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close this bookSafe Blood in Developing Countries - The Lessons from Uganda (EC, 1995, 151 p.)
close this folderSection Five - Key issues in blood transfusion: The Uganda experience
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:

3. Adapting laboratory methods

Both the temporary laboratory and the laboratory in the new Nakasero building were very confined (14 square metres and 60 square metres respectively). It was important to use methods that required as little bench space as possible. A decision was made to use disposable plastics instead of glass to reduce time and space and the danger associated with washing. This had the additional advantage of marked reduction in the risk of contamination from one sample to another.

Staff training emphasised the importance of orderly work and a neat bench. Methods of blood grouping and crossmatching were standardised for use in every hospital. This made it possible to standardise supplies of reagents and disposable test tubes. Microscopes would not be used for crossmatching, for safety reasons. Instead, the standard saline and Anti Human Globulin methods were developed to give the greatest sensitivity.


Dr Peter Kataaha, director of the Uganda Blood Transfusion Service, at his portable computer