Matching supply and demand for blood in Guizhou province, China: an unresolved challenge.


Reynolds, L; McKee, M; (2010) Matching supply and demand for blood in Guizhou province, China: an unresolved challenge. Journal of public health (Oxford, England), 32 (1). pp. 103-9. ISSN 1741-3842 DOI: https://doi.org/10.1093/pubmed/fdp030

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Abstract

BACKGROUND: Problems with blood supply in China in the 1990s stimulated measures to achieve 100% voluntary donation but supply remains inadequate to meet demand. STUDY DESIGN AND METHODS: Review of official policies, supplemented with observation of practice and interviews with key informants (potential and actual donors and health workers) in Guizhou province in Southern China. RESULTS: Interviewees perceived the transfusion system as a mutual social contract. However, some individuals were unwilling to donate because of concerns about health risks, the idea of transferring blood between people, wastage or profits being made from blood. Inappropriate incentives, including cash, were used to encourage donation. Recent reforms have increased confidence in donation and transfusion safety although concerns persist about misuse. There is a need to reduce unnecessary use of blood and its products. CONCLUSION: China still relies heavily on blood supplies obtained through quota, purchase or use of incentives. There is scope to expand voluntary donation further. However, as a priority it will be necessary to reduce overuse.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: ECOHOST - The Centre for Health and Social Change
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 19380396
Web of Science ID: 276156600019
URI: http://researchonline.lshtm.ac.uk/id/eprint/5459

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