Blood transfusion service readiness and its associated factors in health facilities providing blood transfusion services across Ethiopia: A secondary analysis of the 2018 Service Availability and Readiness Assessment (SARA) survey.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Blood Transfusion*/statistics & numerical data ; Health Facilities*/statistics & numerical data; Health Services Accessibility/statistics & numerical data ; Blood Grouping and Crossmatching/statistics & numerical data ; Ethiopia ; Humans ; Surveys and Questionnaires

Introduction: Timely and safe blood transfusion services are crucial for saving lives in emergencies. Previous studies have focused on hospital inpatient care access but have overlooked blood transfusion service readiness. This study examined the readiness of blood transfusion services in health facilities across Ethiopia and its determinants.
Methods: This study used Service Availability and Readiness Assessment (SARA) 2018 data from 632 facilities. Readiness was measured based on seven components: the presence of at least one trained staff for appropriate use of blood and safe transfusion; guidelines for appropriate use and transfusion; blood storage refrigerator; blood typing; cross-match typing; blood supply safety; and blood supply sufficiency. Data were analyzed using descriptive and inferential statistics. Facility characteristics were summarized using frequency tables and summary statistics. Bivariate and multivariable linear regression analyses examined the predictors of service readiness.
Results: Facilities offering blood transfusion services had a mean readiness score of 4.5 (out of 7), with only 5% having all items. Most facilities performed blood typing, but less than one-third conducted cross-match testing, and over half lacked guidelines and trained staff. Service readiness varied significantly across regions. Facilities in Oromia (Coef.: -0.74; 95% CI: [-1.32, -0.15]) and Somali (Coef.: -1.26; 95% CI: [-2.21, -0.31]) had lower readiness scores compared to Addis Ababa. Increased availability of medical equipment corresponded to a 49% increase in readiness scores (Coef.: 0.49; 95% CI: [0.19, 0.79]).
Conclusion: The study highlights deficiencies in blood transfusion service readiness and regional disparities, emphasizing the need for targeted support to enhance readiness across regions.
(Copyright: © 2024 Fenta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

The authors have declared that no competing interests exist.

Int J Health Geogr. 2004 Feb 26;3(1):3. (PMID: 14987337)
Lancet. 2006 Sep 30;368(9542):1189-200. (PMID: 17011946)
Soc Sci Med. 1994 Apr;38(8):1091-110. (PMID: 8042057)
Lancet Haematol. 2021 Oct;8(10):e770-e776. (PMID: 34481544)
BMC Health Serv Res. 2024 Apr 2;24(1):409. (PMID: 38566163)
BMJ Open. 2017 Mar 6;7(3):e014496. (PMID: 28264832)
Int J Health Geogr. 2023 Mar 27;22(1):6. (PMID: 36973723)
Transfusion. 2019 Jan;59(1):412-427. (PMID: 30615810)
Transfusion. 2018 May;58(5):1307-1317. (PMID: 29542130)
PLoS One. 2021 Mar 4;16(3):e0247700. (PMID: 33661982)
Glob Heart. 2023 Jun 15;18(1):32. (PMID: 37334400)
Lancet Glob Health. 2014 Jun;2(6):e323-33. (PMID: 25103301)
BMJ Open. 2022 Feb 15;12(2):e055017. (PMID: 35168978)
BMJ Glob Health. 2019 Jul 29;4(Suppl 6):e001265. (PMID: 31406599)
Transfusion. 2017 Oct;57(10):2526-2531. (PMID: 28703878)

Date Created: 20241212 Date Completed: 20241212 Latest Revision: 20241214

20260130

PMC11637254

10.1371/journal.pone.0315665

39666720