• The training center at AKTH is established and the curricula are developed
• 10 participating centers are selected and have been audited and 10 re-audits have been performed. At least 5 re-audits performed with participation of peer-expert auditors, which show measurable improvement in the audit results between the initial and the re-audit in at least 7 of the 10 participating centers (trained staff >10 staff per hospital)
• 4 trainings for transfusion medicine experts (physicians) and laboratory qualified staff and 1 workshop for hospital administration have been performed (trained n=80) and 2 auditor training workshops have been performed (trained n=30)
   

• Project Launch together with regional and national health care politicians
• Set up of a Training Center for Transfusion Medicine at AKTH
• Curriculum Development
• Train the Trainers Training
• Selecting participants for the training program
• Baseline audits in the participating centers and curriculum adjustment
• Training workshops
  2 Basic courses, target groups are physicians, technical scientists, technical assistants
  2 Clinical Transfusion Medicine courses, target group physicians
  2 advanced courses, target groups physicians, technical scientists
• Training workshop for hospital administration
• Establish a training course for auditing blood banks and donor clinics and train auditors
• Monitoring and Evaluation (M&E)
• Auditing of the trained institutions

The changes in praxis have been achieved at AKTH through available resources of the hospital independent of external funding. Part of the training is to show the participants what has been established at AKTH and how this can be achieved with the resources available in Nigeria. 
The integration of the project into the strategic developmental plan of the NBSA and regular follow up audits and supervision of blood banks by the NBSA will strongly support sustainability of the project achievements. At the end of the project, the NBSA and the federal ministry of health and AKTH will be responsible for the training centre and the continuation of training and audits.

• The project is a cross-sectional project in healthcare.
• The National Blood Service Agency (NBSA), as the Ministry of Health's national authority for ensuring safe blood supply, is an active project partner. The project will be part of the national health strategy.
• Through the project, the Nigerian project partners establish a self-reinforcing spiral of training and evaluation through feedback audits.

The availability of safe blood is a pre-requisite for almost all medical fields (obstetrics: postpartum hemorrhage; surgery: major interventions; internal medicine: oncology, sickle cell anemia; pediatrics: malaria; etc.). This was achieved by the project partners at the AKTH University Hospital. Now, together with the National Blood Service Agency (NBSA), the Ministry of Health's national authority for ensuring safe blood supply, other centers in the country are being trained to implement the progress achieved at AKTH in their own hospitals. At the same time, auditors are being trained in Nigeria, who, together with the NBSA, maintain the safety of blood supply and transfusions through regular audits.