In 54 countries, more than 50% of the blood supply is still dependent on family/replacement and paid blood donors (eight high-income countries, 36 middle-income countries and 10 low-income countries).ĩ9.8% of the donations in high-income countries and 99.9% in upper-middle-income countries are screened following basic quality procedures, as compared to 83% in lower-middle-income countries and 76 % in low-income countries.This includes 64 countries with 100% (or more than 99%) of their blood supply from voluntary unpaid blood donors. 79 countries collect more than 90% of their blood supply from voluntary unpaid blood donations (38 high-income countries, 33 middle-income countries and eight low-income countries).The maximum increase in absolute numbers was reported in the Western Pacific Region (4.15 million donations), followed by South-East Asia (3.05 million) and Africa (1.53 million donations). The highest increase of voluntary unpaid blood donations is in the South-East Asia Region (127%) followed by the Region of the Americas (81%) and Africa (81%). An increase of 10.7 million blood donations from voluntary unpaid donors from 2008 to 2018 has been reported by 119 countries.World Health Assembly resolution WHA63.12 urges all Member States to develop national blood systems based on voluntary unpaid donations and to work towards the goal of self-sufficiency.ĭata reported to WHO shows significant increases of voluntary unpaid blood donations in low- and middle-income countries: These donors are also the safest group of donors as the prevalence of bloodborne infections is lowest among this group. Types of blood donorsĪn adequate and reliable supply of safe blood can be assured by a stable base of regular, voluntary, unpaid blood donors. Demographic information of blood donors is important for formulating and monitoring recruitment strategies. The age profile of blood donors shows that, proportionally, more young people donate blood in low- and middle-income countries than in high-income countries. Overall, 66% of reporting countries, or 113 out of 171, have specific legislation covering the safety and quality of blood transfusion, including: In 2018, 73 % of reporting countries, or 125 out of 171, had a national blood policy. The national blood system should be governed by national blood policy and legislative framework to promote uniform implementation of standards and consistency in the quality and safety of blood and blood products. WHO recommends that all activities related to blood collection, testing, processing, storage and distribution be coordinated at the national level through effective organization and integrated blood supply networks. Providing safe and adequate blood should be an integral part of every country’s national health care policy and infrastructure.
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