Factors Associated with Unmet Blood Transfusion Needs at Kankan Regional Hospital in Guinea
DOI:
https://doi.org/10.5281/hra.v3i2.6414Keywords:
Unmet Need, Blood transfusion, Kankan, GuineaAbstract
Introduction. In sub-Saharan Africa, there is a significant gap between supply and demand for blood transfusion. The aim of this study was to analyse the unmet need for blood transfusion at the Kankan regional hospital in Guinea. Methodology. We conducted a cross-sectional analytical study over a three-month period, from November 2021 to January 2022. Data were collected from blood request forms, and analysis was performed using STATA V15 software. Binary logistic regression was performed with a significance threshold set at 5%, presenting adjusted Odd Ratios (ORa) and 95% confidence intervals (CI). Results. A total of 385 transfusion requests were analysed, 36% of which had an unmet need for blood transfusion. The median age of the patients was 7 years (IQR = 2 - 27 years). Risk factors likely to be associated with unmet need for blood transfusion included : the requesting department, with a higher probability for maternity (OR = 4.89; p-value = 0.036), surgical (OR = 5.56; p-value = 0.023), and medical (OR = 9.58; p-value = 0.004) departments compared with paediatrics; followed by unscheduled blood transfusion (OR = 2.41; p-value = 0.018) and previous transfusion history (OR = 4.08; p-value = 0.002). Conclusion. The frequency of uncovered blood transfusion needs at the Kankan regional hospital remains relatively high. Empowering the transfusion unit could help to meet these needs. However, it is essential to run awareness campaigns in the community and to involve local players, under central supervision, to ensure that the healthcare system functions properly.
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Copyright (c) 2025 Mory 1 Kourouma, Sidikiba Sidibé, Lancinè Dramé, Fanta Kourouma, Sidiki Soumaoro, Elhadj Marouf Diallo, Djiba Diakité, Fassou Mathias Grovogui, Delphin Kolié, Alexandre Delamou
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