Should Kiribati continue to aim for 100% voluntary non-remunerated blood donation as recommended by the WHO?

Tauma, G., Harries, A. D., Merilles, O. E. A., Tekoaua, R. and Teriboriki, B. (2016) Should Kiribati continue to aim for 100% voluntary non-remunerated blood donation as recommended by the WHO? Public Health Action, 6 (4). pp. 261-266. ISSN 2220-8372

Abstract

Setting: Tungaru Central Hospital Blood Bank Laboratory, Nawerewere, Tarawa, Kiribati.
Objective: To determine characteristics, deferrals and reasons for deferral amongst blood donors from 2011 to 2016.
Design: A cross-sectional study using routinely collected data.
Results: From January 2011 to March 2016, 8531 potential blood donors were registered. For each full year, the proportion of voluntary non-remunerated blood donor (VNRBD) was below 10%, although it increased to 13% in 2015. The overall proportion of blood donors deferred increased each year over the 5-year period, from 44% to57%, with similar increases in deferrals in VNRBD and family replacement donors (FRD). Among all blood donors, a higher proportion of females than males (59% vs 43%) and VNRBD than FRD (56% vs. 44%) were deferred (P  0.001). Deferrals were due to failing the medical questionnaire (53%), 2) having anaemia and/or high white cell count (26%), or 3) transfusion-transmissible infections (21%). More VNRBD were deferred due to failing the medical questionnaire, while more FRD were deferred due to anaemia and/or high white-cell count; the number of deferrals was similar for transfusion-transmissible infections.
Conclusion: This 5-year study showed that the proportion of VNRBD is low and deferrals are higher for this group than for FRD. There is a strong case for encouraging both types of donor in the country

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