Cover Image
close this bookSafe Blood in Developing Countries - The Lessons from Uganda (EC, 1995, 151 p.)
View the document(introduction...)
View the documentQuotation
View the documentForeword by the Uganda Minister of Health
close this folderForeword by Commissioner Professor Pinheiro
View the document(introduction...)
View the documentWhat the blood transfusion service has done for Kabarole hospital
View the documentSome facts about Uganda
close this folderSection One - Introduction and summary
close this folderChapter One - Safe blood and HIV/AIDS: The Uganda achievement
View the document(introduction...)
View the documentThe tragedy of the haemophiliacs
View the documentInfections carried by blood
View the documentThe unique features of Africa
View the documentThe global blood safety initiative
View the documentThe Uganda blood transfusion service: A portrait
View the documentThe wider contribution of the UBTS
View the documentThe view from an up-country hospital
View the documentThe matter of costs
View the documentThe dynamics of the project
View the documentA complex organisation
View the documentA view from Mulago hospital, Kampala
View the documentFour questions about AID
View the documentThe first visit for the EC
View the documentDr John Watson-Williams enters the scene
close this folderSection Two - Background: Uganda's history, health, and the HIV/AIDS epidemic
close this folderChapter Two - Uganda's political and physical health: A brief history
View the documentA. The political background
View the documentB. The health of the nation
View the documentC. Safe and unsafe blood in Uganda
close this folderChapter Three - AIDS in Uganda: A glimmer of hope?
View the document(introduction...)
View the documentExtent of aids in Uganda
View the documentMobilising to deal with HIV/AIDS
View the documentThe evidence for 'a glimmer of hope'
View the documentVoluntary mass HIV testing as a route to behaviour change
close this folderSection Three - The story of the Uganda blood transfusion service
close this folderChapter Four - How the European commission got involved
View the document(introduction...)
View the documentDr Lieve Fransen's report
View the documentThe 1987 plan
View the documentThe 1987 starting position
View the documentThe role of the Red Cross
close this folderChapter Five - Phase one of the project 1988-1990
View the document(introduction...)
View the documentA plan for blood donors
View the documentThe problem of laboratory space
View the documentThe problem of staffing
View the documentStaff structure and training
View the documentThe need for special skills
View the documentReconstruction of the Nakasero building
close this folderChapter Six - Phase two: Creation of a national service 1990-1991
View the document(introduction...)
View the documentRole of other donors
View the documentStaff recruitment
View the documentRegional blood banks
View the documentVoluntary testing for HIV
View the documentSupervision and quality control
close this folderSection Four - Evaluation: The view from Kampala
close this folderChapter Seven - The costs and benefits of safe blood in Uganda
View the documentA. The costs
View the documentB. The benefits to HIV prevention
View the documentC. Some other benefits
close this folderChapter Eight - Interview with Dr Peter Kataaha, Director, Uganda blood transfusion service
View the document(introduction...)
View the documentFlying to the rescue
View the documentChapter Nine - Interview with Dr Samuel Okware
close this folderSection Five - Key issues in blood transfusion: The Uganda experience
close this folderChapter Ten - The search for safer blood and the drive for voluntary, unpaid blood donors
View the document(introduction...)
View the documentCosts of relatives versus volunteers
View the documentFuture strategies: Donor clubs
close this folderChapter Eleven - The organisation of a blood transfusion service
View the document(introduction...)
View the document1. A centralised organisation
View the document2. A regional system
View the document3. A hospital-based system
View the document4. A mixed system
View the documentThe Zambian solution
close this folderChapter Twelve - Blood transfusion takes many skills: The importance of training
View the document(introduction...)
View the documentA. Training of Nakasero staff
View the documentB. Training of hospital staff
View the documentC. Residential courses for hospital staff
View the documentD. Training at schools for medical assistants
View the documentE. Training of senior professional staff
close this folderChapter Thirteen - Other issues, and their solutions
View the document(introduction...)
View the document1. Which diseases are screened against - and which are not? and why not?
View the document2. The special problem of malaria
View the document3. Adapting laboratory methods
View the document4. The start-up equipment - and computer
View the document5. Transport, for people, supplies, and blood
View the document6. Voice and data communications - or lack of
View the document7. Funding staff salaries in a time of inflation
View the document8. Keeping records, or trying to
View the document9. All or only some hospitals?
View the documentThe editor adds:
close this folderAppendices
View the documentAppendix 1: EC support for safe blood in developing countries
View the documentAppendix 2: Useful references

What the blood transfusion service has done for Kabarole hospital

- communication from Mrs Ruth Isingoma, matron, Kabarole Hospital

'It is a wonderful experience to see a patient walk from hospital, especially after she or he has spent some days lying hopelessly in bed. The Blood Transfusion Service has greatly contributed to such encounters in Kabarole hospital. Many patients, patients' relatives and friends have been observed expressing words of gratitude to the hospital staff as well as praising God for the availability of the same.

'Individual patients, the hospital staff and the public as a whole have all shared the benefits of blood transfusion. Patients include those that need emergency blood transfusion as has been in cases of road traffic accidents, ante-partum haemorrhage, post-partum haemorrhage, plus emergency operations.

'Many lives of such patients have been saved by the blood which is now available all the time. Some other patients need blood therapeutically. Severe anaemia due to pregnancy, acute or chronic diseases common in either adults or children have been combated by blood transfusion. Those that are admitted for planned operations go through theatre successfully. 'The AIDS scourge need not be left unmentioned as transfusion of safe blood is one of the hospital's main achievements. This has brought about a good hospital-public relationship. People have gained more confidence in the hospital.

'Some years past, when faced with a crisis of saving patients' lives in the absence of blood, the hospital would ask the patients' relatives or friends to take the responsibility of getting urgent blood donors. In most cases, they were not successful as it involved high costs. That is when patients with road traffic accidents, ante-partum haemorrhage, post-partum haemorrhage and others in need of urgent blood transfusion lost their lives. Today the same task is no longer given to the patients or friends, since the blood bank does that effectively.

'Since it has achieved such an advantageous goal, the hospital prays for the persistence of the service.'


UGANDA'S BLOOD TRANSFUSION CENTRES