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布基纳法索的献血者招募:如何避免家庭成员献血?

Recruitment of blood donors in Burkina Faso: how to avoid donations from family members?

作者信息

Dahourou Honorine, Tapko Jean-Baptiste, Kienou Kisito, Nebie Koumpingnin, Sanou Mahamoudou

机构信息

Regional Blood Transfusion Center, Bobo Dioulasso, Burkina Faso.

出版信息

Biologicals. 2010 Jan;38(1):39-42. doi: 10.1016/j.biologicals.2009.10.017. Epub 2010 Feb 9.

DOI:10.1016/j.biologicals.2009.10.017
PMID:20144550
Abstract

Burkina Faso is a continental West African country of approximately 16 M people whose transfusion needs were covered by 66,210 blood units collected mostly in 4 regional transfusion centers part of a national network but also from hospital-based smaller blood centers. The first group of blood centers relies almost exclusively on volunteer, non-remunerated, blood donors and only approximately 32.7% of them are repeating donation. In contrast, hospital-based blood centers rely nearly exclusively on family/replacement donors. The general strategy of the national blood transfusion network was to base the system exclusively on volunteer donors, which was nearly accomplished overall and completely at Bobo-Dioulasso, the largest center. However, despite considerable increase in blood collection, the overall blood supply remains low (4.7 units/1000 inhabitants) and worsens during the secondary school recesses since young student blood constitutes the most part of volunteer donors. To overcome such shortages, mobile blood collection sessions are organized in alternate sites such as military barracks or places of worship but with limited success. Another critical issue is that despite considerable efforts and help from community advocates, only 32.7% of volunteers repeat donation limiting the considerably safety advantage of a pool of regular donors.

摘要

布基纳法索是西非的一个内陆国家,约有1600万人口,其输血需求由66210个血液单位满足,这些血液大多采集自全国网络中的4个区域输血中心,也有来自医院规模较小的血库。第一类血库几乎完全依赖志愿无偿献血者,其中只有约32.7%的人再次献血。相比之下,医院血库几乎完全依赖家属/替代献血者。国家输血网络的总体战略是让系统完全基于志愿献血者,这在总体上几乎已经实现,在最大的中心博博迪乌拉索则完全实现了这一点。然而,尽管采血量大幅增加,但总体血液供应仍然很低(每1000名居民4.7个单位),并且在中学假期期间情况会恶化,因为年轻学生献血者占志愿献血者的大部分。为了克服这种短缺,在军营或礼拜场所等其他地点组织了流动采血活动,但成效有限。另一个关键问题是,尽管社区倡导者付出了巨大努力并提供了帮助,但只有32.7%的志愿者再次献血,这限制了定期献血者群体在安全性方面的显著优势。

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