Reducing Replacement Donors in Sub-Saharan Africa: Challenges and Affordability
Bates, I., Manyasi, G., & Medina, L. Transfusion Medicine (2007), Vol. 17 No. 6, pp. 434–442.
This review found that the cost of voluntary blood donation at centralized collection centers is up to eight times higher than replacement collection at the hospital level, raising concerns about the sustainability of the centralized model in resource-poor settings. In practice, many countries incorporate elements of national coordination into locally based collection services and also use a variety of funding models according to local circumstances. The review cites sub-Saharan African examples of innovative strategies to collect and efficiently utilize donated blood. It also highlights the need for more data on the cost-effectiveness of hybrid strategies and research into their replicability in other countries.