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

Autor: Bou Assi T; Department of Laboratory Medicine, Psychiatric Hospital of the Cross, Jaleddib, Lebanon.; Department of Laboratory Medicine and Blood Bank, Saint Joseph Hospital, Dora, Lebanon., Haddad A; Department of Clinical Pathology and Blood Bank, Sacré-Coeur Hospital, Lebanese University, Beirut, Lebanon.; EA3064, Faculty of Medicine of Saint-Etienne, University of Lyon, Saint-Etienne, France., Haddad L; Faculty of Medicine, University of Balamand, Beirut, Lebanon., Garraud O; EA3064, Faculty of Medicine of Saint-Etienne, University of Lyon, Saint-Etienne, France.; Institut National de la Transfusion Sanguine, Paris, France.
Jazyk: angličtina
Zdroj: The International journal of health planning and management [Int J Health Plann Manage] 2018 Oct; Vol. 33 (4), pp. e883-e891. Date of Electronic Publication: 2018 Jul 27.
DOI: 10.1002/hpm.2576
Abstrakt: 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.
(© 2018 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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