operative Others / Bleeding Disorder

 Tests performed per month
JNH
PT/INR 2050
APTT 1725
Fibrinogen Assay 25
D-Dimers Titre 65
Factor VIII Assay 20
Factor IX Assay 15
Inhibitor Assay 10
Prolonged PT
 Suspected Warfarin therapy
 Suspected factor II,V, VII or X deficiency

Specific
Lab Results Clinicians
Factor Assay
 Mixing Experiment: 50/50 Normal plasma / Patient’s plasma

APTT Determined

Not corrected Corrected

Suspected Factor VII, IX,

XI Deficiency
Presence of coagulation
inhibitor
Factor VIII assay
Factor IX assay

Sent for Bedestha Assay

Normal

Other factors assay

 Laboratories
 Equipped
 Reagents
 Trained Personnel
 Easily accessible
 Fulltime
Haematopathologist
 Clinical
Haematologist
 One stop shop
 Equipment
 Platelet aggregation
studies
 Platelet function
analyzer
 Flow cytometer
 Interpretation of
result
 Bleeding Assessment Tool
 Strategic position of
Mauritius
 Training
 NGO
 Sustainability
 Resource limited
Country
 Free Health care
system