[Possible actions to guide international cooperation programs]

Transfusion is an essential element of health services. French HCO's are thriving to sustain the transfusional system throughout the world, especially to support low income countries. This article evokes several tentative cooperation experiences and proposes to think over conditions which would make it possible for such actions to become more efficient. The author sets out different aspects making the undertaken restructurizing and implemented support successful operations. First is about the definition of responsibilities, supervision and management as dedicated to the public authorities. Second deals with the management of disposable resources, whatever they be of human, equipment or material nature. A third item is devoted to contributions (supports) that may help the implementation of the product itself. The article finally stresses the importance of the action (program) quality assessment and continuous improvement. Further to his reporting on the cooperation methods, the author presents some of the actions undertaken by the Etablissement Français du Sang (National Blood Agency) in the last few years in Afghanistan, Latin America and Africa.