Regional
Bridging Borders Through Blood

Tomohiko Sato
The Jikei University Hospital, Minato, Japan

Chika Ohara
The Jikei University School of Medicine, Minato, Japan

Kana Kaburagi
The Jikei University School of Medicine, Minato, Japan

Nova Surya Indah Hippy
Indonesian Red Cross
The landscape of blood donation faces unprecedented challenges worldwide, from ageing donor populations to cultural barriers that limit participation.[1] In 2025, Jikei University launched a unique platform for international collaboration in blood donation education through the student-organized Asian Medical Students' Exchange Program (AMSEP). The AMSEP JIKEI 2025, conducted in Tokyo from April 27 to May 2, 2025, emphasized academic exchange, sociocultural interaction, and community engagement. Among its various programs focusing on medicine, culture, and community service, the blood donation education program brought together medical students from Japan and Indonesia to explore blood service systems and innovative youth engagement strategies. This pioneering approach combines international exchange with blood donation education, promoting youth participation while advancing proper blood product use by educating future physicians about transfusion medicine principles.[2]
Educational Methodology The blood donation education program exemplified a flipped classroom methodology where Indonesian medical students conducted preliminary studies on blood services in both countries before conducting recruitment activities at the Blood Donation Room in Tokyo. This preparatory phase enabled participants to maximize face-to-face learning through experiential activities and collaborative discussions with Japanese medical students.[3] This approach transforms traditional lecture-based learning into an interactive, culturally immersive educational experience. Cross-Cultural Knowledge Integration Indonesia's Blood Service (Figure 1) Dr. Nova Hippy from Palang Merah Indonesia delivered comprehensive online insights into Indonesia's hospital-based blood collection system, highlighting regulatory challenges and regional disparities affecting 283 million people across 17,000 islands. Her presentation emphasized unique challenges of coordinating blood services across Indonesia's vast archipelago and opportunities for community-based donation programs.



Figure 1. Online lecture on Indonesia’s blood service by Dr. Hippy (a) Geographics (b) Donor recruitment in Indonesia (c) Participants of the lecture
Japan's Advanced Framework (Figure 2) Dr. Tomohiko Sato from the Jikei University Hospital presented Japan's sophisticated donor management systems through on-site lectures, highlighting the country's achievement of 100% voluntary non-remunerated blood donation since 1974. His presentation demonstrated advanced infrastructure and systematic approaches making Japan a global leader in blood safety. The contrast proved illuminating: Japan's declining youth participation despite advanced infrastructure versus Indonesia's potential for community engagement amid logistical challenges. These insights prepared students for meaningful dialogue about sustainable solutions across diverse healthcare contexts.



Figure 2. On-site lecture on Japan’s blood service by Dr. Sato (a) Japan’s history toward voluntary donation (b) Blood centers in Japan (c) Participants of the lecture
Experiential Learning and Community Engagement Street-Level Campaigns (Figure 3) Indonesian medical students conducted street blood donation campaigns, transforming theoretical knowledge into practical community engagement. These activities provided authentic public outreach experience, demonstrating connections between grassroots promotion and healthcare outcomes. Students learned about cultural sensitivities, communication strategies, and challenges in motivating community participation. This hands-on approach addressed the knowledge-behavior gap identified in pre-program surveys, where 57.1% of Indonesian delegates had never visited donation centers in Indonesia despite high interest levels. Direct exposure enhanced participants' credibility as future blood service advocates.



Figure 3.
Students’ activities in Tokyo and After
(a) Street blood donation campaigns and tour of the blood donation room
(b) Mixed Indonesian-Japanese small-group discussions on youth recruitment strategies
(c) Educational video created by Indonesian medical students collaborated with Indonesian Red Cross
Outcomes and Impact Post-program evaluations demonstrated significant attitudinal shifts, with 58.3% of participants committing to both blood donation and active promotion to others. Notably, 100% expressed enhanced understanding of professional responsibility in blood service advocacy and appropriate clinical transfusion practices. The video creation and street campaign activities showed participants translating learning into concrete actions influencing broader communities, demonstrating effectiveness in developing future healthcare leaders with practical advocacy skills. Educational Implications The AMSEP JIKEI 2025 model demonstrates critical implications for contemporary medical education. The flipped classroom approach within international exchange frameworks maximizes learning efficiency by combining preparatory research with immersive experiential activities. Peer-to-peer learning across cultures enhances both clinical knowledge and cultural competency—essential skills for diverse healthcare environments. The program addresses recognition that effective blood services require both community engagement and clinical excellence. By educating future physicians about the complete blood service continuum, from donor recruitment to transfusion safety, the initiative builds healthcare workforces capable of addressing supply and utilization challenges.The student-led nature demonstrates how medical education can evolve to embrace active learning methodologies preparing students for global health leadership roles. Cross-cultural dialogue skills will prove invaluable as healthcare becomes increasingly international and interdependent.[5] Future Directions This pioneering program's success suggests significant replication potential across medical institutions worldwide. The flipped classroom model could address various global health challenges, combining preparatory research with immersive international experiences and collaborative solution development. Future iterations might incorporate additional countries, extend program duration, and develop standardized curricula while maintaining cultural adaptability. Digital platform integration could facilitate ongoing collaboration between participants, creating lasting international professional networks focused on blood service improvement. This groundbreaking initiative establishes a new paradigm for medical education that simultaneously addresses immediate healthcare challenges and prepares future physicians for global leadership roles. As blood services worldwide face similar pressures from demographic changes and evolving healthcare needs, the AMSEP JIKEI 2025 model offers a comprehensive framework for developing culturally competent, internationally minded healthcare professionals equipped to tackle these complex challenges.
References
- WHO. Global Status Report on Blood Safety and Availability 2021. 2022.
- Shander A, Fink A, Javidroozi M, Erhard J, Farmer SL, Corwin H, et al. Appropriateness of allogeneic red blood cell transfusion: The international consensus conference on transfusion outcomes. Transfus Med Rev. 2011;25:232-246.e53.
- Bishop JL, Verleger MA. The flipped classroom: A survey of the research. ASEE Annu Conf Expo Conf Proc. 2013. https://doi.org/10.18260/1-2--22585.
- Godin G, Vézina-Im LA, Bélanger-Gravel A, Amireault S. Efficacy of Interventions Promoting Blood Donation: A Systematic Review. Transfus Med Rev. 2012;26:224-237.e6.
- Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: Ttransforming education to strengthen health systems in an interdependent world. Lancet. 2010;376:1923–58.
