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Reasons for blood donation deferral in sub-Saharan Africa: experience in Ivory Coast
Maxime Diane Kouao1, Bamory Dembelé, Landry Kouassi N'Goran
1General Hospital at Yopougon Attié, Ivory Coast. dianekouao@yahoo.fr
Insights
Low hemoglobin and sexual behavior are key reasons for blood donor deferral in Ivory Coast. These deferrals, though similar in rate to high-middle income countries, highlight preventable issues through targeted donor education.
Area of Science:
- Transfusion Medicine
- Public Health
- Hematology
Background:
- Donor selection is critical for blood transfusion safety.
- Data on blood donor deferral reasons in Ivory Coast is limited.
- Understanding deferral patterns is essential for optimizing blood supply.
Purpose of the Study:
- To identify and analyze the primary reasons for predonation deferral.
- To provide insights into blood donor demographics and deferral causes in Abidjan.
Main Methods:
- Retrospective audit of blood donor records.
- Data collected from January 2006 to December 2008.
- Analysis of donor deferral reasons at General Hospital, Yopougon Attié.
Main Results:
- 10,694 prospective donors were evaluated; 2618 (10.8%) were deferred.
- Low hemoglobin levels were the most common deferral reason (42.5%), predominantly in females.
- New or changed sexual partners accounted for 34.3% of deferrals, mainly in males.
- Other deferral reasons included short interdonation intervals (4.6%) and biomarker reactivity (2.3%).
Conclusions:
- Deferral rates in Ivory Coast are comparable to high-middle income countries, but causes and demographics differ.
- Preventable factors, such as low hemoglobin and sexual behavior, contribute significantly to deferrals.
- Awareness campaigns and education can mitigate deferral causes and improve donor pool health.
Introduction:
Blood donor selection is important to ensure the safety of both donors and recipients. There is a paucity of data on reasons for blood donor deferral in Ivory Coast. The aim of this study was to identify the reasons for predonation deferral at a blood collection site at General Hospital, Yopougon Attié in Abidjan.
Materials And Methods:
The investigators conducted a retrospective audit of data pertaining to donor deferral for blood donors that presented to the general hospital of Yopugon Attié from January 1, 2006 to December 31, 2008.
Results:
A total of 10,694 prospective blood donors, presented over the study period, and 24,363 attempts to donate were registered. The majority were repeat blood donors (77.4%). A total of 2618 (10.8%) donors were deferred. The most frequent reason for deferral was a low hemoglobin level (42.5%), with females constituting the majority of those deferred. The second most frequent reason for deferral was a reported change of or new sexual partner (34.3%); male donors were predominant in this group. Additional reasons for deferral included short interdonation interval (4.6%) and reactivity for a screened biomarker (2.3%).
Conclusion:
Although the rates for permanent and temporary deferral rates are similar between the Ivory Coast and high-middle income countries, the causes and demographics differ. The reasons for exclusion are preventable through awareness and education of prospective blood donors.
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