Abstract
<i>Background</i>: Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels. In order to identify the shortcomings in this process, this study has been designed to assess the current status of the transfusion medicine department services in one of the tertiary level hospital in Dhaka city. <i>Subjects and Method</i>: This cross-sectional study was conducted in the Transfusion Medicine department of Sir Salimullah Medical College and Mitford Hospital, Dhaka in 2018. The study population was a total of 275 (14 Service Providers purposively interviewed &261 blood donors taken as per convenience). Data was collected by using semi structured questionnaire, open- ended questionnaire from the Head of the Department and check list. <i>Results</i>: The findings revealed that all basic tests and mandatory screening tests were conducted in the unit except Bone Marrow examination and Apheresis. Important record registers (Donor care, Donor deferral register etc.) were present but not updated. Few SOPs were available but were not kept at work stations. No screening curtains were provided for donor privacy and no technicians used gloves at work. Only 1.5% donors were Voluntary. About 36% were first time donors. About 19% of donors mentioned a delay of nearly an hour for completion of donation process, though 80.5% donors were still satisfied with staff behavior. WHO criteria was followed for Donor selection in the unit. Pre and post donation counselling was extremely dissatisfying. Despite of no stocks, the unit organized mere Voluntary Blood donation activities. <i>Conclusion</i>: A huge number of patients rely on tertiary hospitals for blood transfusions, as it is a life-saving procedure. Voluntary blood donation can be increased by encouraging Government–NGO collaboration along with use of software for holding details of regular donors.
Highlights
Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels
An effective Blood Transfusion Service is an integral component in the provision of an adequate health care service that aims to ensure the safety, adequacy, accessibility and efficiency of blood supply at all levels (WHO) [6]
This study aims to assess the current status of the services provided in a transfusion medicine department which will help to identify the gaps in the department thereby helping to create a foundation for long-term planning, implementation and sustainable result
Summary
Blood, is a scarce non substitute, which necessitates it for patients to have a reliable safe access to blood products at all levels. In order to identify the shortcomings in this process, this study has been designed to assess the current status of the transfusion medicine department services in one of the tertiary level hospital in Dhaka city. The unit organized mere Voluntary Blood donation activities. Voluntary blood donation can be increased by encouraging Government–NGO collaboration along with use of software for holding details of regular donors. Blood transfusion refers to the therapeutic infusion of blood, blood components and blood products, a process involving donor recruitment, selection and collection, donor testing, handling/administering blood, risk of infectious disease transmission, product manufacture, and therapeutic apheresis. The National Safe Blood Transfusion Program, supported by World Health Organization (WHO), under Ministry of Health and Welfare developed and the formulated the National Blood Policy and the National Strategy for Voluntary Blood Donation [14].
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