Progress Toward Strengthening National Blood Transfusion Services — 14 Countries, 2011–2014

Chevalier, Michelle; Kuehnert, Matthew J.; Basavaraju, Sridhar V.; Bjork, Adam; Pitman, John

doi:10.15585/mmwr.mm6505a4

Cited by 36 publications

(45 citation statements)

References 6 publications

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“…Though at inception PEPFAR was not specifically targeted to blood safety, the program has directly contributed to sustained progress in reducing TTIs and overall strengthening of blood systems. 13,14 …”

Section: Approachmentioning

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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Section: Approachmentioning

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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“…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 ).…”

mentioning

confidence: 93%

“…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 ). …”

mentioning

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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“…On average, high income countries have 9 times higher donation rate compared to low income countries [3]. According to a study conducted in 2014 among the East African countries, Uganda had the highest blood collection units per a population of 1000 people (6.2) followed by Kenya (4.1) and Tanzania (3.6) [4] despite the fact that Tanzania had the highest population base among the three countries [5]. Notwithstanding the country variations, the overall rate of collection remained below the WHO minimum target of 10 units per a population of 1,000 people per year.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, Practices, and Factors Associated with Voluntary Blood Donation among University Students in Kilimanjaro, Tanzania

Elias

Mauka²,

Philemon

et al. 2016

Journal of Blood Transfusion

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Background. Understanding the knowledge and awareness of blood donation among potential blood donors in the population, like young people, and the associated attitudes and practices is important. Methodology. This was a cross-sectional study whereby a self-administered questionnaire was used to collect information from the consenting participants. Results. A total of 422 participants were enrolled. Their mean age was 24.2 (SD 3.6) years. Of the 422, 30% have ever donated blood. 55% of those who had ever donated were repeated blood donors. Majority of the participants (93%) had positive attitudes towards blood donation and 88% were willing to donate in the future. Factors that were significantly associated with ever donating blood were male gender, knowing a person who has donated blood, knowledge of the amount of blood donated, willingness to donate in the future, and not expecting any postdonation reward. Discussion. High awareness, positive attitude, and high intention to donate in the future should be used to underscore the need to educate the young people on the value of blood donation in saving lives and to give them correct information on overall requirements for blood donation.

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Progress Toward Strengthening National Blood Transfusion Services — 14 Countries, 2011–2014

Cited by 36 publications

References 6 publications

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

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

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

Knowledge, Attitudes, Practices, and Factors Associated with Voluntary Blood Donation among University Students in Kilimanjaro, Tanzania

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