Epidemic Intelligence Service, Division of Global HIV and Tuberculosis, CGH, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Division of Global HIV and Tuberculosis, CGH, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Vox Sang. 2022 Jun;117(6):839-846. doi: 10.1111/vox.13262. Epub 2022 Mar 10.
The accreditation of blood services promotes continuous quality improvement in blood and transfusion services. The Africa Society for Blood Transfusion (AfSBT) conducted 20 baseline assessments of National Blood Transfusion Services (NBTS) or blood banks as part of the Step-Wise Accreditation Programme (SWAP) in 10 sub-Saharan African (SSA) countries from 2016 to 2018. This paper aims to elucidate the process and findings of the baseline assessments.
This is a descriptive study of 20 baseline assessments of NBTS. Eleven sections of the AfSBT assessment were reviewed, and 48 out of 68 standards and 356 out of 466 criteria were assessed. Each standard was assigned a value of 1 if it was fully achieved, 0.5 if partially achieved and 0 if not achieved. We defined average section scores >75% as having 'met AfSBT Standards', ≤25% as not meeting standards, 26%-50% as needs major improvement, and 51%-75% as needs some improvement and >75% as meets standards.
The AfSBT SWAP standards were met in 4 out of the 11 sections: donor management, blood collection, component production and compatibility testing. Three sections were determined to need some improvement (quality system; handling, transport and storage and testing of donated blood), and three sections were determined to need major improvement (haemovigilance, blood administration and national blood service accreditation). One section (receipt, ordering, and issuing of blood) did not meet standards.
Despite improvements in the quality of blood services in SSA over the past two decades, governments may consider the importance of prioritizing investments in NBTS, ensuring these institutions meet international accreditation standards that are aligned with safe blood transfusion services.
血液服务认证可促进血液和输血服务的持续质量改进。非洲输血学会（AfSBT）在 2016 年至 2018 年期间在撒哈拉以南非洲（SSA）的 10 个国家对国家血液服务（NBTS）或血库进行了 20 次基准评估，作为逐步认证计划（SWAP）的一部分。本文旨在阐明基准评估的过程和结果。
这是对 20 次 NBTS 基准评估的描述性研究。对 AfSBT 评估的 11 个部分进行了审查，评估了 68 个标准中的 48 个和 466 个标准中的 356 个。如果完全实现，则为每个标准分配 1 分，如果部分实现，则为 0.5 分，如果未实现，则为 0 分。我们将平均部分分数> 75％定义为“符合 AfSBT 标准”，≤25％为未达到标准，26％-50％为需要重大改进，51％-75％为需要改进，> 75％为符合标准。
AfSBT SWAP 标准在 11 个部分中的 4 个部分中得到满足：供者管理，血液采集，成分生产和相容性测试。确定有 3 个部分需要进行一些改进（质量体系；处理，运输和储存以及捐赠血液的测试），有 3 个部分需要进行重大改进（血液监测，血液管理和国家血液服务认证）。有一个部分（血液的接收，订购和发放）不符合标准。
尽管在过去二十年中 SSA 的血液服务质量有所提高，但各国政府可能需要考虑优先投资于 NBTS 的重要性，以确保这些机构符合国际认证标准，这些标准与安全输血服务保持一致。
