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Updated: Jun 26, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

Blood transfusion services in Nepal: An overview.

Purshotam Paudel¹, Bipin Nepal²

¹Department of Transfusion Medicine, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India.

Asian Journal of Transfusion Science

|June 25, 2026

Summary

Nepal

Area of Science:

Public Health
Hematology
Transfusion Medicine

Background:

Blood transfusion services (BTSs) in Nepal are primarily managed by the Nepal Red Cross Society (NRCS) and hospital laboratories.
The NRCS handles approximately 90% of the nation's blood transfusion services, operating numerous blood service units and centers.
Increasing demand for blood components is driven by the expansion of healthcare facilities across Nepal.

Purpose of the Study:

To analyze the current state of blood transfusion services in Nepal.
To identify challenges and gaps in national blood transfusion policies and guidelines.
To understand the operational scope and contributions of the NRCS in blood collection and component supply.

Main Methods:

Review of existing literature and operational data on blood transfusion services in Nepal.

Keywords:

Blood bank Nepal blood transfusion services

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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

Analysis of the roles and responsibilities of key organizations involved in BTS.

Examination of national guidelines and policies related to blood transfusion and safety.

Main Results:

In 2023, NRCS Central BTSs collected 262,439 units of whole blood and supplied 344,933 blood components.
Nepal faces a deficit in comprehensive blood transfusion policies, with existing guidelines lacking specific protocols for safe component administration.
Regulatory oversight for BTS licensing is fragmented, involving the National Public Health Laboratory and Ministry of Health, with limited association with drug control authorities.

Conclusions:

Nepal's blood transfusion services are largely dependent on the NRCS, facing challenges due to evolving healthcare demands.
There is a critical need for updated national guidelines and policies to ensure safe and effective blood component administration.
Strengthening regulatory frameworks and inter-agency collaboration is essential for enhancing blood safety and service delivery.