|Year : 2021 | Volume
| Issue : 6 | Page : 1488-1495
The experience of organizing blood donation camp through student initiative
Akanksha Sharma1, Jagga Sankalp Harish2, Dinesh Kumar2, Richa Ghay Thaman3
1 MBBS, Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab, India
2 Department of Medicine, Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab, India
3 Department of Physiology, Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab, India
|Date of Submission||27-Mar-2021|
|Date of Decision||10-May-2021|
|Date of Acceptance||16-Jun-2021|
|Date of Web Publication||10-Nov-2021|
Sri Guru Ram Das University of Health Sciences, Amritsar, Punjab
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Introduction: A blood donation camp was organized in the institute which was a student initiative and a street play on blood donation awareness was carried out at different parts of the institute. For this reason, the study aimed at assessing the knowledge, attitude, and practises among the voluntary donors was carried out to bring out further awareness programs. Materials and Methods: The study is a Cross-sectional analysis to know about the knowledge, attitude, and practises among the donors as well as collect information regarding the rare blood groups. The idea to conduct a blood donation camp at a tertiary care hospital in Amritsar was initiated by the students of the 2nd, 3rd, and 4th professional year and was implemented on February 8, 2018. On this day, two awareness street plays were carried out, first at the outpatient department area and then near the college entrance to spread the message about the benefits and necessity of blood donation. The activity of blood donation was executed by a group of 15 team members and the staff posted in the blood bank of the institute. Each donor was taken care of by looking after any postdonation weakness or nausea plus were also provided with refreshments. At the end, feedback forms were handed over and 50 such filled forms were collected. Results: Out of the 50 donors, there were 21 male (42%) and 29 females (58%), with a mean age of 21.45 ± 1.35 years. It was recognized that, among 50 donors, 52% of the donors have not donated in the last 2 years while 58% of the donors would voluntarily like to donate blood again. It was seen that 52% of the donors had fear of needles acting as a hindrance for the blood donation. Conclusion: My experience during the whole journey of the initiative was quite enlightening. Looking at the enthusiasm of the donors and the organizing team, it also encouraged the patients' relatives and professors to come forward for the donation. The success of the event has further encouraged me to carry out such more awareness projects in the future.
Keywords: Attitude, blood donation, knowledge, practises
|How to cite this article:|
Sharma A, Harish JS, Kumar D, Thaman RG. The experience of organizing blood donation camp through student initiative. J Pharm Bioall Sci 2021;13, Suppl S2:1488-95
|How to cite this URL:|
Sharma A, Harish JS, Kumar D, Thaman RG. The experience of organizing blood donation camp through student initiative. J Pharm Bioall Sci [serial online] 2021 [cited 2022 Jun 26];13, Suppl S2:1488-95. Available from: https://www.jpbsonline.org/text.asp?2021/13/6/1488/330050
| Introduction|| |
Blood can save millions of lives, and young people are the hope and future of a safe blood supply in the world. Blood transfusion is crucial for health care systems, which contributes to rise in life expectancy and quality of life of people experiencing acute critical illness or chronic diseases. Nowadays health care providers manage serious hemorrhagic complications after surgery, delivery or major accidents,,,, severe blood disorders, and oncologic conditions, demanding blood transfusion. In these conditions, a huge volume of blood is required to meet a myriad of needs and numerous countries face the challenge of an increasing need of blood or its components. Health services should contribute adequate blood to meet needs. Procured blood from voluntary nonremunerated blood donors (VNRBD) is the most potent way to ensure safe and adequate blood supply. Against an annual demand of 12 million units, in India, 9 million units were collected, of which 70% was from voluntary blood donors while the remaining 30% was from family or replacement donors. According to the protocol specified by the Government of India, 25% of all blood collected by a blood bank had to be kept aside as buffer stock to be used only in case of an emergency. However, out of India's 2433 blood banks, only 20% were able to maintain the buffer stock. Blood scarcity is frequently encountered in health-care settings and is attributable to an imbalance between the increasing demand for safe blood and blood products on the one hand and failure to organize regular blood supply due to misconceptions, perceived harms and risks, and lack of motivation among potential donors. Medical college students can serve as a readily available pool of voluntary blood donors for the attached medical college hospitals and help tide away some of the scarcity of blood and blood products. However, different studies involving medical students have expressed concern on the low level of awareness and unsatisfactory voluntary blood donation practices among them. Some studies have also shown poor blood donation practice among the students despite relatively good knowledge and favorable attitude toward voluntary blood donation. To counter that, prosocial behavior which includes altruism and collectivism can be used as the main motivator, while the other factors such as perceived need of blood,, self-esteem, and campaigns,, can have an impact in blood donation. To mitigate the shortage of blood and blood products in the institute, we decided to organize a blood donation camp in our institute. We also decided to keep it to commemorate “The World Cancer Day” on 4th of February and try to decipher the attitude, knowledge, and hurdle to blood donation among college-going adults.
| Materials and Methods|| |
Type of study
The study is a cross-sectional analysis to know about the knowledge, attitude, and practises among the donors as well as collect information regarding the rare blood groups.
Pamphlets, posters, banners, and dissemination of messages by word of mouth were used for generating awareness about the event. A pretested, structured questionnaire was used as a study tool. Information about the blood donation camp via posters, banners, class presentations was spread around some other institutes of Amritsar like Government medical college, Khalsa College, Guru Nanak Dev University. We designed and practiced a street play educating people on blood donation general practices and mitigating barriers. The approval was sought from the institutional ethical committee. The questionnaire was semi-structured consisting of 20 questions (both closed and open ended).
The idea to conduct a blood donation camp at a tertiary care hospital in Amritsar was initiated by the students of 2nd, 3rd, and 4th professional year and was implemented on February 8, 2018. The questionnaire was designed before the start of the study and was peer validated [Table 1].
On the blood donation camp day, every donor's hemoglobin and blood group was checked. The criteria to donate blood was to at least have a hemoglobin of 13 gm% and 12 gm% for males and females, respectively. Out of these who full filled the criteria, the first 50 donors were taken in for the blood donation as decided by the faculty of the blood donation camp of our institute. Each donor was taken care of by looking after any postdonation weakness or nausea plus were also provided with refreshments. At the end, questionnaires were given to the donors in a separate room and 50 such filled forms were collected. Data were collected after obtaining informed consent. Ethical clearance from the institute was obtained before the study. The results were analyzed using Microsoft Corporation. (2018). Microsoft Excel. Retrieved from https://office.microsoft.com/excel database sheet, and percentages were calculated.
| [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9], [Figure 10], [Figure 11]"> Results [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6], [Figure 7], [Figure 8], [Figure 9], [Figure 10], [Figure 11]|| |
|Figure 1: Depicts 79% of the donors didn't feel any troublesome symptoms after blood donation|
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|Figure 3: Depicts 64% of the donors had a sense of pride as a motivation|
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|Figure 4: Depicts 52% of the donors had fear of needles acting as a hindrance for the blood donation|
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|Figure 5: Depicts 94 percent of the donors feel motivated and encouraged after donating blood|
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|Figure 6: Depicts 58% of the donors would voluntarily like to donate blood again|
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|Figure 7: Depicts that 33% of the donors think of having payment/monetary benefits after donation while 90% and 58% donors want benefits in attendance (if students) and benefit in the job respectively|
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|Figure 8: Depicts that 100% of the donors are encouraged/motivated to spread this blood donation awareness amongst your friend's relatives|
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|Figure 9: Depicts that 94% of the donors were satisfied with the staff management|
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|Figure 11: Depicts that 60%, 14%, 16%, 6% and 4% got information about blood donation camp through poster displayed in college, through friends, students, social site or any other reason respectively|
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Out of the 50 donors, there were 21 male (42%) and 29 females (58%), with a mean age of 21.45 ± 1.35 years.
The analysis of the feedback forms depicts the following results:
(12) When asked about the experience in the latest blood donation following common answers received were:
Amazing, good, great, awesome, excellent, proud, happiness
(13) When asked about any other social activity the donor ever did or would like to do, the following answers were received:
- Blind school
- Swachh bharat abhiyan
- Pulse polio
- eye donation
- organ donation after death
- organize cloth donations
- awareness on issues about public health
- plasma donation.
(14) When asked donor on why does the patient is charged for the blood he/she donate for free, the following answers were received:
- Charged for the storage of blood
- Preservatives added to the stored blood
- Costs related to the tests done on the donor's blood
- Equipment charges.
(15) When the donors were asked about any awareness of any institutes in the city/state/country/which holds blood donation camp, the following answers were received:
Khalsa College blood donation camp, Amritsar, India
- Amandeep hospital blood donation camp, Amritsar, India
- Dayanad Medical College and Hospital Blood Donation Camp, Amritsar, India
- Derabassi blood camp camp, Punjab, India
- Dera Baba Nanak blood donation camp, Punjab, India
- Guru Nanak Dev University blood donation camp, Amritsar, Punjab, India
- Guru Nanak Dev hospital blood donation camp, Amritsar, Punjab, India.
(16) When the donors asked about any change in their views which they had before donating blood, the following answers were received:
- Never took the initiative but now motivated to donate again
- Motivated to work for a noble cause
- Encouraged to help the poor
- Motivation to engage in social activities
- Should donate blood more often
- Fear of weakness after the blood donation has been conquered
- False perception of time-consuming and tedious task cleared
- gave a great feeling.
| Discussion|| |
Targeting the beliefs associated with blood donation enhances the effectiveness of recruitment campaigns and the prevalence of blood donors annually. Prevalence (13.81%) of blood donors in this study was quite low similar to the study from Sikkim (12.7%).,,, Prevalence of female blood donors was also very less (9.65%) compared to male blood donors (19.53%). Low Voluntary Blood Donors (VBD) was an important indicator for us to modify and strengthen the recruitment and motivational strategies. Previous studies have shown that the path from attitude to intention was more strongly weighted in men than in women. Self-efficacy played a larger role in determining donation intention in females which can be a reason for high voluntary blood donation among men than in women. Awareness on VBD was quite high (81.57%) which was similar to the KAP study of Thai students., Awareness of the appropriate age for blood donation and the donor deferral criteria were very important factors. Lack of information on blood donation lowers the prevalence of voluntary blood donation., Deferral of a donor is not only unpleasant for the donor, but it also leads to wastage of precious time and money of the transfusion center. Therefore, appropriate education of society regarding deferral factors of blood donation both temporary and permanent can lead to decrease in deferrals rate. Every individual should know their ABO and Rh D blood group so that they can donate blood whenever emergency requirement arises. Knowledge of ABO and Rh D blood groups is even more important in Jammu Region as it is prone to accidents and militancy-related incidents. Youngsters like college students must know their ABO and Rh D blood group so that they can donate blood easily whenever there is demand of their particular blood group. Especially, those with the rare blood groups should get their names enrolled as voluntary blood donors in rare blood group donor's records maintained by Regional Transfusion centers. About 61.18% of the students were aware of this fact that a healthy adult human being can donate blood after every 3 months. Knowledge of this fact can increase the frequency of repeat blood donations and can turn first-time blood donors into regular blood donors. Awareness of acquired immunodeficiency syndrome (AIDS) was not satisfactory in Indian society and for that more intensive public awareness campaigns by the government with the help of nongovernmental organizations are required. Although all the students in our study were aware of AIDS/HIV still, 37.5% believed that blood donation causes HIV/AIDS to the donor. More than 50% of the students gave the correct answers for the questions pertaining to Blood Donation. Frequent blood loss through voluntary blood donations is associated with reduced risk of acute myocardial infarction in middle-aged men. High-frequency blood donors had evidence of decreased iron stores, decreased oxidative stress, and enhanced vascular function when compared with low-frequency donors and thus, there is a potential link between blood donation and reduced cardiovascular risk. Blood donation is also associated with decreased risk of Type II diabetes and cardiovascular diseases. The time to return for the next donation was associated with the total number of donations made. Sex, Age, and other donor Demographic factors influence the probability of subsequent donations. It also depends on the time since the index (first) donation. Social pressures and rewards were the factors that influence the decision for repeat blood donations at the early stages while self-originating factors influence the decision for blood donation in later stages. Since our study involved a younger age group (18–26 years), in which most of the students (1350 students were in the age group of 18–20 years) just got eligible for blood donation, therefore, the number of blood donors who had donated only once or twice were more. Social causes were the major motivational factors for blood donation. “Altruism, doing good to others,” “Sense of social responsibility” and “For helping friends or relatives” were the major reasons for blood donation. In a study from Norway, 2.8% of respondents donated blood to be tested for HIV. Younger donors donate blood for blood donor's credit cards and items of limited value while elder people donate for medical check-ups and blood tests. The motivations to donate are altruism, humanitarian, social pressure, replacement, and rewards. Altruism dominated the reasons for donating blood followed by social influence and ego enhancement. Among students major determinants to become a blood donor were self-efficacy (for gaining experience), attitude, personal moral norm (personal responsibility, social obligation) and subjective norm (to help friends and relatives).,,,
In our study, the main reasons for not donating blood were Fear of needles, sight of blood, Fear of ill effects, objection from elder and never been asked for blood donation. The most common of them were fear of ill effects and never been asked for blood donation. Most of the students who were willing to donate, but they had not donated blood because of a lack of opportunity to do so. This finding showed that sufficient steps to involve students, to create opportunities for them to donate blood is something that needs to give due consideration. Among most first-time donors temporary deferral becomes the permanent excuse for not donating blood.,,
Fear of contracting AIDS or other TTD's was also a major reason for not donating. In our society parents have a wrong concept that blood donation causes weakness and hence they have a discouraging attitude toward the donation of blood by their children especially by girls. Experience of blood donation is an important factor for determining future blood donations, especially in first time Blood donors. Those blood donors who have a pleasant blood donation experience usually return for donating blood in future and turns into regular VNRBD while those who experience it unpleasant often do not return for repeat blood donation. In our study, 92.38% had pleasant experience of blood donation, while 7.61% felt it unpleasant. The percentage of nondonors who do not want to donate blood in future is more than the blood donors who do not want to donate blood in future., Interactive awareness sessions on blood donation should be organized among students and opportunities for blood donation should be created, which can greatly enhance the movement for “voluntary nonremunerated blood donation,” to ensure good quality of blood and safe modern medical care., All countries in SEAR are trying to phase out replacement systems and move towards 100% voluntary nonremunerated regular blood donation. Lack of resources, lack of professional management, myths, and misconceptions arising from cultural and social differences forms a barrier to blood donation. As young people can be prospective regular blood donors, education in the fields of blood donation, need for safe blood and healthy lifestyles for young people are needed. Students are the most important target group and can easily be targeted in schools, colleges, and universities.
| Conclusion|| |
Being knowledgeable and having positive attitude regarding voluntary blood donation does not transform into the actual practice of blood donation, but this study shows a positive correlation between knowledge and donation practice. Therefore, specific recruitment and motivational campaigns are needed targeting the younger adults. Our efforts should be toward bringing the knowledge, awareness, and the positive attitude of the people in Amritsar into the application by motivating them and creating opportunities for them to become regular voluntary blood donor.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Hou G, Zhou F, Tian Y, Ji H, Zhang Z, Guo Y, et al.
Predicting the need for blood transfusions in elderly patients with pertrochanteric femoral fractures. Injury 2014;45:1932-7.
Pieri M, Nardelli P, De Luca M, Landoni G, Frassoni S, Melissano G, et al.
Predicting the need for infra-operative large volume blood transfusions during thoraco-abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 2017;53:347-53.
Umemura T, Nakamura Y, Nishida T, Hoshino K, Ishikura H. Fibrinogen and base excess levels as predictive markers of the need for massive blood transfusion after blunt trauma. Surg Today 2016;46:774-9.
Conner SN, Tuuli MG, Colvin R, Shanks AL, Macones GA, Cahill AG. Accuracy of estimated blood loss in predicting need for transfusion after delivery. Am J Perinatol 2015;32:1225-30.
Parker CS, Tsai J, Siddiqi AE, Atrash HK, Richardson LC. Meeting the emerging public health needs of persons with blood disorders. Am J Prev Med 2014;47:658-63.
Chari A, Arinsburg S, Jagannath S, Satta T, Treadwell I, Catamero D, et al
. Blood Transfusion Management and Transfusion-Related Outcomes in Daratumumab-Treated Patients With Relapsed or Refractory Multiple Myeloma. Clin Lymphoma Myeloma Leuk. 2018;18:44-51. doi: 10.1016/j.clml.2017.09.002. Epub 2017 Sep 19. PMID: 29054515.
Patel SV, Brennan KE, Nanji S, Karim S, Merchant S, Booth CM. Peri-operative blood transfusion for resected colon cancer: Practice patterns and outcomes in a population-based study. Cancer Epidemiol 2017;51:35-40.
Bednall TC, Bove LL. Donating blood: A meta-analytic review of self-reported motivators and deterrents. Transfus Med Rev 2011;25:317-34.
Martín-Santana JD, Beerli-Palacio A. Intention of future donations: A study of donors versus non-donors. Transfus Med 2013;23:77-86.
van Dongen A, Ruiter R, Abraham C, Veldhuizen I. Predicting blood donation maintenance: The importance of planning future donations. Transfusion 2014;54:821-7.
France JL, France CR, Himawan LK. Re-donation intentions among experienced blood donors: Does gender make a difference? Transfus Apher Sci 2008;38:159-66.
Wiwanitkit V. Knowledge about blood donation among a sample of Thai university students. Vox Sang 2002;83:97-9.
Androulaki Z, Merkouris A, Tsouras C, Androulakis M. Knowledge, attitudes and practices towards voluntary blood donation among a sample of students in TEI of Crete, Greece. ICUS Nurs WEB J 2005;23:2005.
Martín-Santana JD, Beerli-Palacio A. Potential donor segregation to promote blood donation. Transfus Apher Sci 2008;38:133-40.
Javadzadeh Shahshahani H, Yavari MT, Attar M, Ahmadiyeh MH. Knowledge, attitude and practice study about blood donation in the urban population of Yazd, Iran, 2004. Transfus Med 2006;16:403-9.
Choudhury N, Ayagiri A, Ray VL. True HIV seroprevalence in Indian blood Donor's. Transfus Med 2000;10:1-4.
Shah R, Tiwari AK, Shah P, Tulsiani S, Harimoorthy V, Choudhury N. Knowledge about HIV/AIDS among first time and regular voluntary non-remunerated blood donors. Indian J Pathol Microbiol 2007;50:896-900.
Zheng H, Cable R, Spencer B, Votto N, Katz SD. Iron stores and vascular function in voluntary blood donors. Arterioscler Thromb Vasc Biol 2005;25:1577-83.
Ownby HE, Kong F, Watanabe K, Tu Y, Nass CC. Analysis of donor return behavior. Retrovirus Epidemiology Donor Study. Transfusion. 1999;39:1128-35. doi: 10.1046/j.1537-2995.1999.39101128.x. PMID: 10532608.
James RC, Matthews DE. Analysis of blood donor return behaviour using survival regression methods. Transfus Med 1996;6:21-30.
Peter LC, Piliavin JA. Developing a commitment to blood donation: The impact of one's first experience. J Appl Soc Psychol 2006;13:1-6.
Stigum H, Bosnes V, Magnus P, Ørjasaeter H. Risk behaviour among blood donors who give blood in order to be tested for the human immunodeficiency virus. Vox Sang 2001;80:24-7.
Glynn SA, Schreiber GB, Murphy EL, Kessler D, Higgins M, Wright DJ, et al.
Factors influencing the decision to donate: Racial and ethnic comparisons. Transfusion 2006;46:980-90.
Oswalt RM. A review of blood donor motivation and recruitment. Transfusion 1977;17:123-35.
Hupfer ME, Taylor DW, Letwin JA. Understanding Canadian student motivations and beliefs about giving blood. Transfusion 2005;45:149-61.
Lemmens KP, Abraham C, Hoekstra T, Ruiter RA, De Kort WL, Brug J, et al.
Why don't young people volunteer to donate blood? An investigation of the correlates of donation intentions among young non donors. Transfusion 2005;45:945-55.
Sampath S, Ramsaran V, Parasram S, Mohammed S, Latchman S, Khunja R, et al.
Attitudes towards blood donation in Trinidad and Tobago. Transfus Med 2007;17:83-7.
Sojka BN, Sojka P. The blood donation experience: Self-reported motives and obstacles for donating blood. Vox Sang 2008;94:56-63.
Nguyen DD, Devita DA, Hirschler NV, Murphy EL. Blood donor satisfaction and intention of future donation. Transfusion 2008;48:742-8.
Hosain GM, Anisuzzaman M, Begum A. Knowledge and attitude towards voluntary blood donation among Dhaka University students in Bangladesh. East Afr Med J 1997;74:549-53.
Piliavin JA. Temporary deferral and donor return. Transfusion 1987;27:199-200.
Alam M, Masalmeh Bel D. Knowledge, attitudes and practices regarding blood donation among the Saudi population. Saudi Med J 2004;25:318-21.
Sojka BN, Sojka P. The blood donation experience: Perceived physical, psychological and social impact of blood donation on the donor. Vox Sang 2003;84:120-8.
Misje AH, Bosnes V, Heier HE. Recruiting and retaining young people as voluntary blood donors. Vox Sang 2008;94:119-24.
Ahmed Z, Zafar M, Khan AA, Anjum UM, Siddique MA. Knowledge, attitude and practices about blood donation among undergraduate medical students in Karachi. J Infect Dis Ther 2014;2:134.
Amatya M. Study on knowledge, attitude and practice of blood donation among students of different colleges of Kathmandu, Nepal. Int J Pharmaceut Biol Arch 2013;4:424-8.
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