Voluntary Non-remunerated Donation Research Articles

Knowledge, attitude and practice of voluntary blood donation among family donors in the National Blood Transfusion Center

Background: blood donation by human still the only source of blood and blood components. Generally, donors classified into voluntary blood donor, family (or replacement) blood donor and paid blood donors. The safest donors found among people who donate their blood is the voluntarily blood donation. The study of attitude, beliefs, and level of knowledge associated with blood donation may enhance the recruitment of donors to blood donation. Aim of the study: assessment of knowledge, attitude and, practice of voluntary blood donation among family donors in the National Center for Blood Transfusion (NCBT) to identify and recruit potential voluntary blood donors. Materials and methods: This is a cross-sectional descriptive study carried out at the National center for Blood Transfusion-Baghdad in the period between October 2022 and February 2023. A questionnaire form was prepared for the assessment. A Total of 100 family (replacement) blood donor were included in the study. Results: The median of age was 33 (mean 34 +SD 8.9) years with range of 20-53 years age. All donors were males. The largest group of the responders (41%) is of secondary level of education. Seventy (70%) donors know their blood group. Sixty-six (66%) donors know the most common blood group in the world. Fifty-nine (59%) donors do not know the volume of blood that collected during each donation; and only 30 (30%) donors know the volume of the donated blood. Sixty-four (64%) donors know the correct duration of donation process. Forty-seven (47%) donors think that the individual can donate blood 2 times in the year; 17 (17%) stated 3 and 21(21%) stated more than 3 donations. Forty five (45%) donors stated that viral diseases can transmitted by blood transfusion, 11(11%) donors believe that cancer transmitted by transfusion , 15(15%) donors stated that chronic disorder can be transmitted by transfusion, while 29(29%) don’t know the diseases that can be transmitted by blood transfusion. Attitude towards Blood Donation; 84(84%) donors stated that donation has no harmful effect on the donor, and 75(75%) donors think that blood donation is beneficial for heath. Fifty-six (56%) donors practice voluntarily donation previously while 44(44%) donors practice replacement donation only. Conclusions there is good attitude toward blood donation and good practice of voluntary non-remunerated donation among family blood donors , in contrary there is a defect in the information and knowledge regarding the volume of donated blood , frequency of donations and the disorders that can transmitted by blood transfusion.

Exploring the increasing need for plasma collection: Perspectives of voluntary nonremunerated donors on payment for plasma in Canada.

The aim of this paper is to understand how voluntary nonremunerated plasma donors in Canada view payment for plasma and the emerging commercial sector. There is a growing global demand for plasma, to produce plasma-derived medical products. Source plasma for these products is collected through voluntary nonremunerated donation, sometimes by a national blood service, or by a commercial plasma collector, remunerating donors. This paper presents findings from qualitative semi-structured interviews with source plasma donors in three new source plasma centres in Canada. Interview data were analysed using abductive analysis, an interpretivist approach that builds on grounded theory. This study indicates that there are a range of perspectives on payment for plasma and the emerging commercial sector, from disinterest in payment, to opposition to payment based on the belief that it could undermine donating to help others, and risk public health and safety. One fifth of participants are open to CBS paying donors if it is necessary to increase national sufficiency of plasma. Almost two thirds of participants are opposed to commercial plasma collection in Canada, claiming that it could undermine Canada's public healthcare system, raising questions about transparency and accountability of the commercial plasma industry. Findings point to important areas for future study, on publicly collected source plasma, the emerging commercial plasma sector, and the role of the donor as a social actor in a complex political system.

Ethics in transfusion medicine: Are the intricate layers of ethics all universal? A global view.

Ethical principles have been considered, and in several respects regulated, along the entire blood procurement chain from donor motivation to transfusion to the patient. Consent of donors and voluntary non-remunerated donation are fields which have been addressed by codes of ethics and legislation. Caring for donor health is an area of further development of ethical standards. In part, blood products have also become a market, where commercial principles may synergize, but also creating issues in equality and maintaining human dignity that challenge societal solutions. At the bedside, the main global challenge remains to procure enough blood products for each patient in medical need. Allocation of rare blood, ethical evaluation of transfusion triggers, attitudes towards refusing blood transfusion and provision of blood products to remote settings are areas which should receive consideration.

What influences decisions to donate plasma? A rapid review of the literature.

Plasma has become an essential ingredient for various medical treatments. Many blood collection agencies rely on voluntary non-remunerated donation when collecting plasma, but at present many do not collect sufficient plasma to meet domestic demands. This rapid review sought to explore the factors that have been found to influence people's decisions to donate plasma to inform future research. Searches were conducted in PubMed, PsycINFO, Social Sciences Citation Index and CINAHL for peer-reviewed journal articles that discussed plasma donation and the factors associated with donor behaviour. Pertinent information from included articles was extracted and arranged in themes. In total, 33 articles were included in this review. Three main themes were identified by the authors. The first focused on site-level factors related to blood collection agencies' engagement with plasma donors and their influence on plasma donation experiences. The second theme considered how individual characteristics and experiences influence willingness to donate plasma. The third theme examined social and cultural-level factors, such as how social networks and community shape perceptions and experiences with donation. Our findings suggest that the current understanding of plasma donation is focused mainly on converting whole blood donors and also centres on individual-level factors to donation. Further research must examine what factors attract non-whole blood donors to become plasma donors, focusing on broader social-level influences. This review will inform policies and interventions for blood collection agencies to increase plasma donors.

Knowledge, attitude, and perception towards voluntary blood donation among university students in Nigeria

AbstractBackgroundAdequate provision of safe blood through voluntary non‐remunerated donation (VNRD) is critical to the delivery of quality health care. Understanding the factors affecting blood donation and addressing them would lead to an improvement in blood donation in Africa. The objective of this study was to determine factors affecting VNRD among culturally diverse Nigerian students.MethodsIn this cross‐sectional descriptive study, 840 students were selected by a stratified random sampling technique and given a pretested semi‐structured self‐administered questionnaire which included questions on knowledge, attitude, and perception of respondents towards voluntary blood donation. Data analysis was done using SPSS version 23.ResultsThe mean age of the respondents was 18·6 years (SD 1·8). The male‐to‐female ratio was 1:1·5. More than half (54·5%) of the respondents had good knowledge about blood donation with those of the College of Medicine and Health Sciences (CMHS) contributing the most to the knowledge base [p < 0·001, OR‐2·0, CI95 = 1·3, 3.0]. About 62% showed a willingness to donate blood, and the highest proportion were from the CMHS [χ2 = 29·62, p < 0·001]. Of those that had donated at least once in the past, males are more likely to donate than females [37 (60·7%) vs. 27 (39·3%)] (p = 0·001, OR 2·5 CI95 = 1·5–4·3).ConclusionsOur study demonstrated that the knowledge about blood donation is inadequate among the population studied although most of them were willing to donate blood. Efforts to increase the pool of VNRD should focus on young people and especially females. We recommend that student’s societies be engaged with activities aimed to improve their knowledge of blood donation and demystify erroneous beliefs hindering blood donation. These engagements may take place at orientation programmes for fresh students, exhibitions at student unions events, and during the commemoration of the World Blood Donor Day.

The development of a legal framework for blood donation and blood safety in China over 24\u2009years

BackgroundThis study analyzes the regulation of and developments in blood donation in China from 1996 to 2019, and demonstrates the government’s efforts to improve blood safety.ResultsSince the implementation of the Blood Donation Law in 1998, the number of blood donors in China increased by 275% from 1998 to 2018 (from 4 million to 15 million). The principle of no-fault liability was proposed and has been applied since 2010 to the tort liability related to blood transfusion malpractice. In 2015, mutual blood donation accounted for 4.2% of the national collection. However, in some provinces of China, the percentage of mutual blood donation increased from 9.3 to 35.6% in 2016. The National Health Commission canceled mutual blood donation in March of 2018. Since 2015, nucleic acid amplification testing has become a routine test item for screening blood.ConclusionsThe Chinese government institutionalized the voluntary non-remunerated donation principle, enacted regulations for the management of blood transfusion, and adopted advanced blood testing technology to sustain blood supply and ensure blood safety. Despite increased blood donation, blood shortages persist. The quality and safety of blood collection can be further improved through the cancellation of mutual blood donation and incentive measures for voluntary non-remunerated donation of blood, which needs facilitation by governmental legislation.

Understanding donation frequency: insights from current plasma donors.

Encouraging existing plasma donors to donate more frequently is a key objective for blood donation services committed to expanding yield through voluntary non-remunerated plasmapheresis donation. This requires an understanding of donors' perspectives on their current donation practice and how this relates to their knowledge and beliefs about the need for plasma. To explore this, Australian plasma donors were interviewed about how they arrived at the frequency at which they donate. Semi-structured telephone interviews were conducted with 105 Australian plasmapheresis donors. Key themes identified were as follows: fitting donation into busy lives and how ideas about being an ongoing donor and the institutional context shaped their perspective on frequency; perceptions of the impact of donation on health; and wanting to make a greater contribution. Experienced plasma donors work to maintain a donation practice in the context of busy lives often by adopting a flexible approach to donation frequency. Their knowledge of the contribution their donations make is key to their continued donation, yet most identified constraints to donating more frequently. Health concerns were a particular concern for some, and more research is needed to understand donors' perspectives on the impact of donating on their health.

A university – Led initiative to promote voluntary non-remunerated blood donation in a developing country

ObjectiveTo describe the process, challenges and impact of developing a voluntary non-remunerated blood donor programme in a replacement- based blood donation system. BackgroundTrinidad and Tobago is a developing country whose blood transfusion service is based on replacement and remunerated donors. The University of the West Indies Blood Donor Foundation was formed to promote voluntary non-remunerated donation through education, research and example. Methods/materialsThe process of establishing the Blood Donor Foundation was documented. Age, gender, number, history (first-time or repeat) and serological tests of donors attending 12 consecutive sessions between 2015 and 2018 were analyzed. Comparisons were made to published PAHO data for TTO’s replacement blood donor system and the programme’s impact on national policy described. Chi square analysis was used to measure significance of associations and p < 0.05 to assign statistical significance. ResultsAfter research and sensitization, 951 units of blood were collected, 50% from people in the 17–25 age group, 54% from females and 55% from repeat donors. Deferrals were <10% and initially reactive serological tests 1.2% compared to 43.6% and 3.04% respectively (p < 0.05 for both) for the national donor pool. The model was accepted for application nationally. ConclusionA voluntary non-remunerated blood donation programme was successfully established within a replacement-based system providing a model for national adoption.

Blood donations mode: Assessment of the Lebanese model.

Voluntary non-remunerated donations remain the cornerstone for a safe and sustainable blood supply. According to the World Health Organization and other international scientific committees, all nations must switch their system of blood collection to voluntary non-remunerated donation. Several other types of blood donations still exist nowadays that will be discussed. Lebanon, similarly to other developing countries, is struggling to achieve 100% voluntary non-remunerated donations for the many existing social, demographic, cultural and economic problems. Replacement donations remain the predominant type, which creates huge burden on both hospital blood banks and patient families. Despite the limited resources, some improvements have been made recently in this field and Lebanon seems to be on the road of achieving 100% voluntary non-remunerated blood donation as requested by the World Health Organization. The Lebanese experience is worth sharing so that neighbouring countries facing similar problems could benefit from it.

Can a decentralized blood supply system reach 100% voluntary nonremunerated donation?

Voluntary nonremunerated donation stands for the framework of a solid, safe, and sustainable blood supply; for this reason, the World Health Organization has set a goal toward achieving 100% voluntary nonremunerated blood donation in 2020. However, in Lebanon like in most developing countries, the majority of blood donations still come from family/replacement donors (around 75%) followed by voluntary donors for only 15%; compensated donors yet account for 10% of blood donations. Lebanon has a decentralized and fragmented blood supply system where private health care facilities predominate over the public system; thus, numerous challenges and roadblocks-that are discussed in this article-are likely to delay the fulfillment of the WHO resolution. By properly addressing (and resolving) those caveats, it should be expected that Lebanon can forecast achieving (or at least getting close to) 100% voluntary nonremunerated blood donation within the next decade.

A systematic review of incentives in blood donation.

Incentives are often used to enhance the effectiveness of recruitment and retention campaigns targeting blood donors. However, the degree to which incentives succeed in attracting and facilitating repeat donation is unclear. A systematic literature review, following PRISMA guidelines, investigated the existing empirical evidence regarding the use of monetary and nonmonetary incentives within blood donation. A comprehensive search of relevant databases identified a total of 71 papers for inclusion in the review for defining and operationalizing incentives (Objective 1), of which nine papers empirically investigated attitudes toward incentives (Objective 2), 31 papers investigated the impact on blood donation behavior (Objective 3), and eight papers investigated the impact on blood safety (Objective 4). Overall, research into the use of incentives in blood donation is limited, characterized by comparatively few studies, predominantly focused on whole blood donors, that are confounded by current operating context (paid or voluntary). No incentive has been identified that all segments of the nondonor and donor panel report positive attitudes toward, that has a positive impact on behavior, and that has no negative impact on blood safety. Certain incentives (i.e., discounts, tickets, gifts, and paid time off work) have the strongest evidence base for potential inclusion within voluntary nonremunerated (VNR) donation systems. Due to the limited nature of the existing literature (particularly for apheresis donors) and inconsistencies observed within the results, additional research investigating the likely impact of introducing (or removing) monetary or nonmonetary incentives in VNR donor recruitment or retention is essential.

The power of collaboration

The power of collaboration

The journey toward safer and optimized blood service in China: national strategy and progress.

The objective was to analyze and evaluate the effects of strategic measures the Chinese government attempted and undertook throughout the fast-changing and difficult transition periods of the blood service system. We systematically reviewed data and information regarding policy, blood collection, service system, and clinical transfusion practice, which were the most representative indicators on a national level from 1978 to 2015. Blood donation in China has successfully transitioned from paid donation, then compulsory (but nonremunerated) donation, to voluntary nonremunerated donation. The volume of blood collection has steadily increased from 4,000,000 red blood cell (RBC; 200mL/unit) units in 1998 to 22,000,000 RBC units in 2014. The percentage of human immunodeficiency virus (HIV) transfusion-transmitted infections in newly diagnosed HIV/AIDS has reduced from 29.6% in 2005 to less than 0.15% in 2013. The use of component therapy has increased from 18% in 1989 to 99% in 2014. Involvement of the government through enforcement of new statutes and regulations helped improve blood safety and clinical transfusion practice.

Expert Consensus Statement on achieving self‐sufficiency in safe blood and blood products, based on voluntary non‐remunerated blood donation (VNRBD)*

All countries face challenges in making sufficient supplies of blood and blood products available and sustainable, while also ensuring the quality and safety of these products in the face of known and emerging threats to public health. Since 1975, the World Health Assembly (WHA) has highlighted the global need for blood safety and availability. WHA resolutions 63·12, 58·13 and 28·72, The Melbourne Declaration on 100% Voluntary Non-Remunerated Donation of Blood and Blood Components and WHO Global Blood Safety Network recommendations have reaffirmed the achievement of 'Self-sufficiency in blood and blood products based on voluntary non-remunerated blood donation (VNRBD)' as the important national policy direction for ensuring a safe, secure and sufficient supply of blood and blood products, including labile blood components and plasma-derived medicinal products. Despite some successes, self-sufficiency is not yet a reality in many countries. A consultation of experts, convened by the World Health Organization (WHO) in September 2011 in Geneva, Switzerland, addressed the urgent need to establish strategies and mechanisms for achieving self-sufficiency. Information on the current situation, and country perspectives and experiences were shared. Factors influencing the global implementation of self-sufficiency, including safety, ethics, security and sustainability of supply, trade and its potential impact on public health, availability and access for patients, were analysed to define strategies and mechanisms and provide practical guidance on achieving self-sufficiency. Experts developed a consensus statement outlining the rationale and definition of self-sufficiency in safe blood and blood products based on VNRBD and made recommendations to national health authorities and WHO.

Blood donor incentives: A step forward or backward

Dramatic increase in blood usage and critical seasonal blood shortages are faced by various countries. Countries which previously reached 100% voluntary nonremunerated donation have been led to offer different kinds of incentives to recruit blood donors and meet their blood demands. In some cases, these incentives are considered monetary and are in complete contrast with International standards like World Health Organization (WHO). It seems that attitudes toward sole dependency on nonremunerated voluntary blood donation have been changed in recent years and experts in some developed countries are reevaluating partial reliance on paid donation. On the other hand, besides the effects of such incentives on blood safety, several economic and psychological studies have shown that incentives have discouraging effects on pro-social behaviors like blood donation and will reduce the number of blood donors in long term. With regard to the results of such studies, it seems that implementing incentive-based blood donor recruitment programs to meet blood requirements by some countries is becoming a challenge for blood banks.