Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal

Abstract Background Haemovigilance is an important element of blood regulation. It includes collecting and evaluating the information on adverse events resulting from the use of blood and blood components with the aim to improve donor and patient safety. We describe the results of the pilot of the i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Washington T. Samukange, Verena Kluempers, Manvi Porwal, Linda Mudyiwenyama, Khamusi Mutoti, Noel Aineplan, Helga Gardarsdottir, Aukje K. Mantel-Teeuwisse, C. Micha Nuebling
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Haemovigilance Blood Safety Global Benchmarking Tool Blood Regulatory Systems Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/089d7f0594c847b49d2e9bca127c7939
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:089d7f0594c847b49d2e9bca127c7939
record_format	dspace
spelling	oai:doaj.org-article:089d7f0594c847b49d2e9bca127c79392021-11-21T12:06:04ZImplementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal10.1186/s12913-021-07235-01472-6963https://doaj.org/article/089d7f0594c847b49d2e9bca127c79392021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07235-0https://doaj.org/toc/1472-6963Abstract Background Haemovigilance is an important element of blood regulation. It includes collecting and evaluating the information on adverse events resulting from the use of blood and blood components with the aim to improve donor and patient safety. We describe the results of the pilot of the integrated GBT+ Blood for the haemovigilance function in 10 sub-Saharan African countries. Methods We piloted the integrated WHO Global Benchmarking Tool plus Blood (GBT+ Blood) to assess the haemovigilance function of national regulatory authorities (NRAs) in Ethiopia, Kenya, Malawi, Nigeria, Liberia, Rwanda, South Africa, Tanzania, Uganda, and Zimbabwe. Data obtained from documents and face to face interviews were used to determine the status of implementation and performance of the following six indicators; legal provisions regulations and guidelines, organisation and governance, human resources, regulatory processes, transparency and accountability and finally, monitoring progress and assessing impact, by estimating median scores across 20 sub-indicators. In addition, a cluster analysis was performed. Results The countries showed inter-organisation variability in implementation and performance of the haemovigilance function. The overall median score (all sub-indicators) was 44 % (range: 7.5 % - 70 %). The lowest average performance scores were for the arrangement for effective organisation and coordination (35 %) and human resources (35 %) indicators. The highest average scores were observed for the mechanism to promote transparency and mechanism to monitor regulatory performance indicators (50 % and 60 %, respectively). We identified clusters of best-implemented sub-indicators from the procedures for haemovigilance and poorly implemented sub-indicators from the legal provisions, regulations and guidelines for haemovigilance and human resources. Conclusions Implementation of sub-indicators and performance of haemovigilance systems varied greatly for all countries with a few countries performing reasonably well in the implementation of some sub-indicators under procedures for haemovigilance. Most countries were poorly implementing sub-indicators in the legal provisions, arrangement for effective organisation and human resources indicators. The legislative provisions in most countries were at a nascent stage. There is a need to set up targeted and customised technical support coupled with prioritised interventions to strengthen the capacities of NRAs.Washington T. SamukangeVerena KluempersManvi PorwalLinda MudyiwenyamaKhamusi MutotiNoel AineplanHelga GardarsdottirAukje K. Mantel-TeeuwisseC. Micha NueblingBMCarticleHaemovigilanceBlood SafetyGlobal Benchmarking ToolBlood Regulatory SystemsPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Haemovigilance Blood Safety Global Benchmarking Tool Blood Regulatory Systems Public aspects of medicine RA1-1270
spellingShingle	Haemovigilance Blood Safety Global Benchmarking Tool Blood Regulatory Systems Public aspects of medicine RA1-1270 Washington T. Samukange Verena Kluempers Manvi Porwal Linda Mudyiwenyama Khamusi Mutoti Noel Aineplan Helga Gardarsdottir Aukje K. Mantel-Teeuwisse C. Micha Nuebling Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
description	Abstract Background Haemovigilance is an important element of blood regulation. It includes collecting and evaluating the information on adverse events resulting from the use of blood and blood components with the aim to improve donor and patient safety. We describe the results of the pilot of the integrated GBT+ Blood for the haemovigilance function in 10 sub-Saharan African countries. Methods We piloted the integrated WHO Global Benchmarking Tool plus Blood (GBT+ Blood) to assess the haemovigilance function of national regulatory authorities (NRAs) in Ethiopia, Kenya, Malawi, Nigeria, Liberia, Rwanda, South Africa, Tanzania, Uganda, and Zimbabwe. Data obtained from documents and face to face interviews were used to determine the status of implementation and performance of the following six indicators; legal provisions regulations and guidelines, organisation and governance, human resources, regulatory processes, transparency and accountability and finally, monitoring progress and assessing impact, by estimating median scores across 20 sub-indicators. In addition, a cluster analysis was performed. Results The countries showed inter-organisation variability in implementation and performance of the haemovigilance function. The overall median score (all sub-indicators) was 44 % (range: 7.5 % - 70 %). The lowest average performance scores were for the arrangement for effective organisation and coordination (35 %) and human resources (35 %) indicators. The highest average scores were observed for the mechanism to promote transparency and mechanism to monitor regulatory performance indicators (50 % and 60 %, respectively). We identified clusters of best-implemented sub-indicators from the procedures for haemovigilance and poorly implemented sub-indicators from the legal provisions, regulations and guidelines for haemovigilance and human resources. Conclusions Implementation of sub-indicators and performance of haemovigilance systems varied greatly for all countries with a few countries performing reasonably well in the implementation of some sub-indicators under procedures for haemovigilance. Most countries were poorly implementing sub-indicators in the legal provisions, arrangement for effective organisation and human resources indicators. The legislative provisions in most countries were at a nascent stage. There is a need to set up targeted and customised technical support coupled with prioritised interventions to strengthen the capacities of NRAs.
format	article
author	Washington T. Samukange Verena Kluempers Manvi Porwal Linda Mudyiwenyama Khamusi Mutoti Noel Aineplan Helga Gardarsdottir Aukje K. Mantel-Teeuwisse C. Micha Nuebling
author_facet	Washington T. Samukange Verena Kluempers Manvi Porwal Linda Mudyiwenyama Khamusi Mutoti Noel Aineplan Helga Gardarsdottir Aukje K. Mantel-Teeuwisse C. Micha Nuebling
author_sort	Washington T. Samukange
title	Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
title_short	Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
title_full	Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
title_fullStr	Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
title_full_unstemmed	Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal
title_sort	implementation and performance of haemovigilance systems in 10 sub-saharan african countries is sub-optimal
publisher	BMC
publishDate	2021
url	https://doaj.org/article/089d7f0594c847b49d2e9bca127c7939
work_keys_str_mv	AT washingtontsamukange implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT verenakluempers implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT manviporwal implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT lindamudyiwenyama implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT khamusimutoti implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT noelaineplan implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT helgagardarsdottir implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT aukjekmantelteeuwisse implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal AT cmichanuebling implementationandperformanceofhaemovigilancesystemsin10subsaharanafricancountriesissuboptimal
_version_	1718419225087836160

Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal

Ejemplares similares