Paths to improve voluntary blood donation in mixed public/private blood donation systems such as in Lebanon?

Blood donation Lebanon blood donors donor’s characteristics transfusion system policy

Journal

Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine
ISSN: 1953-8022
Titre abrégé: Transfus Clin Biol
Pays: France
ID NLM: 9423846

Informations de publication

Date de publication:
07 Jun 2024
Historique:
received: 30 05 2024
accepted: 30 05 2024
medline: 10 6 2024
pubmed: 10 6 2024
entrez: 9 6 2024
Statut: aheadofprint

Résumé

The World Health Organization advocates for the achievement of 100% voluntary non-remunerated blood donation (VNRD) globally by the year 2020. However, until today, little was known in Lebanon regarding its actual rate or influencing factors, particularly donor motivations and behaviors. Therefore, the aim of this study was to assess the knowledge, attitudes, and practices of blood donors in Lebanon. The ultimate goals were to retain first-time donors, encourage them to become regular ones, and facilitate the transition from replacement donation to VNRD. A multi-centric cross-sectional study was carried across the five governorates in Lebanon. A self-administered and structured questionnaire was used in this survey. Results were presented in terms of odds ratios, with statistical significance defined at a P value of 0.05 and a 95% confidence interval. Additionally, a benchmarking analysis of the situation of blood donation in Lebanon was also conducted, identifying several areas for improvement. A total of 620 blood donors participated in this study, with 21.3% being first-time donors and 78.7% repeat donors. While the latter were primarily motivated by self-esteem, solidarity or returning a favor (89%, 77.9% and 78.1%), the main obstacle for becoming regular donors was a lack of initiative (34.6%). Female donors (9.9% of the total) exhibited better knowledge (OR= 2.20, p=0.011) and were more inclined to donate voluntarily (OR= 1.52, p=0.048). Conversely, male donors were more likely to be repeat donors, often through replacement donation (OR= 2.95, p=0.001). There is a significant disparity between the low rate of voluntary donation in Lebanon (22.2%) and the relatively high proportion of donors with adequate knowledge of the donation process (60.5%). Therefore, urgent action by public authorities, based on the evidence based strategies outlined in this article, is crucial to enhancing the voluntary donation rate in Lebanon.

Sections du résumé

BACKGROUND BACKGROUND
The World Health Organization advocates for the achievement of 100% voluntary non-remunerated blood donation (VNRD) globally by the year 2020. However, until today, little was known in Lebanon regarding its actual rate or influencing factors, particularly donor motivations and behaviors. Therefore, the aim of this study was to assess the knowledge, attitudes, and practices of blood donors in Lebanon. The ultimate goals were to retain first-time donors, encourage them to become regular ones, and facilitate the transition from replacement donation to VNRD.
MATERIALS AND METHODS METHODS
A multi-centric cross-sectional study was carried across the five governorates in Lebanon. A self-administered and structured questionnaire was used in this survey. Results were presented in terms of odds ratios, with statistical significance defined at a P value of 0.05 and a 95% confidence interval. Additionally, a benchmarking analysis of the situation of blood donation in Lebanon was also conducted, identifying several areas for improvement.
RESULTS RESULTS
A total of 620 blood donors participated in this study, with 21.3% being first-time donors and 78.7% repeat donors. While the latter were primarily motivated by self-esteem, solidarity or returning a favor (89%, 77.9% and 78.1%), the main obstacle for becoming regular donors was a lack of initiative (34.6%). Female donors (9.9% of the total) exhibited better knowledge (OR= 2.20, p=0.011) and were more inclined to donate voluntarily (OR= 1.52, p=0.048). Conversely, male donors were more likely to be repeat donors, often through replacement donation (OR= 2.95, p=0.001).
CONCLUSION CONCLUSIONS
There is a significant disparity between the low rate of voluntary donation in Lebanon (22.2%) and the relatively high proportion of donors with adequate knowledge of the donation process (60.5%). Therefore, urgent action by public authorities, based on the evidence based strategies outlined in this article, is crucial to enhancing the voluntary donation rate in Lebanon.

Identifiants

pubmed: 38852712
pii: S1246-7820(24)00062-4
doi: 10.1016/j.tracli.2024.05.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Masson SAS.

Auteurs

Tarek Bou Assi (T)

Department of Laboratory Medicine and Blood Bank, Lebanese American University Medical Center-Rizk Hospital, Beirut, Lebanon; Department of Laboratory Medicine and Blood Bank, Saint Joseph Hospital, Dora, Lebanon; Department of Laboratory Medicine, Psychiatric Hospital of the Cross, Jaledib, Lebanon.

Antoine Haddad (A)

Department of Clinical Pathology and Blood Bank, Sacré-Coeur Hospital, Lebanese University, Beirut, Lebanon. Electronic address: anthadd@gmail.com.

Nathalie Ghanem (N)

Lebanese University.

Rêve Chahine (R)

Lebanese University.

Elie Fazaa (E)

Lebanese University.

Racha Karaki (R)

Lebanese University.

Rita Feghali (R)

Department of Laboratory Medicine and Blood Bank, Lebanese American University Medical Center-Rizk Hospital, Beirut, Lebanon; Department of Laboratory Medicine and Blood Bank, Rafic Hariri University Hospital, Beirut, Lebanon; Blood Transfusion Services, Lebanese Red Cross, Beirut, Lebanon.

Pierre Ghorra (P)

Department of Blood Bank, Hôtel Dieu de France Hospital, Beirut, Lebanon; Department of Blood Bank, Hopital Libanais Geitaoui-CHU, Beirut, Lebanon.

Tamima Jisr (T)

Department of Laboratory Medicine, Blood Bank and Cellular Therapy, Makassed General Hospital, Beirut, Lebanon.

Berthe Hachem (B)

Department of Blood Bank, Hôtel Dieu de France Hospital, Beirut, Lebanon; Department of Blood Bank, Middle East Institute of Health, Bsalim, Lebanon.

Mehdi Tarhini (M)

Department of Laboratory Medicine and Blood bank, Al RAEE Hospital, Saïda, Lebanon; Department of Laboratory Medicine and Blood bank, Sheikh Ragheb Harb University Hospital, Nabatieh, Lebanon.

Raymond Rohban (R)

Department of Laboratory Medicine and Blood Bank, Saint Joseph Hospital, Dora, Lebanon.

Hassan Hammoud (H)

Department of Laboratory Medicine and Blood bank, Saint Georges Hospital, Hadath, Lebanon.

Mohammad Jamal (M)

Department of Blood Bank, Hammoud Hospital University Medical Center, Saïda, Lebanon.

Hadi El Amin (H)

Department of Blood Bank, Nini Hospital, Tripoli, Lebanon; Department of Laboratory and blood bank, Saydet Zgharta University Medical Center, Zgharta, lebanon.

Malak Nabulsi (M)

Department of Blood Bank, Haykel Hospital, Tripoli, Lebanon.

Olivier Garraud (O)

Sainbiose-INSERM_U1059, FACULTY of Medicine, University of Saint-Etienne, Saint-Etienne, France.

Classifications MeSH