 | Safe Blood in Developing Countries - The Lessons from Uganda (EC, 1995, 151 p.) |
 |  | (introduction...) |
| | Quotation |
| | Foreword by the Uganda Minister of Health |
|  | Foreword by Commissioner Professor Pinheiro |
| | (introduction...) |
| | What the blood transfusion service has done for Kabarole hospital |
| | Some facts about Uganda |
| | Section One - Introduction and summary |
| | Chapter One - Safe blood and HIV/AIDS: The Uganda achievement |
| | (introduction...) |
| | The tragedy of the haemophiliacs |
| | Infections carried by blood |
| | The unique features of Africa |
| | The global blood safety initiative |
| | The Uganda blood transfusion service: A portrait |
| | The wider contribution of the UBTS |
| | The view from an up-country hospital |
| | The matter of costs |
| | The dynamics of the project |
| | A complex organisation |
| | A view from Mulago hospital, Kampala |
| | Four questions about AID |
| | The first visit for the EC |
| | Dr John Watson-Williams enters the scene |
| | Section Two - Background: Uganda's history, health, and the HIV/AIDS epidemic |
| | Chapter Two - Uganda's political and physical health: A brief history |
| | A. The political background |
| | B. The health of the nation |
| | C. Safe and unsafe blood in Uganda |
| | Chapter Three - AIDS in Uganda: A glimmer of hope? |
| | (introduction...) |
| | Extent of aids in Uganda |
| | Mobilising to deal with HIV/AIDS |
| | The evidence for 'a glimmer of hope' |
| | Voluntary mass HIV testing as a route to behaviour change |
| | Section Three - The story of the Uganda blood transfusion service |
| | Chapter Four - How the European commission got involved |
| | (introduction...) |
| | Dr Lieve Fransen's report |
| | The 1987 plan |
| | The 1987 starting position |
| | The role of the Red Cross |
| | Chapter Five - Phase one of the project 1988-1990 |
| | (introduction...) |
| | A plan for blood donors |
| | The problem of laboratory space |
| | The problem of staffing |
| | Staff structure and training |
| | The need for special skills |
| | Reconstruction of the Nakasero building |
| | Chapter Six - Phase two: Creation of a national service 1990-1991 |
| | (introduction...) |
| | Role of other donors |
| | Staff recruitment |
| | Regional blood banks |
| | Voluntary testing for HIV |
| | Supervision and quality control |
| | Section Four - Evaluation: The view from Kampala |
| | Chapter Seven - The costs and benefits of safe blood in Uganda |
| | A. The costs |
| | B. The benefits to HIV prevention |
| | C. Some other benefits |
| | Chapter Eight - Interview with Dr Peter Kataaha, Director, Uganda blood transfusion service |
| | (introduction...) |
| | Flying to the rescue |
| | Chapter Nine - Interview with Dr Samuel Okware |
| | Section Five - Key issues in blood transfusion: The Uganda experience |
| | Chapter Ten - The search for safer blood and the drive for voluntary, unpaid blood donors |
| | (introduction...) |
| | Costs of relatives versus volunteers |
| | Future strategies: Donor clubs |
| | Chapter Eleven - The organisation of a blood transfusion service |
| | (introduction...) |
| | 1. A centralised organisation |
| | 2. A regional system |
| | 3. A hospital-based system |
| | 4. A mixed system |
| | The Zambian solution |
| | Chapter Twelve - Blood transfusion takes many skills: The importance of training |
| | (introduction...) |
| | A. Training of Nakasero staff |
| | B. Training of hospital staff |
| | C. Residential courses for hospital staff |
| | D. Training at schools for medical assistants |
| | E. Training of senior professional staff |
| | Chapter Thirteen - Other issues, and their solutions |
| | (introduction...) |
| | 1. Which diseases are screened against - and which are not? and why not? |
| | 2. The special problem of malaria |
| | 3. Adapting laboratory methods |
| | 4. The start-up equipment - and computer |
| | 5. Transport, for people, supplies, and blood |
| | 6. Voice and data communications - or lack of |
| | 7. Funding staff salaries in a time of inflation |
| | 8. Keeping records, or trying to |
| | 9. All or only some hospitals? |
| | The editor adds: |
| | Appendices |
| | Appendix 1: EC support for safe blood in developing countries |
| | Appendix 2: Useful references |
Foreword by the Uganda Minister of Health
The government of Uganda has fully supported the rehabilitation of the Uganda Blood Transfusion Service since it began in 1987, with help from the European Union and the European Commission. This government support has taken many forms, so that the initial rebuilding of the central blood bank in Nakasero, Kampala, and the later extension of its activities into a full national blood transfusion service serving all our 90 or so hospitals, has been a successful partnership between aid donor and recipient government.
Safe blood is particularly important for Uganda because of the high rate of HIV infection that has unfortunately afflicted our people. Safe blood that has been properly screened and tested has prevented many HIV infections and AIDS deaths, and has formed a major element of our national AIDS campaign. Many individual Ugandans have contributed to the success of the Uganda Blood Transfusion service, most notably its skilled director and staff. But I am sure they would agree with me in saying that the real heroes are the thousands of men and women who have over the last decade donated their blood, voluntarily and without fee, so that others may have life.
The Uganda Blood Transfusion Service is notable both as a contribution to AIDS prevention, and as a major component of health reform, and as a foreign aid project that took local roots and flourished.
So I am pleased that this book records how and why it was done, and what benefits we have achieved, so that others can learn from our experience.
Dr J.G.S. Makumbi
Minister of Health,
Uganda
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