Department of Haematology, University of Ghana Medical School, Accra, Ghana.
Research and Development Department, National Blood Service Ghana, Accra, Ghana.
Lancet Haematol. 2021 Oct;8(10):e770-e776. doi: 10.1016/S2352-3026(21)00209-X. Epub 2021 Sep 2.
The low recruitment and retention of blood donors in sub-Saharan Africa is a grave concern for blood transfusion services in the region. This problem is exacerbated by factors such as a high prevalence of transfusion-transmissible infections and anaemia, over-reliance on family replacement donors, resource constraints, and poor communication with the public. To improve blood safety and availability, innovative intervention strategies must be developed and implemented. The primary objective of this Series paper is to discuss the available evidence in the region and to provide recommendations on how to improve safe blood supply in sub-Saharan Africa. These recommendations include a call for renewed attention to donor recruitment in blood transfusion centres, a consistent and structured educational intervention, the development and adherence to national policies on blood donor selection with focus on voluntary donations, and comprehensive screening of donations for transfusion-transmissible infections. TRANSLATION: For the French translation of the abstract see Supplementary Materials section.
撒哈拉以南非洲地区招募和保留献血者的人数较少，这令该地区的输血服务机构感到严重关切。这种情况因以下因素而恶化：输血传播感染和贫血的高发率、过度依赖家庭替代献血者、资源有限以及与公众沟通不畅。为了提高血液安全性和可用性，必须制定和实施创新性干预策略。本系列论文的主要目的是讨论该地区现有的证据，并就如何改善撒哈拉以南非洲地区的安全血液供应提出建议。这些建议包括呼吁重新关注输血中心的献血者招募工作、开展一致和有组织的教育干预、制定和遵守国家献血者选择政策，重点是自愿献血，以及对捐赠血液进行全面的输血传播感染筛查。
