Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study

Background: Blood and blood products are essential in the management of injuries, medical illnesses, and childbirth. Chronic shortages in the blood supply perpetuates the high levels of morbidity and mortality from injury and treatable diseases. Patients in low- and middle-income countries are frequ...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Laura Checkley, Girish Motwani, Irma Catherine Wange, Obieze Nwanna-Nzewunwa, Fred Kirya, Mary Margaret Ajiko, Catherine Juillard, Rochelle A. Dicker
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cc594adcb7444ff6a5ba6c0f9067cc5c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cc594adcb7444ff6a5ba6c0f9067cc5c
record_format	dspace
spelling	oai:doaj.org-article:cc594adcb7444ff6a5ba6c0f9067cc5c2021-12-02T07:11:56ZAssessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study2214-999610.5334/aogh.2426https://doaj.org/article/cc594adcb7444ff6a5ba6c0f9067cc5c2019-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2426https://doaj.org/toc/2214-9996Background: Blood and blood products are essential in the management of injuries, medical illnesses, and childbirth. Chronic shortages in the blood supply perpetuates the high levels of morbidity and mortality from injury and treatable diseases. Patients in low- and middle-income countries are frequently unable to access blood units necessary for transfusion in a timely manner. Objectives: This study aimed to gain insight into the community and hospital factors that contribute to the observed insufficient supply of blood units available for transfusion at a regional referral hospital in rural Eastern Uganda. Methods: A mixed-methods approach was utilized; community members were surveyed on knowledge, attitudes, and practices of blood donation and health professionals were queried on hospital factors affecting blood transfusions. Transfusion records were prospectively collected and analyzed, and the pathway of a single blood unit was observed and recorded. Findings: Among the 82 community members that were surveyed, knowledge was poor (<50% correct) regarding age, weight, and volume of blood to be able to donate, but participants were overall knowledgeable on general characteristics that would exclude individuals from donating blood. Major themes elicited during qualitative interviews included a positive attitude towards and lack of information regarding blood donation. Health professionals expressed frustration in delayed testing of transfusion transmissible infections. The majority of blood transfusions were allocated to female patients (55.8%) and children under five years of age (33.2%). Conclusions: Broadened inclusion and education of the general population in blood donation and increased outreach programs may be promising interventions to increase the blood supply at the Soroti Regional Referral Hospital. To reduce the current bottleneck seen in TTI testing, the feasibility and cost-effectiveness of local TTI testing technology should be investigated further.Laura CheckleyGirish MotwaniIrma Catherine WangeObieze Nwanna-NzewunwaFred KiryaMary Margaret AjikoCatherine JuillardRochelle A. DickerUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Laura Checkley Girish Motwani Irma Catherine Wange Obieze Nwanna-Nzewunwa Fred Kirya Mary Margaret Ajiko Catherine Juillard Rochelle A. Dicker Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
description	Background: Blood and blood products are essential in the management of injuries, medical illnesses, and childbirth. Chronic shortages in the blood supply perpetuates the high levels of morbidity and mortality from injury and treatable diseases. Patients in low- and middle-income countries are frequently unable to access blood units necessary for transfusion in a timely manner. Objectives: This study aimed to gain insight into the community and hospital factors that contribute to the observed insufficient supply of blood units available for transfusion at a regional referral hospital in rural Eastern Uganda. Methods: A mixed-methods approach was utilized; community members were surveyed on knowledge, attitudes, and practices of blood donation and health professionals were queried on hospital factors affecting blood transfusions. Transfusion records were prospectively collected and analyzed, and the pathway of a single blood unit was observed and recorded. Findings: Among the 82 community members that were surveyed, knowledge was poor (<50% correct) regarding age, weight, and volume of blood to be able to donate, but participants were overall knowledgeable on general characteristics that would exclude individuals from donating blood. Major themes elicited during qualitative interviews included a positive attitude towards and lack of information regarding blood donation. Health professionals expressed frustration in delayed testing of transfusion transmissible infections. The majority of blood transfusions were allocated to female patients (55.8%) and children under five years of age (33.2%). Conclusions: Broadened inclusion and education of the general population in blood donation and increased outreach programs may be promising interventions to increase the blood supply at the Soroti Regional Referral Hospital. To reduce the current bottleneck seen in TTI testing, the feasibility and cost-effectiveness of local TTI testing technology should be investigated further.
format	article
author	Laura Checkley Girish Motwani Irma Catherine Wange Obieze Nwanna-Nzewunwa Fred Kirya Mary Margaret Ajiko Catherine Juillard Rochelle A. Dicker
author_facet	Laura Checkley Girish Motwani Irma Catherine Wange Obieze Nwanna-Nzewunwa Fred Kirya Mary Margaret Ajiko Catherine Juillard Rochelle A. Dicker
author_sort	Laura Checkley
title	Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
title_short	Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
title_full	Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
title_fullStr	Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
title_full_unstemmed	Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study
title_sort	assessment of blood donation and transfusion in eastern uganda: a mixed-methods study
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/cc594adcb7444ff6a5ba6c0f9067cc5c
work_keys_str_mv	AT lauracheckley assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT girishmotwani assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT irmacatherinewange assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT obiezenwannanzewunwa assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT fredkirya assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT marymargaretajiko assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT catherinejuillard assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy AT rochelleadicker assessmentofblooddonationandtransfusionineasternugandaamixedmethodsstudy
_version_	1718399603033767936

Assessment of Blood Donation and Transfusion in Eastern Uganda: A Mixed-Methods Study

Ejemplares similares