Blood donations mode: Assessment of the Lebanese model - 22/03/19

Approvisionnement en produits sanguins : évaluation du système du don et expérience libanaise

Doi : 10.1016/j.tracli.2019.02.009

A. Haddad ^a,^b,^⁎ , T. Bou Assi ^c,^d, E. Baz ^e, H. Samaha ^f, B. Hachem ^g, R. Feghali ^h, T. Jisr ⁱ, C. Haddad ^j, V. Barakett ^k, P. Malaud Wakim ^l, O. Garraud ^a,^m
^a EA3064, faculty of medicine of Saint-Étienne, university of Lyon, 42000 Saint-Étienne, France
^b Department of clinical pathology and blood bank, Sacré-Coeur Hospital, Lebanese University, Beirut, Lebanon
^c Department of laboratory medicine, psychiatric hospital of the Cross, Jaledib, Lebanon
^d Department of laboratory medicine and blood bank, Saint-Joseph hospital, Dora, Lebanon
^e Department of pathology and laboratory medicine, American university of Beirut medical center, Beirut, Lebanon
^f Department of laboratory medicine and blood transfusion unit, Saint-George hospital, university medical center, Beirut, Lebanon
^g Department of blood bank, Middle East institute of health, Bsalim, Lebanon
^h Department of laboratory medicine and blood bank, Rafic-Hariri university hospital, Beirut, Lebanon
ⁱ Department of laboratory medicine and blood bank, Makassed general hospital, Beirut, Lebanon
^j Department of laboratory medicine and blood bank, centre hospitalier universitaire Notre-Dame-de-Secours, Jbeil, Lebanon
^k Department of laboratory medicine, Hôtel-Dieu de France hospital, Beirut, Lebanon
^l ESA business school, Hamra, Lebanon
^m Institut national de la transfusion sanguine, 75015 Paris, France

^⁎Corresponding author at: Department of clinical pathology and blood banking, hôpital du Sacré-Cœur, BP 116, Baabda, Lebanon.Department of clinical pathology and blood banking, hôpital du Sacré-CœurBP 116BaabdaLebanon.

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 22 March 2019
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Abstract

Voluntary non-remunerated donations remain the cornerstone for a safe and sustainable blood supply. According to the World Health Organization and other international scientific committees, all nations must switch their system of blood collection to voluntary non-remunerated donation. Several other types of blood donations still exist nowadays that will be discussed. Lebanon, similarly to other developing countries, is struggling to achieve 100% voluntary non-remunerated donations for the many existing social, demographic, cultural and economic problems. Replacement donations remain the predominant type, which creates huge burden on both hospital blood banks and patient families. Despite the limited resources, some improvements have been made recently in this field and Lebanon seems to be on the road of achieving 100% voluntary non-remunerated blood donation as requested by the World Health Organization. The Lebanese experience is worth sharing so that neighbouring countries facing similar problems could benefit from it.

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Résumé

Un système d’approvisionnement pérenne en produits sanguins doit être basé sur le don volontaire et non rémunéré. Ce mode est promu par l’Organisation mondiale de la santé et par de nombreuses sociétés savantes. Ce manuscrit présente et définit dans un premier temps les types de don existants. Dans un deuxième temps, la situation d’un pays, en l’occurrence le Liban est exposée ; et notamment comment ce pays en voie de développement lutte pour transformer son système basé principalement sur le don de remplacement en un système reposant pleinement sur un don volontaire ? Et cela en dépit des difficultés et considérations démographiques, culturelles, socio-économiques et autres. En effet, le don de remplacement constitue une source de tension et d’inquiétude pour les centres de transfusion hospitaliers et les familles des patients. Ce manuscrit relate donc l’expérience que le Liban souhaite partager, malgré des ressources limitées, pour aller de l’avant vers un système conforme aux recommandations de l’OMS.

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Keywords : Blood donation, Voluntary non-remunerated donors, Replacement donors, Lebanon

Mots clés : Don de sang, Donneur volontaire et non rémunéré, Don de remplacement, Liban