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

Matthew J. Kuehnert · Sridhar V. Basavaraju · Adam Clarence Bjork · John P. Pitman

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Blood donation and transfusion practices HIV/AIDS Research and Interventions Blood transfusion and management

Abstract

Blood transfusion is a life-saving medical intervention; however, challenges to the recruitment of voluntary, unpaid or otherwise nonremunerated whole blood donors and insufficient funding of national blood services and programs have created obstacles to collecting adequate supplies of safe blood in developing countries (1). Since 2004, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) has provided approximately $437 million in bilateral financial support to strengthen national blood transfusion services in 14 countries in sub-Saharan Africa and the Caribbean* that have high prevalence rates of human immunodeficiency virus (HIV) infections. CDC analyzed routinely collected surveillance data on annual blood collections and HIV prevalence among donated blood units for 2011-2014. This report updates previous CDC reports (2,3) on progress made by these 14 PEPFAR-supported countries in blood safety, summarizes challenges facing countries as they strive to meet World Health Organization (WHO) targets, and documents progress toward achieving the WHO target of 100% voluntary, nonremunerated blood donors by 2020 (4). During 2011-2014, overall blood collections among the 14 countries increased by 19%; countries with 100% voluntary, nonremunerated blood donations remained stable at eight, and, despite high national HIV prevalence rates, 12 of 14 countries reported an overall decrease in donated blood units that tested positive for HIV. Achieving safe and adequate national blood supplies remains a public health priority for WHO and countries worldwide. Continued success in improving blood safety and achieving WHO targets for blood quality and adequacy will depend on national government commitments to national blood transfusion services or blood programs through increased public financing and diversified funding mechanisms for transfusion-related activities.

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References

2011Blood Transfusion Safety in Africa: A Literature Review of Infectious Disease and Organizational Challenges 2008Maternal mortality in sub‐Saharan Africa: the contribution of ineffective blood transfusion services

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2016Plasma is a strategic resource 2016Knowledge, Attitudes, Practices, and Factors Associated with Voluntary Blood Donation among University Students in Kilimanjaro, Tanzania 2012A study of blood transfusion services at a district hospital in Malawi 2016Tapping into a vital resource: Understanding the motivators and barriers to blood donation in Sub-Saharan Africa 2021Safe blood supply in sub-Saharan Africa: challenges and opportunities 2012History of Blood Transfusion in Sub-Saharan Africa 2018Trends and Gaps in National Blood Transfusion Services — 14 Sub-Saharan African Countries, 2014–2016 2024The global blood donation index: an imperfect measure of transfusion need

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