Health economics of blood transfusion safety – focus on sub-Saharan Africa

Hulst, Marinus van; Sibinga, Cees Smit; Postma, Maarten J.

doi:10.1016/j.biologicals.2009.10.006

Cited by 25 publications

(26 citation statements)

References 56 publications

(52 reference statements)

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“…WHO reported that 38% of voluntarily donated blood comes from those young people aged less than 25. There is a need to motivate young generations to meet 100% voluntary not-paid blood donation [16]. …”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practice of students towards blood donation in Arsi university and Adama science and technology university: a comparative cross sectional study

2017

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BackgroundBlood can save millions of lives. Even though people do not donate blood regularly, there is a constant effort to balance the supply and demand of blood. The aim of this study was, therefore, to determine the knowledge, attitude and practice of blood donation between university students.MethodsThe comparative cross sectional study design was used in Adama Science and Technology University and Arsi University from April 11–May 2, 2016.360 students were selected using stratified sampling. Frequencies and proportions were computed. Chi-Square and logistic regressions were carried out and associations were considered significant at p<0.05.ResultThe study revealed that there was a significant knowledge difference (χ2 = 152.779, p<0.001) and Attitude difference (χ2 = 4.142, p = 0.042) between Health Science students of Arsi University and Non-Health Science students of Adama Science and Technology University. The gender of the students (AOR = 3.150, 95% CI: 1.313, 7.554) was a significant predictor of the level of knowledge of Health Science students. The ethnicity of students (AOR = 2.085, 95% CI: 1.025, 4.243) was a significant predictor of the level of an attitude of Health Science students and gender of students (AOR = 0.343, 95% CI: 0.151, 0.779) was a significant predictor of the level of an attitude of Health Science students. Concerning Non-Health Science students, religion (AOR = 10.173, 95% CI: 1.191, 86.905) and original residence (AOR = 0.289, 95% CI: 0.094, 0.891) were a significant predictor of the level of knowledge of Non-Health Science students. Gender (AOR = 0.389, 95% CI: 0.152, 0.992) and Year of study (AOR = 0.389(0.164, 0.922) were significant predictor of level of attitude of Non-Health Science students. Year of study (AOR = 5.159, 95% CI: 1.611, 16.525) was a significant predictor of level of practice of Health Science students.ConclusionSignificant knowledge difference and attitude difference were observed between students from Arsi University and Adama Science and Technology University.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practice of students towards blood donation in Arsi university and Adama science and technology university: a comparative cross sectional study

2017

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“…To meet demand, countries often rely on family or replacement donors who donate blood for a family member or friend; however, such donations carry a higher risk for TTIs ( 6 ). Since 2004, PEPFAR support has helped establish national blood policies, improved blood donor screening, increased recruitment and reliance on VNRDs for national supplies, and strengthened laboratory infrastructure, accreditation, information systems, and continuous quality improvement programs ( 4 ).…”

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confidence: 99%

Trends and Gaps in National Blood Transfusion Services — 14 Sub-Saharan African Countries, 2014–2016

Kanagasabai¹,

Chevalier²,

Drammeh³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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Ensuring availability of safe blood products through recruitment of voluntary, nonremunerated, blood donors (VNRDs) and prevention of transfusion-transmissible infections (TTIs), including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and syphilis, is important for public health (1,2). During 2004–2016, the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) provided approximately $468 million in financial support and technical assistance* to 14 sub-Saharan African countries† with high HIV prevalence to strengthen national blood transfusion services (NBTSs)§ and improve blood safety and availability. CDC analyzed these countries’ 2014–2016 blood safety surveillance data to update previous reports (1,2) and summarize achievements and programmatic gaps as some NBTSs begin to transition funding and technical support from PEPFAR to local ministries of health (MOHs) (2,3). Despite a 60% increase in blood supply since 2004 and steady declines in HIV prevalence (to <1% among blood donors in seven of the 14 countries), HIV prevalence among blood donors still remains higher than that recommended by the World Health Organization (WHO) (4). PEPFAR support has contributed to significant reductions in HIV prevalence among blood donors in the majority of PEPFAR-supported countries, and linking donors who screen HIV-positive to confirmatory testing and indicated treatment, as well as further reducing TTIs, remains a public health priority (5).

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“…Actually, the transfusion financing system either depends on governments' budgets or on cost recovery by public or private health insurance companies (Table ) similarly to what was stated also by the WHO . In both situations, a sustainable organised national transfusion system would require governments' engagement and specific financing at least for the capacity of building national regulatory authorities …”

Section: Discussionmentioning

confidence: 59%

How to manage transfusion systems in developing countries: The Experience of Eastern and Southern Mediterranean countries

Haddad

Benajiba²,

Hmida³

et al. 2020

Transfusion Medicine

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Objectives To outline and analyse the national organisation, infrastructure and management of transfusion systems in countries sharing common historical, cultural and economic features and to decipher management trends, in order to potentially benchmark. Background Little is known regarding transfusion systems in Eastern/southern Mediterranean at a time international organisations are calling for the establishment of a safe and sustainable blood system. Materials and Methods Data emanating from eight Arabic‐speaking Eastern/Southern Mediterranean countries who responded to five surveys were collected and tabulated. Results While similarities in terms of supervision by national authorities, authorization of blood centres, quality control and management information system are evident, some significant divergence between these countries do exists. Only Lebanon does not possess a national blood establishment or organisation for blood supply. Blood components are fully government‐subsidised in Algeria and Mauritania. Algeria, Morocco and Tunisia have a blood supply that relies mainly on Voluntary non‐remunerated donors. Plateletpheresis is performed in all countries except Mauritania while plasmapheresis exists only in Algeria and Egypt. Morocco is the sole country outsourcing its plasma for Plasma derived products. Conclusion Despite the various challenges facing these countries, lot of progresses have been made so far in the field of transfusion medicine. Yet, nationally coordinated blood programs overviewed by national regulatory authorities and actively supported by local governments are still needed to ensure the optimum level of blood safety.

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Health economics of blood transfusion safety – focus on sub-Saharan Africa

Cited by 25 publications

References 56 publications

Knowledge, attitude and practice of students towards blood donation in Arsi university and Adama science and technology university: a comparative cross sectional study

Knowledge, attitude and practice of students towards blood donation in Arsi university and Adama science and technology university: a comparative cross sectional study

Trends and Gaps in National Blood Transfusion Services — 14 Sub-Saharan African Countries, 2014–2016

How to manage transfusion systems in developing countries: The Experience of Eastern and Southern Mediterranean countries

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