The status of blood supply in sub-Saharan Africa: barriers and health impact

Furthermore, abuses of out-of-pocket systems by health-care providers negatively influence trust among the population and hence reduce their motivation to donate blood.9 WHO recognises three types of blood donors: voluntary non-remunerated blood donors (VNRBD); family replacement blood donors (FRD)...

Full description

Saved in:
Bibliographic Details
Published in:The Lancet (British edition) 2023-07, Vol.402 (10398), p.274-276
Main Authors: Asamoah-Akuoko, Lucy, Appiah, Bernard, Delaney, Meghan, M'baya, Bridon, Tagny, Claude Tayou, Bates, Imelda
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Africa South of the Sahara - epidemiology
AIDS
Blood
Blood & organ donations
Blood donors
Blood transfusions
Community
Families & family life
Funding
Health Services Accessibility
HIV
Human immunodeficiency virus
Humans
Industrialized nations
Malaria
Maternal & child health
Maternal mortality
Poverty
Transplants & implants
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Furthermore, abuses of out-of-pocket systems by health-care providers negatively influence trust among the population and hence reduce their motivation to donate blood.9 WHO recognises three types of blood donors: voluntary non-remunerated blood donors (VNRBD); family replacement blood donors (FRD) who donate blood for family members, friends or acquaintances; and paid donors. [...]the FRD system has ethical implications, including reducing access to blood for those living in poverty and the potential for exploitative coercion of the donor. The concepts of VNRBD and FRD need critical examination in the sub-Saharan African context.14 The policy focus on exclusivity for the VNRBD system is primarily based on its success in high-income countries.15 However, in sub-Saharan Africa there is a strong culture of commitment to one's community, and many FRDs consider themselves as VNRBD because despite being recruited by patients' family members or friends, they donated altruistically.9 They also prefer to donate at their local hospital knowing the blood will be used for their community members.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(23)01164-9