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COVID-19 对尼日利亚国家血液服务委员会的影响——对中低收入国家(LMICs)的教训。

COVID-19 impact on Nigeria's national blood service commission - Lessons for Low- and Middle-Income Countries (LMICs).

机构信息

Department of Planning, Research and Statistics, National Blood Service Commission Headquarters, Abuja, Nigeria.

出版信息

Niger Postgrad Med J. 2022 Jan-Mar;29(1):6-12. doi: 10.4103/npmj.npmj_720_21.

DOI:10.4103/npmj.npmj_720_21
PMID:35102944
Abstract

BACKGROUND

In February 2020, Nigeria officially announced its first case of COVID-19. As numbers rose, government-led non-pharmaceutical interventions such as lockdowns, curfews, restrictions on mass gatherings and other physical distancing measures ensued, negatively affecting blood donor mobilisation activities.

OBJECTIVES

We aimed to assess the blood service activities across 17 National Blood Service Commission (NBSC) centres in Nigeria, including number of blood donations, mobile blood drives, blood units screened, screening outcomes, number of hospitals NBSC provided services to and number of blood units discarded over the study period.

MATERIALS AND METHODS

A retrospective descriptive study was conducted to determine the impact of the COVID-19 pandemic on blood services in 17 NBSC centres in Nigeria, comparing from January-December 2019 (pre-COVID-19) to January-December 2020 (peri-COVID-19).

RESULTS

Mobile blood donation drives declined by 100% in the first 2 months following government-imposed lockdowns, the number of all blood donations and voluntary blood donations declined by 9.8%. The number of blood units screened declined by 11.9%, while the number of blood units that screened positive for transfusion-transmissible infections reduced by 28.6%. Discarded blood units reduced by 3.1%, while a 32.6% increase was observed in the number of hospitals that NBSC issued blood for transfusion.

CONCLUSIONS

The COVID-19 pandemic affected NBSC operations in Nigeria. However, by strengthening hospital linkages and employing innovative strategies, NBSC ensured continuity of operations, thereby significantly managing the challenges of COVID-19 to voluntary blood donor recruitment and the availability of safe blood for transfusion.

摘要

背景

2020 年 2 月,尼日利亚正式宣布首例 COVID-19 病例。随着感染人数的增加,政府主导的非药物干预措施(如封锁、宵禁、限制大规模集会和其他保持身体距离的措施)相继实施,对献血者动员活动产生了负面影响。

目的

我们旨在评估尼日利亚 17 个国家血液服务委员会(NBSC)中心的血液服务活动,包括献血数量、流动采血、筛查的血液单位、筛查结果、NBSC 提供服务的医院数量以及研究期间废弃的血液单位数量。

材料和方法

我们进行了一项回顾性描述性研究,以确定 COVID-19 大流行对尼日利亚 17 个 NBSC 中心的血液服务的影响,比较了 2019 年 1 月至 12 月(COVID-19 前)和 2020 年 1 月至 12 月(COVID-19 期间)的数据。

结果

在政府实施封锁后的头 2 个月,流动献血活动下降了 100%,所有献血和自愿献血数量下降了 9.8%。筛查的血液单位数量下降了 11.9%,而筛查出可经输血传播感染的血液单位数量减少了 28.6%。废弃的血液单位减少了 3.1%,而 NBSC 发放血液用于输血的医院数量增加了 32.6%。

结论

COVID-19 大流行影响了尼日利亚 NBSC 的运营。然而,通过加强医院联系和采用创新策略,NBSC 确保了运营的连续性,从而有效应对 COVID-19 对自愿献血者招募和可用于输血的安全血液供应的挑战。

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