Problems and Approaches for Blood Transfusion in the Developing Countries

Roberts, David J.; Field, Stephen; Delaney, Meghan; Bates, Imelda

doi:10.1016/j.hoc.2015.11.011

Cited by 58 publications

(56 citation statements)

References 87 publications

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“…on June 7, 2019. by guest www.bloodjournal.org From country-specific data of blood safety are limited (Table 2). 60 First, a high incidence of hepatitis B and C, as well as HIV, exists in the general population and the blood supply, 61,62 and not all donors are fully screened for blood-borne viral infections. In countries without voluntary blood donation, replacement or paid donors are not always properly screened, which results in an increased number of transfusion-transmitted infections.…”

Section: Transfusionsmentioning

confidence: 99%

Sickle cell anemia in sub-Saharan Africa: advancing the clinical paradigm through partnerships and research

McGann

Hernandez

Ware

2017

Blood

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Section: Transfusionsmentioning

confidence: 99%

Sickle cell anemia in sub-Saharan Africa: advancing the clinical paradigm through partnerships and research

McGann

Hernandez

Ware

2017

Blood

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“…Low and middle income countries (LMIC) often are challenged to meet transfusion needs. 1 The approaches to securing a safe and adequate blood supply in high income countries (HIC) are not appropriate, practical, or validated for the broad range of LMIC settings. Inadequate or inconsistent supplies and acute shortages of blood for transfusion in low resources settings, often coupled with questionable quality, pose real risks to the health of patients who need transfusion.…”

Section: Introductionmentioning

confidence: 99%

Addressing gaps in international blood availability and transfusion safety in low‐ and middle‐income countries: a NHLBI workshop

Custer

Zou²,

Glynn³

et al. 2018

Transfusion

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In April 2017, a workshop sponsored by the National Heart, Lung, and Blood Institute, Division of Blood Diseases and Resources, and the Center for Translation Research and Implementation Science was held to discuss blood availability and transfusion safety in low- and middle-income countries (LMICs). The purpose of the workshop was to identify research opportunities for implementation science (IS) to improve the availability of safe blood and blood components and transfusion practices in LMICs. IS describes the late stages of the translational research spectrum and studies optimal and sustainable strategies to deliver proven-effective interventions. Regional working groups were formed to focus on opportunities and challenges in East Africa, Central/West Africa, Middle East and North Africa, Latin America and the Caribbean, Southeast Asia, Western Pacific Asia, Eastern Europe, and Central Asia. The need for an "adequate supply of safe blood" emerged as the major overriding theme. Among the regional working groups, common cross-cutting themes were evident. The majority of research questions, priorities, and strategies fell into the categories of blood availability, blood transfusion safety, appropriate use of blood, quality systems, health economics and budgeting, and training and education in IS. The workshop also brought into focus inadequate country-level data that can be used as the basis for IS initiatives. A mixed approach of needs assessment and targeted interventions with sufficient evidence base to move toward sustainment is an appropriate next step for blood availability and transfusion safety research in LMICs.

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“…However, developing countries are still lagging behind in establishing a voluntary donation system. The hurdles they face have been reported extensively in the literature . Shortage of financial resources is the major hurdle in most developing countries, as it generates all other hurdles, such as lack of suitable premises, equipment, and consumables; shortage of trained staff; and poor general health and education of the population and prevailing misconception about giving away their blood.…”

mentioning

confidence: 99%

The future of voluntary blood donation in the Kingdom of Saudi Arabia

Abdel-Gader

Ghumlas

2020

Transfusion

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Replacement blood donations are a major source of blood in KSA. This presentation highlights “the peace time and war experiences,” where the voluntary donor potential was tested. The “Peacetime Experience”—King Saud University Student Donor Drive This donor drive commenced in 1983 with 13 donors in its first and the annual collection reached 4500 blood units in the academic session 1995‐1996, when the student enrollment was around 30,000. In 2018 the enrollment jumped to 120,000 students. If we add the staff and auxiliary personnel, the population of potential voluntary blood donors will be enough to cover the current and future blood needs of King Khalid University Hospital. Unfortunately, this drive did not survive due to administrative and organizational difficulties. The “First” Gulf War Experience At the end of 1990, when the Allied Forces started to end the Iraqi occupation of Kuwait, the Saudi Ministry of Health waged a publicity campaign asking healthy individuals to donate their blood. The response was phenomenal, and the blood inventory in blood banks swelled about five‐ to sevenfold. First‐time donors broke the “fear barrier,” went through the donation experience, and it is hoped they will return to donate voluntarily. Conclusions The major lesson learned from the King Saud University student donor drive and Gulf War experience is the enormous voluntary donor potential in Saudi Arabia. There is a need for forward planning to shift the current partial involuntary donor system to a voluntary system based on nonremunerated donors.

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Problems and Approaches for Blood Transfusion in the Developing Countries

Cited by 58 publications

References 87 publications

Sickle cell anemia in sub-Saharan Africa: advancing the clinical paradigm through partnerships and research

Sickle cell anemia in sub-Saharan Africa: advancing the clinical paradigm through partnerships and research

Addressing gaps in international blood availability and transfusion safety in low‐ and middle‐income countries: a NHLBI workshop

The future of voluntary blood donation in the Kingdom of Saudi Arabia

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