BLOOD AVAILABILITY IN URBAN MOSHI, BALANCING SUPPLY AND DEMAND: A HEALTHCARE, POLITICAL-ECONOMIC AND SOCIO-CULTURAL PERSPECTIVE
Abstract
Description
A safe and sustainable blood supply is a necessary component of a successful healthcare system.
However, across the world, countries face challenges in providing such a blood supply to their
citizens. Sub-Saharan Africa, Tanzania being among of the countries, has the lowest donation
rates worldwide, they only fulfill 20-50% of the blood needs (Mamaye 2013).
This study aims at examining the barriers to sustainable blood system in Urban Moshi, looking
the policies which are current in place and recommending the policies that would make the blood
supply system more sustainable.
Methodology: This was a qualitative cross sectional study conducted between 30th May and 24th
June 2016, involving key stakeholders from Urban Moshi. Face to face interview and literature
search from the internet was used to obtain information. Data was analyzed thematically.
Results: As pointed out by different stakeholders, the factors that contributed to blood shortage
in Urban Moshi were lack of education on blood donation and safety, misconceptions due to
social-cultural and religious beliefs and lack of financial support from the government in
conducting blood donation programs and establishing adequate blood bank infrastructure. Those
who donated were either knowledgeable on donation or had a sick relative and they were
supposed to donate for them.
Conclusion and Recommendation: The problem of blood shortage has a large impact on the
health care system. There is a need to change policies in place and implement the new policies in
order to have a more sustainable blood system. Decreasing any unnecessary and inappropriate blood
use, educating and sensitizing individuals to blood transfusion practices, maintaining the blood reserves,
and increasing international aid will work holistically to strengthen the decentralized infrastructure by
increasing appropriate blood usage, improving sustainability of blood storages, increasing VNRBDs, and
generating financial savings.
Keywords
Research Subject Categories::MEDICINE