Management of blood transfusion services in low-resource countries

Gopal K. Patidar; Jecko Thachil; the ISBT Convalescent plasma working group; Yashaswi Dhiman; Adaeze Oreh; Hans Vrielink; Karin van den Berg; Rada M. Grubovic Rastvorceva; Cynthia So-Osman; Arwa Z. Al-Riyami

doi:10.1111/vox.13373

Management of blood transfusion services in low-resource countries

Gopal K. Patidar^*, Jecko Thachil, the ISBT Convalescent plasma working group, Yashaswi Dhiman, Adaeze Oreh, Hans Vrielink, Karin van den Berg, Rada M. Grubovic Rastvorceva, Cynthia So-Osman, Arwa Z. Al-Riyami

^*Corresponding author for this work

Hematology

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Background and Objectives: Enabling universal access to safe blood components should be a key component of every country's national healthcare strategy. This study aimed to assess the current status of infrastructure and resources of blood transfusion services (BTS) in low- and middle-income countries. Materials and Methods: A cross-sectional survey was designed to gather information on blood donations, components, redistribution, testing resources and quality management systems (QMSs). The survey was distributed to the International Society of Blood Transfusion members between October 2021 and November 2021. Results: A total of 54 respondents from 20 countries responded to the survey. This included hospital-based BTS/blood centres (46%), national blood centres (11%)and national and regional blood services (11%). Voluntary non-remunerated, replacement and paid donors accounted for 94.2%, 84.6% and 21.1% of donations, respectively. Apheresis donation was available in 59.6% of institutions. National/regional criteria for redistribution of blood components were reported by 75.9% of respondents. Blood components incurred payment charges in 81.5% of respondents' institutions, and payments were borne by patients in 50% of them. Testing methods, such as manual (83%), semi-automated (68%) or fully automated (36.2%), were used either alone or in combination. QMSs were reported in 17 institutions, while accreditation and haemovigilance were reported in 12 and 8 countries, respectively. Conclusion: QMS was implemented in most of the countries despite the common use of paid donations and the lack of advanced testing. Efforts to overcome persistent challenges and wider implementation of patient blood management programmes are required.

Original language	English
Pages (from-to)	1375-1383
Number of pages	9
Journal	Vox Sanguinis
Volume	117
Issue number	12
DOIs	https://doi.org/10.1111/vox.13373
Publication status	Published - Dec 2022

Bibliographical note

Funding Information:
The authors would like to acknowledge the office team of the International Society of Blood Transfusion (ISBT) for providing support for the dissemination of the survey to ISBT members and the collation of the responses. G.K.P. and J.T. conceptualized the study, G.K.P and Y.D. prepared the survey questionnaire, A.O., H.V., K.B., R.G.R., C.S.O and A.Z.A.R. reviewed the survey questionnaire and finally approved. G.K.P. and Y.D. compiled the survey results, analysed and prepared the initial draft of the manuscript. A.O. and A.Z.A.R. reviewed the draft manuscript and finalized the manuscript. J.T. H.V., K.B., R.G.R. and C.S.O supervised the research and reviewed and edited the manuscript.

Publisher Copyright:
© 2022 International Society of Blood Transfusion.

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title = "Management of blood transfusion services in low-resource countries",

abstract = "Background and Objectives: Enabling universal access to safe blood components should be a key component of every country's national healthcare strategy. This study aimed to assess the current status of infrastructure and resources of blood transfusion services (BTS) in low- and middle-income countries. Materials and Methods: A cross-sectional survey was designed to gather information on blood donations, components, redistribution, testing resources and quality management systems (QMSs). The survey was distributed to the International Society of Blood Transfusion members between October 2021 and November 2021. Results: A total of 54 respondents from 20 countries responded to the survey. This included hospital-based BTS/blood centres (46%), national blood centres (11%)and national and regional blood services (11%). Voluntary non-remunerated, replacement and paid donors accounted for 94.2%, 84.6% and 21.1% of donations, respectively. Apheresis donation was available in 59.6% of institutions. National/regional criteria for redistribution of blood components were reported by 75.9% of respondents. Blood components incurred payment charges in 81.5% of respondents' institutions, and payments were borne by patients in 50% of them. Testing methods, such as manual (83%), semi-automated (68%) or fully automated (36.2%), were used either alone or in combination. QMSs were reported in 17 institutions, while accreditation and haemovigilance were reported in 12 and 8 countries, respectively. Conclusion: QMS was implemented in most of the countries despite the common use of paid donations and the lack of advanced testing. Efforts to overcome persistent challenges and wider implementation of patient blood management programmes are required.",

author = "Patidar, {Gopal K.} and Jecko Thachil and {the ISBT Convalescent plasma working group} and Yashaswi Dhiman and Adaeze Oreh and Hans Vrielink and {van den Berg}, Karin and {Grubovic Rastvorceva}, {Rada M.} and Cynthia So-Osman and Al-Riyami, {Arwa Z.}",

note = "Funding Information: The authors would like to acknowledge the office team of the International Society of Blood Transfusion (ISBT) for providing support for the dissemination of the survey to ISBT members and the collation of the responses. G.K.P. and J.T. conceptualized the study, G.K.P and Y.D. prepared the survey questionnaire, A.O., H.V., K.B., R.G.R., C.S.O and A.Z.A.R. reviewed the survey questionnaire and finally approved. G.K.P. and Y.D. compiled the survey results, analysed and prepared the initial draft of the manuscript. A.O. and A.Z.A.R. reviewed the draft manuscript and finalized the manuscript. J.T. H.V., K.B., R.G.R. and C.S.O supervised the research and reviewed and edited the manuscript. Publisher Copyright: {\textcopyright} 2022 International Society of Blood Transfusion.",

year = "2022",

month = dec,

doi = "10.1111/vox.13373",

language = "English",

volume = "117",

pages = "1375--1383",

journal = "Vox Sanguinis",

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AU - Patidar, Gopal K.

AU - Thachil, Jecko

AU - the ISBT Convalescent plasma working group

AU - Dhiman, Yashaswi

AU - Oreh, Adaeze

AU - Vrielink, Hans

AU - van den Berg, Karin

AU - Grubovic Rastvorceva, Rada M.

AU - So-Osman, Cynthia

AU - Al-Riyami, Arwa Z.

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PY - 2022/12

Y1 - 2022/12

N2 - Background and Objectives: Enabling universal access to safe blood components should be a key component of every country's national healthcare strategy. This study aimed to assess the current status of infrastructure and resources of blood transfusion services (BTS) in low- and middle-income countries. Materials and Methods: A cross-sectional survey was designed to gather information on blood donations, components, redistribution, testing resources and quality management systems (QMSs). The survey was distributed to the International Society of Blood Transfusion members between October 2021 and November 2021. Results: A total of 54 respondents from 20 countries responded to the survey. This included hospital-based BTS/blood centres (46%), national blood centres (11%)and national and regional blood services (11%). Voluntary non-remunerated, replacement and paid donors accounted for 94.2%, 84.6% and 21.1% of donations, respectively. Apheresis donation was available in 59.6% of institutions. National/regional criteria for redistribution of blood components were reported by 75.9% of respondents. Blood components incurred payment charges in 81.5% of respondents' institutions, and payments were borne by patients in 50% of them. Testing methods, such as manual (83%), semi-automated (68%) or fully automated (36.2%), were used either alone or in combination. QMSs were reported in 17 institutions, while accreditation and haemovigilance were reported in 12 and 8 countries, respectively. Conclusion: QMS was implemented in most of the countries despite the common use of paid donations and the lack of advanced testing. Efforts to overcome persistent challenges and wider implementation of patient blood management programmes are required.

AB - Background and Objectives: Enabling universal access to safe blood components should be a key component of every country's national healthcare strategy. This study aimed to assess the current status of infrastructure and resources of blood transfusion services (BTS) in low- and middle-income countries. Materials and Methods: A cross-sectional survey was designed to gather information on blood donations, components, redistribution, testing resources and quality management systems (QMSs). The survey was distributed to the International Society of Blood Transfusion members between October 2021 and November 2021. Results: A total of 54 respondents from 20 countries responded to the survey. This included hospital-based BTS/blood centres (46%), national blood centres (11%)and national and regional blood services (11%). Voluntary non-remunerated, replacement and paid donors accounted for 94.2%, 84.6% and 21.1% of donations, respectively. Apheresis donation was available in 59.6% of institutions. National/regional criteria for redistribution of blood components were reported by 75.9% of respondents. Blood components incurred payment charges in 81.5% of respondents' institutions, and payments were borne by patients in 50% of them. Testing methods, such as manual (83%), semi-automated (68%) or fully automated (36.2%), were used either alone or in combination. QMSs were reported in 17 institutions, while accreditation and haemovigilance were reported in 12 and 8 countries, respectively. Conclusion: QMS was implemented in most of the countries despite the common use of paid donations and the lack of advanced testing. Efforts to overcome persistent challenges and wider implementation of patient blood management programmes are required.

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Management of blood transfusion services in low-resource countries

Abstract

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