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Transfusion practice and knowledge in Mozambique.

Emily Hartford1, Olegario Muanantatha2, Valigy Ismael Valigy3

  • 1UCLA Center for World Health, Los Angeles, California.

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Summary
This summary is machine-generated.

In Mozambique, healthcare providers recognized transfusion risks but often transfused unnecessarily, especially in young children. Training improved knowledge, highlighting areas for future intervention to reduce avoidable blood transfusions.

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Area of Science:

  • Transfusion Medicine
  • Global Health
  • Healthcare Education

Background:

  • Limited blood supply and high infection transmission risks in Mozambique.
  • Previous studies indicate a significant proportion of transfusions are potentially avoidable.
  • Healthcare providers' perceptions and knowledge are crucial for optimizing transfusion practices.

Purpose of the Study:

  • To assess healthcare providers' perceptions and knowledge regarding blood transfusion practices in Mozambique.
  • To identify factors influencing transfusion decisions.
  • To evaluate the impact of a transfusion training workshop on provider knowledge.

Main Methods:

  • A survey and knowledge assessment were administered to 216 healthcare providers.
  • Statistical analysis included Wilcoxon signed rank test and Fisher's exact test.
  • Pre- and post-training exam scores were compared to measure knowledge improvement.

Main Results:

  • Most providers acknowledged blood supply limitations and transfusion risks.
  • Low hemoglobin and pallor were significant perceived transfusion indications (p < 0.001).
  • Transfusions were more frequent in children under 5 (p < 0.01); exam scores improved from 58% to 74% (p < 0.001).

Conclusions:

  • Mozambican providers possess knowledge regarding transfusion risks.
  • Preoperative patients, critically ill individuals, and children are most susceptible to avoidable transfusions.
  • Findings will inform future strategies for provider education and transfusion stewardship.