An Assessment of Knowledge, Practice and Barriers of Voluntary Blood Donation among Staff and Patients of a Tertiary Hospital in Nigeria

Aondona David Daniel, N. Akwaras, Matthew Ngbede Ocheifa, Chukwuemeka Nwaeze, Laadi T. Swende, Bamidele Ohiozoje Ornguga, Rufus IfechukwuIzeji
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Abstract

Background: Blood and blood products are essential resources in the management of many health conditions. It has been tasking to achieve complete reliance on voluntary unpaid blood donors. Hence, assessing the knowledge, practices and barriers of voluntary blood donation can impact on improvement of the number of voluntary blood donors. Aim: To assess the knowledge, practice, and barriers of voluntary blood donation among the participants. Method: A cross sectional descriptive study was carried out using pre-tested interviewer administered questionnaire administered to 288 participants selected by systematic random sampling technique. The data was analysed using SPSS version 20. Results: The mean age of the respondents was 38.81 ± 11.67. Males were slightly more (51.70%) than females (n=149, 51.70%). Most were married (n=204, 70.80%), of the Tiv tribe (n=160, 55.60%) and were Christians (n=263, 91.30). Over half had tertiary education (n=113, 55.20%), were civil servants (n=159, 55.20%) and worked in non-health related disciplines (n=168, 58.30%) respectively. Over two-third reside in rural areas (n=206, 71.50%). 0nly 30.56% had good knowledge scores. Those who had ever voluntarily donated blood made up 11.1%. Females were less likely to donate blood (aOR=0.19, CI 0.08 – 0.48, p=0.00). Those with tertiary education were nearly six times more likely to have donated blood (aOR=5.92, CI 1.66 – 21.10, p=0.01). Those with non-health related jobs (aOR=0.00, CI 0.06 – 0.46, p=0.00) were less likely to donate blood. The most common reason for deferral was viral infections (37.50%) such as hepatitis B, hepatitis C and HIV infection. The commonest barriers of voluntary blood donation fear of blood being sold for rituals (22.6%), fear (22.9) fear of needle prick (16.7%).
尼日利亚一家三级医院工作人员和患者自愿献血的知识、实践和障碍评估
背景:血液和血液制品是管理许多健康状况的必要资源。实现完全依赖自愿无偿献血者一直是一项艰巨的任务。因此,评估自愿献血的知识、做法和障碍可对增加自愿献血者人数产生影响。目的:了解志愿者无偿献血的知识、行为及存在的障碍。方法:采用系统随机抽样方法,采用预测式访谈问卷对288名被试进行横断面描述性研究。数据采用SPSS version 20进行分析。结果:调查对象平均年龄为38.81±11.67岁。男性(51.70%)略多于女性(n=149, 51.70%)。大多数已婚(n=204, 70.80%), Tiv族(n=160, 55.60%),基督徒(n=263, 91.30)。超过一半的人受过高等教育(n=113, 55.20%),公务员(n=159, 55.20%)和在非卫生相关学科工作(n=168, 58.30%)。超过三分之二居住在农村地区(n= 206,71.50%)。知识得分良好的仅占30.56%。曾经自愿献血的占11.1%。女性较少献血(aOR=0.19, CI 0.08 ~ 0.48, p=0.00)。受过高等教育的人献血的可能性是其他人群的近6倍(aOR=5.92, CI 1.66 ~ 21.10, p=0.01)。那些从事与健康无关的工作的人(aOR=0.00, CI 0.06 - 0.46, p=0.00)献血的可能性较小。最常见的原因是病毒感染,如乙型肝炎、丙型肝炎和艾滋病毒感染(37.50%)。自愿献血最常见的障碍是害怕血液被用于宗教仪式(22.6%),害怕(22.9%)害怕针刺(16.7%)。
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