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