Survey And Analysis On The Situation Of Voluntary Blood Donation Work In Two Cities Of Anhui Province

Objective By investigating and analyzing the current situation of health resource allocation in blood transfusion services, the present situation of knowledge, attitude and behavior of voluntary blood donation among different populations(street blood donors, college students and community residents), and the status of voluntary blood donation work in 2010‐2014, the author try to get a comprehensive understanding and analyze the status and the existing problems of voluntary blood donation work in Anhui province, put forward some corresponding suggestions, and finally provide scientific basis for promoting the development of the province and even the national blood donation work. Methods(1) Investigation of the current situation of health resource allocation in central blood stations: using the self‐designed questionnaire named the current situation of health resource allocation in blood transfusion services.(2) KAP investigation of voluntary blood donation: the survey was carried out successively in Fuyang and Hefei in Oct. to Dec. in 2014, using self‐designed questionnaire named KAP survey of voluntary blood donation. Street blood donors and community residents were selected by multi‐stage stratified random sampling method, respectively, randomly selected 3 districts/counties in two cities, randomly chosen 1 blood collection point and 1 community in each district/county; street blood donors were randomly selected from the successful donors in blood donation points and community residents were selected by accidental sampling method. College students were selected by multi phase stratified cluster sampling method, randomly selected 2 disciplines from Fuyang Normal College, Anhui University and Anhui Medical University, respectively, then cluster sampling each discipline in low grade and high grade students. The establishment of the database with Epi Data 3 was converted into SPSS 13.(3) The blood donation work in 2010‐2014: obtaining the relevant data through data query method.(4) Other research related information: on‐site interviewed relevant management personnel of blood transfusion services. Results(1) The current status of health resource allocation in the two central blood stations: the proportion of permanent staff is less than 25%, the number of health technical personnel is inadequate, and the overall quality is not high; government financial input is insufficient, blood collection agencies operate basically rely on business income, and the allocation of health resources is limited.(2) KAP survey results of blood donation: the relevant policy score was 4.71±1.591 points, the knowledge score was 16.80±5.045; the score of street blood donors was the highest(5.14±1.406 and 18.79±3.734), the policy score of community residents was the lowest(4.17±1.751 and 15.14±5.411) and the knowledge score of community residents was the lowest 15.14±5.411; the awareness levels of different gender, age, culture degree, occupation, family / grade history of blood donation and personal donation frequency crowd were different. There are 1318 people in 1500 people(87.8%) hold a positive attitude, 1044 people(69.6%) willing to donate blood. Logistic analysis showed that: age and blood donation knowledge scores are the factors influencing attitude of free blood donation; blood donation attitude is the factor influencing the future donation willingness. The leading three reasons of donors reluctant to donate blood are donating blood physical discomfort(39.5%), physical condition deteriorated(23.7%) and unpleasant blood donation experience(19.7%), and that of non blood donors are afraid of damaging health(43.9%), fear of getting a disease(39.5%) and think their donated blood is illegal business(25.3%). Community residents blood donation rate was 28.9%, affected by gender, age, culture degree, occupation, family history of blood donation, individual donation willingness and policy score; college students blood donation rate was 15.9%, affected by region, age, grade, family history of blood donation, individual donation willingness and policy score; street blood donors who had donated more than 2 times accounting for 53.8%, affected by age and occupation. The first motivation of blood donation is "offer the love"(83.9%), followed by "blood donation is benefit to health"(29.2%).(3) The status of voluntary blood donation work in 2010‐2014 as follows: In Hefei, the total number of blood donors continuously declined in 2012 and 2013, a recovery increase by 9.96% in 2014; the total blood collection volume and the whole blood collection volume declined only in 2013, the rest of the years were increased, while platelets increased year by year; the clinical supply amount of erythrocyte class only declined in 2011, while that of platelets increased year by year; distribution of donors’ characteristics: 18 ~ 24 years old group was the most(64.38%), the degree of college and above was 57.48%, students(36.20%) and staff(22.53%) were the leading two occupations. In Fuyang: the total number of blood donors, the total blood collection volume and the whole blood collection volume continuously declined in 2013 and 2014, the amount of platelet declined only in 2013, the rest of the years were increased; the clinical supply amount of erythrocyte only declined in 2013, while that of platelets increased year by year; distribution of donors’ characteristics: 31 ~ 40 years old group was the most(36.22%), junior high school and senior high school was 43.75% and 38.03% respectively, while farmers accounted for 21.85%. Conclusions The human resource allocation in blood collection agencies in Hefei and Fuyang is unreasonable, the government funds to blood donation is insufficient; blood source deficiency and blood supply shortage have become increasingly prominent; blood donation propaganda work is not in‐depth, especially the awareness level of blood donation policy, knowledge of social public is low, the affirmative blood donation willingness and blood donation rate is not high. Suggest the government departments at all levels to increase blood business policy and financial support; to strengthen publicity and recruitment of voluntary blood donation work, all‐round and multi‐angle, so that to improve the awareness level of social public, and finally establish a stable fixed blood donor team. Additionally, improving and strengthening scientific and rational clinical blood utilization management will also help counteract blood supply shortage in China.