|LETTER TO EDITOR
|Year : 2018 | Volume
| Issue : 1 | Page : 78
Pattern of blood donor deferral in the hilly State of Himachal Pradesh
Sandeep Malhotra, Masih, ML Kaushal
Department of IHBT, IGMC, Shimla, Himachal Pradesh, India
|Date of Web Publication||5-Apr-2018|
Dr. Sandeep Malhotra
Department of IHBT, IGMC, Shimla, Himachal Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Malhotra S, Masih, Kaushal M L. Pattern of blood donor deferral in the hilly State of Himachal Pradesh. Glob J Transfus Med 2018;3:78
Himachal Pradesh is a hill state with difficult terrain with few snowbound areas and scattered population. Donor screening is one of the most important parameters to obtain safe blood supply. Individuals disqualified from donating blood are known as “deferred” donors. Careful review of literature reveals that no such study has been conducted in this state of India. Therefore, this study was conducted to know the reasons of donor deferral in the state of Himachal Pradesh.
The study involved retrospective analysis of voluntary and replacement donors who came for blood donation in Department of Immunohematology and Blood Transfusion, IGMC, Shimla and voluntary blood donation camps organized by IGMC in various parts of Himachal Pradesh during the period from January 2014 to December 2016.
Out of the total 34,162 blood donors who came for blood donation and registered with our blood bank, 30,011 were males and 4151 were females. Males constituted 87.85% and females constituted 12.15% of the total donors. The deferral rate of males was 2.5% and of females was 1.7%.
All the donors deferred were in the age group from 16 to 73 years. Highest deferral rate was seen in younger age group, i.e., 16–30 years (59.51%).
Majority of the deferred donors were males (59.86%), and the most common cause for deferral in them was medications such as antibiotics, antifungals, and antipsychotics (6.38%), followed by history of jaundice (6.10%), hypertension (5.19%), low hemoglobin levels (3.92%), fever (2.88%), and other causes. In females (40.14%), most common cause for deferral was low hemoglobin levels (17.89%) followed by underweight (5.89%), heavy menstrual bleed (4.21%), medications (1.96%), ear piercing (1.05%), and other causes. Among permanent deferral donors (5.96%), most common cause was tuberculosis (2.18%), followed by bronchial asthma (1.40%) and epilepsy (0.70%).
The rate of deferral differs from region to region and sometimes in the same region and also from one center to another. Studies done in India reported deferral rate ranging from 2.5% by Alok et al. to 16.4% by Chaudhary et al., In our study, the deferral rate was 4.2% which is lower as compared to other studies.
The reason for the low rate is high awareness about blood donation in the region. Other reason which can be attributed to such low deferral rate is that majority of the blood collected in IGMC is through voluntary blood donations (85.5%) which is above the national average (80.5%) as reported by NACO, New Delhi, India, 2016.
In our study, temporary deferred blood donors constituted 94.04%. Temporary deferred blood donors constitute an important target donor population who are already motivated and well aware of the need for blood but most of the times not followed up. Reactivating these donors requires less efforts and resources than recruiting new donors. They can be easily converted into prospective, regular, and voluntary nonremunerated blood donors by appropriate education, motivation, and follow-up.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Lim JC, Tien SL, Ong YW. Main causes of pre-donation deferral of prospective blood donors in the Singapore blood transfusion service. Ann Acad Med Singapore 1993;22:326-31.
Chaudhary RK, Gupta D, Gupta RK. Analysis of donor-deferral pattern in a voluntary blood donor population. Transfus Med 1995;5:209-12.
Alok K, Satyendra P, Sharma SM, Ingole NS, Gangane N. Impact of counseling on temporarily deferred donor in a tertiary care hospital, central India: A prospective study. Int J Med Public Health 2014;4:400-3. [Full text]
Assessment of NACO Supported Blood Banks a Preliminary Report; 2016. p. 9-10.