Feasibility of hospital-based blood banking: a Tanzanian case study

Feasibility of hospital-based blood banking: a Tanzanian case study The demand for blood transfusion is high in sub-Saharan Africa because of the high prevalence of anaemia and pregnancy related complications, but the practice is estimated to account for 10% of HIV infections in some regions. The main response to this problem by the international donor community is to establish vertically implemented blood transfusion services producing suitable (safe) blood at a cost of US$25–40 per unit. However, the economic sustainability of such interventions is questionable and it is argued here that hospital-based blood transfusion services operating at a basic adequate level are sufficient for low-income African countries. The results of a project aimed at improving such services in Tanzania are presented. The main findings are: (1) the cost per suitable blood unit produced was US$12.4; (2) at an HIV test sensitivity of 93.5% during the study period, discounted financial benefits of the interventions exceeded costs by a factor of between 17.2 and 37.1; (3) the cost per undiscounted year of life saved by use of these interventions was US$2.7–2.8; and (4) safe blood transfusion practices can be assured at an annual cost of US$0.07 per capita. Recommendations are made to ensure safe blood transfusion practices at hospital-based blood banks in Tanzania. Oxford University Press « Previous | Next Article » Table of Contents This Article Health Policy Plan. (1999) 14 (4): 354-362. » Abstract Free Full Text (PDF) Free Classifications Article Services Article metrics Alert me when cited Alert me if corrected Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Disclaimer Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Jacobs, B. Articles by Mercer, A. Search for related content PubMed PubMed citation Articles by Jacobs, B. Articles by Mercer, A. Related Content Load related web page information Share Email this article CiteULike Delicious Facebook Google+ Mendeley Twitter What's this? Search this journal: Advanced » Current Issue December 2015 30 (10) Alert me to new issues The Journal About this journal Publishers' Books for Review Recent E-Letters Rights & Permissions Dispatch date of the next issue We are mobile – find out more Journals Career Network Published in association with The London School of Hygiene and Tropical Medicine Impact factor: 3.470 5-Yr impact factor: 3.552 Editors-in-Chief Virginia Wiseman and Sandra Mounier-Jack View full editorial board For Authors Instructions to authors Online submission instructions Submit Now! Author Self Archiving Policy Open access options for authors visit Oxford Open This journal enables compliance with the NIH Public Access Policy Alerting Services Email table of contents Email Advance Access CiteTrack XML RSS feed Corporate Services Advertising sales Reprints Supplements var taxonomies = ("MED00860"); Most Most Read 'Doing' health policy analysis: methodological and conceptual reflections and challenges Surgical and anaesthetic capacity of hospitals in Malawi: key insights Calculating QALYs, comparing QALY and DALY calculations Constructing socio-economic status indices: how to use principal components analysis The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya » View all Most Read articles Most Cited Constructing socio-economic status indices: how to use principal components analysis Reforming the health sector in developing countries: the central role of policy analysis Overcoming barriers to health service access: influencing the demand side Measuring social capital within health surveys: key issues The terrain of health policy analysis in low and middle income countries: a review of published literature 1994-2007 » View all Most Cited articles Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department. Online ISSN 1460-2237 - Print ISSN 0268-1080 Copyright © 2015 Oxford University Press Oxford Journals Oxford University Press Site Map Privacy Policy Cookie Policy Legal Notices Frequently Asked Questions Other Oxford University Press sites: Oxford University Press Oxford Journals China Oxford Journals Japan Academic & Professional books Children's & Schools Books Dictionaries & Reference Dictionary of National Biography Digital Reference English Language Teaching Higher Education Textbooks International Education Unit Law Medicine Music Online Products & Publishing Oxford Bibliographies Online Oxford Dictionaries Online Oxford English Dictionary Oxford Language Dictionaries Online Oxford Scholarship Online Reference Rights and Permissions Resources for Retailers & Wholesalers Resources for the Healthcare Industry Very Short Introductions World's Classics function fnc_onDomLoaded() { var query_context = getQueryContext(); PF_initOIUnderbar(query_context,":QS:default","","JRN"); PF_insertOIUnderbar(0); }; if (window.addEventListener) { window.addEventListener('load', fnc_onDomLoaded, false); } else if (window.attachEvent) { window.attachEvent('onload', fnc_onDomLoaded); } var gaJsHost = (("https:" == document.location.protocol) ? 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Feasibility of hospital-based blood banking: a Tanzanian case study

Health Policy and Planning, Volume 14 (4) – Dec 1, 1999

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Oxford University Press
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Copyright © 2015 Oxford University Press
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0268-1080
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1460-2237
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heapol;14/4/354
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Abstract

The demand for blood transfusion is high in sub-Saharan Africa because of the high prevalence of anaemia and pregnancy related complications, but the practice is estimated to account for 10% of HIV infections in some regions. The main response to this problem by the international donor community is to establish vertically implemented blood transfusion services producing suitable (safe) blood at a cost of US$25–40 per unit. However, the economic sustainability of such interventions is questionable and it is argued here that hospital-based blood transfusion services operating at a basic adequate level are sufficient for low-income African countries. The results of a project aimed at improving such services in Tanzania are presented. The main findings are: (1) the cost per suitable blood unit produced was US$12.4; (2) at an HIV test sensitivity of 93.5% during the study period, discounted financial benefits of the interventions exceeded costs by a factor of between 17.2 and 37.1; (3) the cost per undiscounted year of life saved by use of these interventions was US$2.7–2.8; and (4) safe blood transfusion practices can be assured at an annual cost of US$0.07 per capita. Recommendations are made to ensure safe blood transfusion practices at hospital-based blood banks in Tanzania. Oxford University Press « Previous | Next Article » Table of Contents This Article Health Policy Plan. (1999) 14 (4): 354-362. » Abstract Free Full Text (PDF) Free Classifications Article Services Article metrics Alert me when cited Alert me if corrected Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Disclaimer Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Jacobs, B. Articles by Mercer, A. Search for related content PubMed PubMed citation Articles by Jacobs, B. Articles by Mercer, A. Related Content Load related web page information Share Email this article CiteULike Delicious Facebook Google+ Mendeley Twitter What's this? Search this journal: Advanced » Current Issue December 2015 30 (10) Alert me to new issues The Journal About this journal Publishers' Books for Review Recent E-Letters Rights & Permissions Dispatch date of the next issue We are mobile – find out more Journals Career Network Published in association with The London School of Hygiene and Tropical Medicine Impact factor: 3.470 5-Yr impact factor: 3.552 Editors-in-Chief Virginia Wiseman and Sandra Mounier-Jack View full editorial board For Authors Instructions to authors Online submission instructions Submit Now! Author Self Archiving Policy Open access options for authors visit Oxford Open This journal enables compliance with the NIH Public Access Policy Alerting Services Email table of contents Email Advance Access CiteTrack XML RSS feed Corporate Services Advertising sales Reprints Supplements var taxonomies = ("MED00860"); Most Most Read 'Doing' health policy analysis: methodological and conceptual reflections and challenges Surgical and anaesthetic capacity of hospitals in Malawi: key insights Calculating QALYs, comparing QALY and DALY calculations Constructing socio-economic status indices: how to use principal components analysis The role of community-based organizations in household ability to pay for health care in Kilifi District, Kenya » View all Most Read articles Most Cited Constructing socio-economic status indices: how to use principal components analysis Reforming the health sector in developing countries: the central role of policy analysis Overcoming barriers to health service access: influencing the demand side Measuring social capital within health surveys: key issues The terrain of health policy analysis in low and middle income countries: a review of published literature 1994-2007 » View all Most Cited articles Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department. Online ISSN 1460-2237 - Print ISSN 0268-1080 Copyright © 2015 Oxford University Press Oxford Journals Oxford University Press Site Map Privacy Policy Cookie Policy Legal Notices Frequently Asked Questions Other Oxford University Press sites: Oxford University Press Oxford Journals China Oxford Journals Japan Academic & Professional books Children's & Schools Books Dictionaries & Reference Dictionary of National Biography Digital Reference English Language Teaching Higher Education Textbooks International Education Unit Law Medicine Music Online Products & Publishing Oxford Bibliographies Online Oxford Dictionaries Online Oxford English Dictionary Oxford Language Dictionaries Online Oxford Scholarship Online Reference Rights and Permissions Resources for Retailers & Wholesalers Resources for the Healthcare Industry Very Short Introductions World's Classics function fnc_onDomLoaded() { var query_context = getQueryContext(); PF_initOIUnderbar(query_context,":QS:default","","JRN"); PF_insertOIUnderbar(0); }; if (window.addEventListener) { window.addEventListener('load', fnc_onDomLoaded, false); } else if (window.attachEvent) { window.attachEvent('onload', fnc_onDomLoaded); } var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); try { var pageTracker = _gat._getTracker("UA-189672-16"); pageTracker._setDomainName(".oxfordjournals.org"); pageTracker._trackPageview(); } catch(err) {}

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Health Policy and PlanningOxford University Press

Published: Dec 1, 1999

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