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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
4
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pubmed:dateCreated |
2000-3-29
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pubmed:abstractText |
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.
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pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/ANEMIA,
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/BLOOD DONORS,
http://linkedlifedata.com/resource/pubmed/keyword/BLOOD TRANSFUSION,
http://linkedlifedata.com/resource/pubmed/keyword/Blood Supply,
http://linkedlifedata.com/resource/pubmed/keyword/Case Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Equipment And Supplies,
http://linkedlifedata.com/resource/pubmed/keyword/HOSPITALS,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Facilities,
http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections--transmission,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Research Report,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/TANZANIA,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
H
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0268-1080
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
14
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
354-62
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10787651-Actuarial Analysis,
pubmed-meshheading:10787651-Adult,
pubmed-meshheading:10787651-Blood Banks,
pubmed-meshheading:10787651-Blood Transfusion,
pubmed-meshheading:10787651-Child,
pubmed-meshheading:10787651-Child, Preschool,
pubmed-meshheading:10787651-Cost-Benefit Analysis,
pubmed-meshheading:10787651-Female,
pubmed-meshheading:10787651-HIV Infections,
pubmed-meshheading:10787651-Hospital Departments,
pubmed-meshheading:10787651-Humans,
pubmed-meshheading:10787651-Infant,
pubmed-meshheading:10787651-Infant, Newborn,
pubmed-meshheading:10787651-Male,
pubmed-meshheading:10787651-Pregnancy,
pubmed-meshheading:10787651-Tanzania
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pubmed:year |
1999
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pubmed:articleTitle |
Feasibility of hospital-based blood banking: a Tanzanian case study.
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pubmed:affiliation |
School of Social Science and International Development, University of Wales, Swansea, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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