Implementing SLMTA in the Kenya National Blood Transfusion Service: lessons learned

Wakaria, Eric N.; Rombo, Charles; Oduor, Margaret; Kambale, Serah M.; Tilock, Kimberly; Kimani, Daniel; Makokha, Ernest P.; Mwamba, Peter M.; Mwangi, Jane

doi:10.4102/ajlm.v6i1.585

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…One of the challenges is the lack of financial support from their national government to enable them to perform their functions. 27 Consequently, there is an inadequate supply of blood products, and much worse infection-contaminated blood supplies. This situation, hinders the performance and delivery of BTS services as a state organ with the mandate to supply safer blood to its citizens.…”

Section: Blood Transfusion As a Route For Dengue Virusmentioning

confidence: 99%

Dengue Virus and Blood Safety: A Mini-Review of Research Publications

Mulakoli

Gachara

Ndombi

et al. 2023

EASci

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The growing demand for donated whole blood and blood products to save lives has both health benefits and health risks for blood recipients at the same time. Dengue virus, a re-emerging viral disease poses a threat to blood safety, and it has spread to over 128 countries in the world. Several studies have documented transfusion-transmitted (TT) dengue, with the first cases being reported in China in 2002 and Singapore in 2008. To understand the magnitude and broader picture of the dengue virus and blood safety, we conducted a mini-review of published literature from the Scopus database. The review focused on the number of publications related to the dengue virus among blood donors. Using keywords ‘Dengue virus’ AND ‘Blood safety’, ‘ Dengue virus’ AND ‘Blood donors’ and ‘Emerging infectious diseases’ AND “Blood safety” were used to extract data from the Scopus database which was downloaded as a CSV Excel file covering a period 2004 to 2021. This was followed by a data-cleaning exercise and a descriptive analysis to generate the frequency of the number of publications. Most studies, as can be seen in the review, were concentrated in tropical regions of the world. Globally, South America and the Asian regions had the largest number of publications; while at the country level, Brazil and India had the highest number. More research output was witnessed during the years 2014 and 2018. The regions that experienced more frequent outbreaks of the disease, with the exception Africa, published most of the research work. Therefore, much more research work is needed to protect the safety of blood donors in Africa.

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Section: Blood Transfusion As a Route For Dengue Virusmentioning

confidence: 99%

Dengue Virus and Blood Safety: A Mini-Review of Research Publications

Mulakoli

Gachara

Ndombi

et al. 2023

EASci

View full text Add to dashboard Cite

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“…However, the impact of hospital competition in the provision of BT and other key healthcare interventions in sub Saharan Africa (SSA) has not been defined [ 26 ]. Blood transfusion has been studied in Kenya in relation to pediatric clinical practice and outcomes [ 27 – 31 ] and initiatives to improve safety and management of blood [ 32 ]. Despite the expected high demand for blood, there have been no formal analyses of geographic accessibility and hospital competition in BT in Kenya.…”

Section: Introductionmentioning

confidence: 99%

Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya

et al. 2023

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Background Estimating accessibility gaps to essential health interventions helps to allocate and prioritize health resources. Access to blood transfusion represents an important emergency health requirement. Here, we develop geo-spatial models of accessibility and competition to blood transfusion services in Bungoma County, Western Kenya. Methods Hospitals providing blood transfusion services in Bungoma were identified from an up-dated geo-coded facility database. AccessMod was used to define care-seeker’s travel times to the nearest blood transfusion service. A spatial accessibility index for each enumeration area (EA) was defined using modelled travel time, population demand, and supply available at the hospital, assuming a uniform risk of emergency occurrence in the county. To identify populations marginalized from transfusion services, the number of people outside 1-h travel time and those residing in EAs with low accessibility indexes were computed at the sub-county level. Competition between the transfusing hospitals was estimated using a spatial competition index which provided a measure of the level of attractiveness of each hospital. To understand whether highly competitive facilities had better capacity for blood transfusion services, a correlation test between the computed competition metric and the blood units received and transfused at the hospital was done. Results 15 hospitals in Bungoma county provide transfusion services, however these are unevenly distributed across the sub-counties. Average travel time to a blood transfusion centre in the county was 33 min and 5% of the population resided outside 1-h travel time. Based on the accessibility index, 38% of the EAs were classified to have low accessibility, representing 34% of the population, with one sub-county having the highest marginalized population. The computed competition index showed that hospitals in the urban areas had a spatial competitive advantage over those in rural areas. Conclusion The modelled spatial accessibility has provided an improved understanding of health care gaps essential for health planning. Hospital competition has been illustrated to have some degree of influence in provision of health services hence should be considered as a significant external factor impacting the delivery, and re-design of available services.

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Baseline assessment findings of the Africa Society for Blood Transfusion Step‐Wise Accreditation Programme in 10 sub‐Saharan African countries, 2016–2018

et al. 2022

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Background and Objectives: The accreditation of blood services promotes continuous quality improvement in blood and transfusion services. The Africa Society for Blood Transfusion (AfSBT) conducted 20 baseline assessments of National Blood Transfusion Services (NBTS) or blood banks as part of the Step-Wise Accreditation Programme (SWAP) in 10 sub-Saharan African (SSA) countries from 2016 to 2018. This paper aims to elucidate the process and findings of the baseline assessments.Materials and Methods: This is a descriptive study of 20 baseline assessments of NBTS. Eleven sections of the AfSBT assessment were reviewed, and 48 out of 68 standards and 356 out of 466 criteria were assessed. Each standard was assigned a value of 1 if it was fully achieved, 0.5 if partially achieved and 0 if not achieved. We defined average section scores >75% as having 'met AfSBT Standards', ≤25% as not meeting standards, 26%-50% as needs major improvement, and 51%-75% as needs some improvement and >75% as meets standards.Results: The AfSBT SWAP standards were met in 4 out of the 11 sections: donor management, blood collection, component production and compatibility testing.Three sections were determined to need some improvement (quality system; handling, transport and storage and testing of donated blood), and three sections were determined to need major improvement (haemovigilance, blood administration and national blood service accreditation). One section (receipt, ordering, and issuing of blood) did not meet standards. Conclusion:Despite improvements in the quality of blood services in SSA over the past two decades, governments may consider the importance of prioritizing investments in NBTS, ensuring these institutions meet international accreditation standards that are aligned with safe blood transfusion services.

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Implementing SLMTA in the Kenya National Blood Transfusion Service: lessons learned

Cited by 4 publications

References 7 publications

Dengue Virus and Blood Safety: A Mini-Review of Research Publications

Dengue Virus and Blood Safety: A Mini-Review of Research Publications

Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya

Baseline assessment findings of the Africa Society for Blood Transfusion Step‐Wise Accreditation Programme in 10 sub‐Saharan African countries, 2016–2018

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