Supported in part by Grant 5 T32 HL07934 from the National Heart, Lung, and Blood Institute; the American Red Cross; and the University of Minnesota Institute for Engineering in Medicine.
BLOOD DONORS AND BLOOD COLLECTION: Status of blood banking and the blood supply in Afghanistan
Article first published online: 20 NOV 2009
© 2009 American Association of Blood Banks
Volume 50, Issue 3, pages 566–574, March 2010
How to Cite
Ayyoubi, M. T., Konstenius, T., McCullough, J. C., Eastlund, T., Clay, M., Bowman, R., Rahmani, A. M., Riley, W. and McCullough, J. (2010), BLOOD DONORS AND BLOOD COLLECTION: Status of blood banking and the blood supply in Afghanistan. Transfusion, 50: 566–574. doi: 10.1111/j.1537-2995.2009.02485.x
- Issue published online: 1 MAR 2010
- Article first published online: 20 NOV 2009
- Received for publication August 21, 2009; revision received September 3, 2009, and accepted September 3, 2009.
BACKGROUND: As a result of more than 20 years of war in Afghanistan, its blood supply system has been damaged. We carried out an assessment of that blood supply system to determine the type and extent of assistance needed to increase blood availability and safety.
STUDY DESIGN AND METHODS: An assessment tool was developed, daily activities in Afghanistan were observed, and key personnel were interviewed.
RESULTS: Because there was no donor recruitment organization, most blood was obtained by the family replacement system. There was an inadequate supply of stored blood, which led to use of blood before screening test results for transfusion-transmitted disease were complete. Whole blood was provided but blood components were not produced. Blood was tested intermittently for human immunodeficiency virus Types 1 and 2, hepatitis B surface antigen, hepatitis C virus, and syphilis using agglutination-based screening methods.
CONCLUSIONS: A dedicated staff is in place but to strengthen the blood supply system in Afghanistan, it will be important to address infrastructure and facilities, organization, standard operating methods, supplies and equipment, training, quality assurance, and transfusion medicine education.