Practice Of Donation Research Articles

Knowledge, Attitude, Practice and Associated Factors of Adult Population towards Blood Donation in Jigjiga Town, Somali Region, Ethiopia

Background: Secure supply of safe blood components, based on voluntary, non-remunerated blood donation, is an important national goal to prevent blood shortages. Nowadays, in many low- and middle-income countries, blood supply is critically inadequate. Sub-Saharan Africa, which has the highest maternal mortality rate in the world of 510 deaths per 100000 live births, also has the lowest blood donation rates. The donated blood plays a big role during surgery, accident, delivery cases and in many bleeding cases.
 The aim of this work is to assess knowledge, attitude, and practice and associated factors of adult population towards blood donation in Jigjiga town, Eastern Ethiopia, 2019. A total of20 kebeles, six was selected by simple random sampling. The sample size was calculated by using EPI info version 7.2by considering power of 80%, confidence level of 95%, by taking the comprehensive knowledge of the study Participants towards voluntary blood donation of 43.5% from study conducted in Harartown, giving totalsample size of416. 
 Result: About 249(61.2%), 318 (78.1%), and 77 (18.9%) study participants had adequate knowledge, good attitude and experience of blood donation. Those who were in college and higher education were 2.034 higher odds of knowledge towards blood donation relative to those in secondary and primary education. Study participants who were government employees and daily workers were 2.259(1.103, 4.629) times more knowledgable to housewife, students. Study particpants age range between 18-30 have less knowledge towards blood donation 0.408 times. Participants who attended college and higher education were more likely to have good attitude towards blood donation. Those respondents who are college and higher education and secondary were 2.450 times more likely, 2.359to have good attitude towards blood donation compared to primary school 2.161 respectively. Participant’s sex, education, and occupational status were found to be significantly associated with practice of blood donation. Being NGO worker is more likely to donate blood 8.167 higher than others. Male participants was more vulnarable to donate blood 5.245 times higher than female for blood do nation. In addition to this, those respondents who are graduated college and higher education were more likely to donate blood than others 3.247.

A Program of Research to Evaluate the Impact of Deceased Organ Donation Legislative Reform in Nova Scotia: The LEADDR Program.

This is the first time deemed consent, where the entire population of a jurisdiction is considered to have consented for donation unless they have registered otherwise, will be implemented in North America. While relatively common in other regions of the world-notably Western Europe-it is uncertain how this practice will influence deceased donation practices and attitudes in Canada. We describe a Health Canada funded program of research that will evaluate the implementation process and full impact of the deceased organ donation legislation and the health system transformation in Nova Scotia that includes opt-out consent. There is a need to evaluate the impact of these changes to inform not only Nova Scotia and Atlantic Canada, but also other provincial, national, and international stakeholders. We establish a rigorous academic framework that we will use to evaluate this significant health system transformation.

Australian maternity healthcare professionals’ knowledge, attitudes and practices relevant to cord blood banking, donation and clamp timing: A cross-sectional survey

ProblemAustralian health professionals’ knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options is unknown. BackgroundParents have several options for the management of their infant’ cord blood during the third stage of labour. Early or deferred cord clamping practices may affect parent choices about physiological transfusion to the neonate and/or cord blood collection for private or public banking or donation. AimTo identify health professionals’ knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options. MethodsA total of 129 Australian maternity healthcare professionals responded to the self-administered survey between December 2017 and June 2018. FindingsOccupational differences were revealed in regard to cord clamp timing, cord blood banking and donation knowledge, attitudes and practices. Midwives were more likely to discuss cord clamp timing with parents and to clamp the cord later than obstetricians. Obstetricians were more knowledgeable of cord blood banking and donation options than midwives. Cord blood banking and donation options were discussed by both groups if parents asked. DiscussionIdentification of gaps in knowledge should guide future maternity health professional education that is inclusive of all third stage labour options to ensure that open discussion and informing parents of options is consistent, contemporary and evidence-based. ConclusionTo make informed decisions, parents need evidence-based information on all third stage labour options.

Practice of Blood Donation and Associated Factors among Adults of Gondar City, Northwest Ethiopia: Bayesian Analysis Approach.

BackgroundBlood transfusion is an essential part of modern health care. In Ethiopia, it had been planned to collect 202,000 units of blood in 2016–2017, but the actual amount collected was 169,744. The Bayesian approach has an advantage in that estimation of model parameters is conducted based on posterior distribution. This study aimed to assess the practice of blood donation and associated factors among adults of Gondar city, northwest Ethiopia using Bayesian analysis.MethodsA community-based cross-sectional study was conducted among 554 Gondar adults from February to March 2019. Bayesian binary logistic regression was conducted to assess the relationship between independent and dependent variables using Stata 15 with a 95% CI for statistical significance.ResultsA total of 515 were involved with a 97% response rate, among which 342 (66.4%) were females. Eighty (15.53%) had donated blood at least once in their lives. Men were more likely to donate blood (AOR 1.79, 95% CI 1.11–3.12), while those aged 18–24 years were 57% (AOR 0.43, 95% CI 0.15–0.89) less likely to give blood. Individuals with good knowledge (AOR 2.56, 95% CI 1.32–4.53) and favorable attitudes (AOR 1.86, 95% CI 1.01–3.06) were more likely to donate blood.ConclusionThe majority of the participants did not donate blood. Male sex, age 18–24 years, good knowledge, and favorable attitudes were statistically significant factors in blood donation. Intervention with females and younger age-groups should shall be better administered. Health education is required to increase knowledge and create a favorable attitudes among the community.

Blood Donation Practice among Undergraduate Students in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

Voluntary blood donation is a reliable source of increasing the demand for blood transfusion. Medical students are the potential pool of blood donors. This study aims to find the prevalence of blood donation practice among medical students of a medical college in Nepal. This is a descriptive cross-sectional study conducted in a medical college of Nepal among students studying from the first year to final year MBBS. Ethical approval was obtained from the Institutional Review Committee of the Nepalese Army Institute of Health Sciences (Ref no. 245). A stratified random sampling technique was used to collect data. A self-administered pre-tested questionnaire was used to collect data. Data were analyzed using Microsoft Excel 2016. The prevalence of blood donation practice among medical students of the medical college is 41 (22.20%) (17.35-27.05 at 95% Confidence Interval). The practice of blood donation is seen more among students of the final year 15 (35.71%) and the least among first year 3 (8.57%). Most of the donors, 24 (58.54%), have donated blood only once before. The most common reasons for donating and not donating blood before are 'behavior of altruism' 12 (29.27%) and 'I am not fit/disapproved' 44 (30.56%) respectively. This study shows less prevalence of blood donation practice among medical students. It points to the need for more extensive studies to explore the factors deterring medical students from donating blood. Definitive strategies are also needed to encourage medical students to increased voluntary participation in blood donation.

The haunted heart and the Holy Ghost: on retrieval, donation and death

This enquiry examines problems which haunt the ‘heart’ and its donation. It begins by examining the heart’s enduring significance for culturally mediated self-understanding, its vulnerability to misunderstanding and abuse and...

Knowledge, Attitude and Practice of Voluntary Non-Remunerated Blood Donation among Medical Students of Imo State University, Owerri, Nigeria

Background: The need for blood is growing and its demand far exceeds the supply. The major source of safe blood is on the basis of voluntary non-remunerated blood donation (VNRBD), but the practice of VNRBD is very low probably because of poor knowledge and lack-lustre attitude towards it. This study determined the knowledge, attitude and practice of VNRBD among medical students of Imo State University (IMSU), Owerri. Methodology: This was a descriptive cross-sectional school-based study which employed a stratified sampling technique to select participants. A semi-structured self-administered questionnaire was used to collect data on socio-demographic characteristics, knowledge, attitude and practice of VNRBD. This was analyzed using MS Excel while chi square and z-tests of significance were employed where appropriate. Results: Almost all the students (99.5%) knew the correct meaning of VNRBD, 61.1% said it was ideal and 53.1% noted it was the safest type of blood donation. About (93.5%) was willing to donate blood voluntarily without remuneration. Whereas 74.1% had ever donated blood, 71.4% actually did VNRBD. Also, significantly higher proportion of males than females had the correct attitude about VNRBD (Z=3.31; p<0.05). Clinical students had more correct knowledge about VNRBD, than their preclinical counterparts. (Z=3.54; p<0.05). More males (84.4%) than females (67.7%) had ever donated blood, (p<0.05), and done so on the basis of VNRBD (83% males vs 61.8% females) (p<0.05). Conclusion: Although medical students of IMSU showed high level of knowledge and positive attitude towards VNRB donation, the practice among them remained sub-optimal and hence, needs to be promoted.

Knowledge Attitude and Practice of Body Donation in Medical Students: A descriptive Study

Knowledge Attitude and Practice of Body Donation in Medical Students: A descriptive Study

Blood Donation Practice and Associated Factors in Ethiopia: A Systematic Review and Meta-analysis.

Background Blood donation is a novel act to save the lives of people who face serious medical and surgical conditions. Since the demand for blood supply is too high, there is a shortage of blood which causes significant morbidity and mortality. To increase blood supply and maintain adequate quantity of blood, regular and volunteer blood donation practice is needed, which meets the increased demand for blood. Therefore, this systematic review and meta-analysis was aimed at assessing the prevalence of blood donation practices and associated factors in Ethiopia. Method PubMed/MEDLINE, HINARI, Embase, Scopus, Google Scholar, African Journals Online (AJOL), and published and unpublished articles from the Ethiopian University repository were searched to find articles. Cochrane I2 statistics and Egger's test with funnel plots were done to check heterogeneity and publication bias, respectively. Subgroup analysis by region, study subjects, study setting, and sample size was done due to heterogeneity, as well as sensitivity analysis. Result Twenty studies from different regions with a total study subject of 8546 were included in the final review. The pooled prevalence of blood donation practice in Ethiopia was 25.82% (95% CI: 21.45-30.19). Having good knowledge of blood donation (AOR = 2.85; 95% CI: 2.33-3.48) and favorable attitude (AOR = 4.35; 95% CI: 2.93-6.45) were factors associated with blood donation practice in Ethiopia. Conclusion The pooled prevalence of blood donation practices in Ethiopia was short of the demand for blood due to the increase in serious medical conditions and road traffic accidents. Knowledge and attitude towards blood donation were significantly associated with blood donation practice. Therefore, awareness creation and health education programs targeting blood donation practice should be strengthened.

Renal transplantation during the SARS-CoV-2 pandemic in the UK: Experience from a large-volume center.

There is uncertainty about the safety of kidney transplantation during the SARS-CoV-2 pandemic due to the risk of donor transmission, nosocomial infection and immunosuppression use. We describe organ donation and transplant practice in the UK and assess whether kidney transplantation conferred a substantial risk of harm. Data from the UK transplant registry were used to describe kidney donation and transplant activity in the UK, and a detailed analysis of short-term, single-center, patient results in two periods: during the pre-pandemic era from 30th December 2019 to 8th March 2020 ("Pre-COVID era") and the 9th March 2020 to 19th May 2020 ("COVID era"). Donor and recipient numbers fell by more than half in the COVID compared to the pre-COVID era in the UK, but there were more kidney transplants performed in our center (42 vs. 29 COVID vs. pre-COVID respectively). Overall outcomes, including re-operation, delayed graft function, primary non-function, acute rejection, length of stay and graft survival were similar between COVID and pre-COVID era. 6/71 patients became infected with SARS-CoV-2 but all were discharged without critical care requirement. Transplant outcomes have remained similar within the COVID period and no serious sequelae of SARS-CoV-2 infection were observed in the peri-transplant period.

Knowledge, attitude and practice towards blood donation among health sciences students of Universiti Kebangsaan Malaysia

Introduction: Increased demand and low blood supply have been a critical issue in many countries, including Malaysia. This issue occurs due to a lack of awareness towards the importance of blood donation. Therefore, this study aims to evaluate the level of knowledge, attitude and practice towards blood donation among undergraduate students of the Faculty of Health Sciences (FSK), Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur. Methods: This cross-sectional study was conducted on undergraduate students of the Faculty of Health Sciences (FSK), Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, which is comprised of 9 programmes: Biomedical Science, Optometry, Nutrition Science, Dietetics, Audiology, Speech Science, Physiotherapy, Occupational Therapy and Environmental Health. The respondents were recruited by a stratified random sampling technique with an informed consent. Questionnaire that consisted of four sections, namely: (A) sociodemographic characteristics, (B) knowledge on blood donation, (C) attitude towards blood donation and (D) practice of blood donation were distributed and a total of 274 responses were obtained for further evaluation. The significance values were set as P < 0.05. Results: Our research findings showed that the majority of students had a good level of knowledge (99.6%) and attitude (95.3%) about blood donation but most of them demonstrated a poor practice (59.1%). As for genders, female students had a better level of knowledge and attitude than males, but male students committed better practice towards blood donation than females. However, there were no significant differences between gender and programme of study as the respondents shared a similar background in health-related courses. Conclusion: A majority of the students had a good level of knowledge and attitude, but they are poor in practice. More campaigns need to be conducted to create awareness on the importance of blood donation.

Local virtue and global vision: The practice of eye donation in contemporary Sri Lanka

A death radically rearranges kinship, debt, obligation, and responsibility, and it also triggers prescribed routines for mourning and material disposal of the corpse. It is into this complex and fraught unfolding of events that the rhetorics of corporeal

A Systematic Review of Transfusion Transmissible Infections Among Blood Donors and Associated Safety Challenges in Pakistan

Introduction: The blood transfusion (BT) system in Pakistan is fragmented, demand-driven, and depends on weakly regulated transfusion practices. This is primarily a big problem in smaller cities and remote rural areas. Pakistan has one of the highest hepatitis B virus (HBV) and hepatitis C virus (HCV) prevalence worldwide, estimated around 5 & 10 million cases, respectively. There is a considerable risk that transfusion-transmissible infections (TTIs) may have contributed to the current epidemic of HBV & HCV, affecting 7.4 % of the general population, and potential risk of HIV transmission in the country. In this systematic review, we aim to identify the prevalence of TTIs among the blood donor population and associated safety challenges. Method & Material: We conducted a systematic literature search to identify studies related to TTIs and transfusion safety in Pakistan from January 1, 2010, to January 31, 2020. A search was conducted using PubMed and PakMedinet.com (largest medical database of Pakistan); initial search retrieved 981 articles, 166 met the inclusion criteria, and after review by two independent reviewers, 33 articles met the final criteria for qualitative synthesis. Results: Analysis of 33 studies showed the seroprevalence of HBV of 2.04 % (0.81% to 4.22%), HCV of 2.44% (1.29 % to 10%), HIV of 0.038% (0% to 0.18%), syphilis of 1.1% (0.11-3.01%) and malaria of 0.11% (0.05-1.20). The rate of coinfections among blood donors varied from 0.0099% to 0.35 %. The highest number of coinfections were HCV & syphilis, followed by HCV & HBV infections. The rate of TTIs was dependent on the number of donors, donor types (replacement vs. voluntary), screening techniques used, number, and type of TTIs tested. There was a lack of universal screening for common TTIs. Syphilis and malaria were tested only 38 % & 46 % of all the blood donations. The studies with a high number of replacement donors (RDs) noted a high prevalence of TTIs of 2.5 % to 12 % compared to the studies with a high number of voluntary non-remunerated donations (VNRDs) reported TTIs rates of 1.57% to 6.2 %. There was a significant difference in the prevalence of HBV & HCV in VNRDs (0.48%) compared to RDs (4.15%). The rate of VNRDs was 0.10 % to 13%. The majority of blood donations were from male donors, representing more than 70 % of all donations. The female donations varied from 0.03% to 15 % in government/public blood banks than 29 % in private sector blood banks. The HBV & HCV infections and anemia were the most common causes of blood donation deferral. The 69.5 % of donors who tested positive for TTIs in a study reported previous blood donations. The educational status of donors noted to have an association with knowledge about the risk of TTIs. Odds of having limited knowledge about TTIs (OR: 4.04, CI: 1.567-10.435, p<0.01) were greater if donors had a secondary level of education compared to those with tertiary education. 48 % of blood donors did not know about the risk of TTIs through blood transfusion. There was notification of only about 54.25 % of all donors, who tested positive for any TTIs. This was mainly due to a lack of standardized reporting and follow up systems. Conclusion: This systemic review shows a high prevalence of TTIs, especially HBV, HCV & syphilis in the blood donor population. There is a high dependency on RDs, with minimal use of healthy voluntary blood donation practices, inadequate screening of high-risk donors, repeated collections of the blood from RDs, poor quality of screening methods, and limited knowledge of donors about their health. There is a lack of widespread standardized testing and follow up of patients who tested positive on initial testing. Large prospective multicenter clinical trials are required for a better understanding of the TTIs by testing and creating a follow-up system for both blood donors and recipients. Disclosures Anwer: Incyte, Seattle Genetics, Acetylon Pharmaceuticals, AbbVie Pharma, Astellas Pharma, Celegene, Millennium Pharmaceuticals.:Honoraria, Research Funding, Speakers Bureau.

A Systematic Review of Transfusion-Transmissible Infections Among Blood Donors and Associated Safety Challenges in Pakistan.

The blood transfusion (BT) system in Pakistan is fragmented, demand-driven and depends on weakly regulated transfusion practices. There is a considerable possibility that transfusion-transmissible infections (TTIs) are contributing to the current epidemic of hepatitis B virus (HBV) and hepatitis C virus (HCV) (affecting 7.4% of the general population) in the country. To study this issue, we conducted a systematic review to identify articles related to TTIs and transfusion safety in Pakistan from January 1, 2010 to January 31, 2020. A review of 33 articles met the final criteria for qualitative synthesis. Analysis of these studies showed a cumulative frequency of HBV 2.04%, HCV 2.44%, HIV 0.038%, syphilis 1.1% and malaria 0.11%. The frequency of coinfections among blood donors varied from 0.0099% to 0.35%. The highest number of coinfections were HCV and syphilis, followed by HCV and HBV infections. Syphilis and malaria were tested in only 38% and 46% of all the blood donations in one study. The rate of voluntary non-remunerated donations (VNRDs) was less than 13%, and male donors were 95% to 100% in these studies. There was a significant difference in the frequency of HBV and HCV in VNRDs (0.48%) as compared to replacement donors (RDs) (4.15%). In short, this review shows a high frequency of TTIs, especially HBV, HCV and syphilis in the blood donor population in Pakistan. There is a high dependency on RDs, minimal use of healthy voluntary blood donation practices, inadequate screening of high-risk donors, repeated collections of the blood from RDs, poor quality of screening methods and limited knowledge of donor health. Without standardized safe transfusion practices, there will be an ongoing increase in transmission of TTIs, especially HBV, HCV, syphilis, and HIV leading to a significant adverse public health impact.

Knowledge, Attitude and Practice of Blood Donation: A Single-Centred Experience in Sandakan, Sabah

Many factors contribute to the reluctance towards blood donation, but available studies done in Malaysia involving University students does not reflect the knowledge of the public in general. The objective of this study is to determine knowledge, attitude practice towards blood donation among the Sandakan population. A cross-sectional study was employed using an adapted 29-item structured validated questionnaire available in English and Bahasa, consisting of subject’s demography, questions regarding knowledge, attitude, and perception of blood donation. Convenient random sampling was done within the hospital compound, 79 healthy adults consented, and their data were used for the final data analysis, yielding an excellent internal consistency (Cronbach’s α coefficient = 0.816). Out of all, 74.7% of the respondents had a high level of knowledge, and independent t-tests showed that those who were not married, had tertiary education, donated blood in the past, had a statistically significant higher level of knowledge and 96.2% of respondents have a positive attitude. Some donors (40.6%) donated blood for moral satisfaction, and only a quarter (25%) experienced adverse events. Fear of pain, needle, fainting was the highest reason for reluctance in blood donation (36.2% of non-donors), followed by self-perception of being medically unfit to donate (31.9% of non-donors). Even though the sampled population in Sandakan showed an adequate level of knowledge as well as a positive attitude towards blood donation, blood product shortage is still present. This study may contribute by serving as an educational platform for awareness and education to improve the number of blood donors.

Visualizing Data Shadow Donation

Within the context of datafication, participatory surveillance capitalism, and prospering rhetoric about scientific insight from big data exists the practice of data shadow donation. This relational activity refers to the digital gifting of personal data collections to research or charity platforms. By relying on users’ gifting data, data shadow donation operates outside the commercial domain and presents itself first as an instrument for civic engagement and second as an expression of public value and shared control. Based on an ethnographic research project investigating the phenomenon, an installation came to form. This article presents the artwork and focuses on content, on style and on how new technologies were experimented with and employed to solve visualisation challenges creatively. Furthermore, this paper contributes to discussions on data as a visuality, new media technologies, and the inclusion of subjects and viewers as image-makers.

Factors associated with postpartum women's knowledge, attitude and practice regarding human milk banks and milk donation: A cross-sectional survey

BackgroundBreast milk is the optimal method of human nutrition, and donor human milk is often needed to reduce the incidence of necrotizing enterocolitis and septicemia in preterm infants and improve their survival rate. Donor human milk is recommended as the first alternative when mothers’ milk is not available. The establishment of human milk banks is of great significance to promote the breastfeeding of preterm infants. However, there are insufficient studies on human milk banks and milk donation in China. Objectives(1) To investigate postpartum women's knowledge, attitude and practice regarding human milk banks and milk donation and to analyze the influencing factors. (2) To explore reasons why postpartum women reject milk donation and donor milk. Design and settingsA cross-sectional survey was conducted from February 2019 to July 2019 at two hospitals in Wuhan, a large city in central China. ParticipantsMothers who returned to hospital for postpartum follow-up within six months participated in this survey (N = 1078). MethodsQuestionnaires were used to obtain sociodemographic data and to determine participants’ knowledge, attitude and practice regarding human milk banks and milk donation. FindingsOf the respondents, 216 (20%) had prior knowledge of human milk banks and milk donation. For the sub-domain of knowledge, the item with the highest correct response rate was the benefit of breast milk, and the item with the lowest correct rate was the acceptance of donor human milk. For the sub-domain of attitude, 811(75.3%) of participants held a supportive attitude for the establishment of human milk banks, and 877(81.3%) were supportive of donating breast milk while 412 (38.3%) were supportive of accepting donor human milk. For the sub-domain of practice, the practice of milk donation was not optimistic as participants lacked interest in donating breast milk and spreading knowledge of breast milk banks, and only 28.3% of participants indicated that they would donate breast milk continuously. Participants’ age, educational background, weight of the newborn and having prior knowledge of human milk banks were factors that could positively predict their knowledge, attitude and practice associated with human milk banks and milk donation; medication usage during pregnancy or lactation was a factor negatively predicting their knowledge about human milk banks and milk donation. ConclusionThis study reveals that a majority of postpartum women are supportive of human milk banks and more willing to donate breast milk than receive donor milk. Lack of knowledge about human milk banks and safety concerns are the main factors hindering postpartum women from donating or accepting donor milk. Findings suggest that it is important to enhance public awareness regarding human milk banks as potential resources for life-saving therapy for preterm infants.This information should be disseminated during the early stage of the establishment of human milk banks. Moreover, health education of pregnant women should include the importance of human milk as well as the alternative and safety of donor milk from milk banks, especially for promoting the health of preterm infants and infants who are unable to receive mothers’ breastmilk.

Practising the Common Good: Philanthropic Practices in Twentieth-Century Denmark

Since the beginning of the 1990s, civil society has attracted both scholarly and political interest as the ‘third sphere’ outside the state and the market, strongly amplified by the sectorial conceptualisation of state, market and civil society. In contrast, this article shows that civil society is and has never been a pre-existing location separated from state and market. Its boundaries are constantly produced through practices interweaving political, economic and moral components. This will be studied through an exemplary Danish historical case of the Egmont Foundation 1920–2018. The study shows how different and changing philanthropic practices took part in producing distinction between state, market and civil society by demarcating categories of deserving and underserving needy as part of the ‘common good’ through changing donation practices and organisational forms. As a consequence, we can trace ongoing re-distributions of power relations in society over time. The study’s contribution to develop a post-sectorial concept of civil society is two-fold: first, by showing how political, economic and moral components are interlinked through the ongoing stabilisation of the ‘common’ and the ‘good’; second, by showing how these interlinks and transgression constantly re-distribute power relations in society and in turn create possibilities and limits for actions both in past, present and future.

Survey of US Living Kidney Donation and Transplantation Practices in the COVID-19 Era

IntroductionThe scope of the impact of the coronavirus disease 2019 (COVID-19) pandemic on living donor kidney transplantation (LDKT) practices is not well defined.MethodsWe surveyed US transplant programs to assess practices, strategies, and barriers to living LDKT during the COVID-19 pandemic. After institutional review board approval, the survey was distributed from 9 May 2020 to 30 May 2020 by e-mail and postings to professional society list-servs. Responses were stratified based on state COVID-19 cumulative incidence levels.ResultsStaff at 118 unique centers responded, representing 61% of US living donor recovery programs and 75% of LKDT volume in the prepandemic year. Overall, 66% reported that LDKT surgery was on hold (81% in “high” vs. 49% in “low” COVID-19 cumulative incidence states). A total of 36% reported that evaluation of new donor candidates had paused, 27% reported that evaluations were very much decreased (>0% to <25% typical), and 23% reported that evaluations were moderately decreased (25% to <50% typical). Barriers to LDKT surgery included program concerns for donor (85%) and recipient (75%) safety, patient concerns (56%), elective case restrictions (47%), and hospital administrative restrictions (48%). Programs with higher local COVID-19 cumulative incidence reported more barriers related to staff and resource diversion. Most centers continuing donor evaluations used remote strategies (video, 82%; telephone, 43%). As LDKT resumes, all programs will screen for COVID-19, although timeframe and modalities will vary. Recommendations for presurgical self-quarantine are also variable.ConclusionThe COVID-19 pandemic has had broad impacts on LDKT practice. Ongoing research and consensus building are needed to reduce barriers, to guide optimal practices, and to support safe restoration of LDKT across centers.

Blood donation practice and associated factors among health professionals working at heath centers in Nefas Silk Lafto sub city, Addis Ababa, Ethiopia

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Accessibility of a safe and adequate blood transfusion is a challenge worldwide and even more critical in Africa. Even though blood donation is lifesaving practice, current blood supply is far less compared to the demand in Ethiopia. However, there is limited information in Ethiopia. Therefore, this study aimed to assess blood donation practice and associated factors among health professionals working at heath center in Nefas Silk Lafto sub city, Addis Ababa, Ethiopia.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; Institution based cross-sectional study was conducted among health professionals working at health centers in Nefas Silk Lafto sub city, Addis Ababa from 23 August 2019 to 20 September 2019. Simple random sampling technique was used to select the study participants. Data were collected used self-administered structured questionnaire. Binary logistic regression analysis was used for data analysis. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; 459 health professionals were included in the study with a response rate of 98.4%. Only 157 (34.2%) of them donated blood in the last five years. Age (AOR=1.72, 95% CI: 1.06, 2.79), blood collection site (AOR=3.46, 95% CI: 2.03, 5.89), blood collection working (AOR=2.00, 95% CI: 1.16, 3.44) and knowledge (AOR=0.32, 95% CL: 0.14, 0.76) were significantly associated with blood donation practice.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Blood donation practice was low. Age of health professionals, blood collection site, blood collection working hour and knowledge were significantly associated with blood donation practice. Therefore, establish fixed and mobile collection site and convenient time for blood donors and awareness creation is crucial.&lt;/p&gt;