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BACKGROUND: Pre-donation donor screening is must for the safety of the blood donor and recipient.Deferrals lead to loss of precious whole blood donors and blood units available for transfusion purposes.AIM: To record and document the current rate and reasons for donor deferral in our tertiary care hospital based blood bank to modify recruitment strategy for blood donors. MATERIAL AND METHODS:Study was conducted by retrospective data analysis of whole blood donors (Voluntary/Replacement), arrived for donating blood at blood bank and in outdoor camps, during the period 1 st July 2010 to 30 th June 2014.The donor selection was done by pre-donation screening tests like questionnaire followed by physical examination and haemoglobin estimation.National guidelines were used for selection and deferral of donors.The deferred donor's data was analyzed statistically.RESULT: Out of 34380 blood donors who came to donate blood, 31049(89.63%,out of which 97.51% voluntary donors) were eligible for donation and 3331(10.37%)blood donors were deferred.The deferral rate among male population 7.47% and female population 42.09% were observed.Odds ratio for deferral in female donors was 8.99, implying thereby that chance of deferral in females is nearly 9 times higher as compared to males.The five leading causes for male donor deferral were low haemoglobin, hypertension, medication, and malaria& alcohol intake in last 48 hours & for the female donor deferral were low haemoglobin, menstruation, medication, low weight & hypotension.CONCLUSIONS: Studying the frequency and the different causes of donor deferral will help to identify sections of the population which could be targeted for increasing and retaining of the existing pool of voluntary blood donors and also to guide and provide the necessary essential database for the policy design and programme implementation at local, regional, and national level.
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