title: [Blood supply and demand at the Fifth District Health Centre in Bamako (Mali)].
abstract: BACKGROUND
  An adequate uncontaminated blood supply is an essential element of an effective health care system. A regional blood transfusion policy was defined in 2004 by the Direction of Health in Bamako, Mali. The objective of this study is to analyse the coverage of transfusion needs at the Fifth District health Center in Bamako after the implementation of this policy.
  
  
  METHODS
  This prospective study, conducted from December 2006 through May 2007, included 134 patients for whom transfusion orders were recorded in the laboratory. The coverage rate of transfusion needs was estimated by dividing the number of units transfused by the number of units that health professionals requested.
  
  
  RESULTS
  The blood supply was regular (46 units per month, on average) and consistent with demand (59 units per month on average). Overall, 75% of the transfusions were required for obstetric complications. All patients received at least one 450-mL unit of whole blood. The coverage of transfusion needs has reached 65% of the total number of units required (95% CI = 60-70%).
  
  
  CONCLUSIONS
  The implementation of a functioning system of blood transfusion is complex. In Bamako, a system based on a centralized transfusion center met a high proportion of the needs in a reference hospital where demand was high while ensuring a high level of patient safety. Further studies are needed to guide the implementation of feasible and sustainable strategies for providing sufficient quantities of safe blood in other contexts and to assess the impact of these different strategies on global health, and on maternal health in particular.
authors.affiliation: Centre de santé de référence de la commune V BP 2693 Bamako, Mali. mtraore54@yahoo.fr
authors.forename: Mamadou
authors.initials: M
authors.lastname: Traore
authors.forename: Alexandre
authors.initials: A
authors.lastname: Dumont
authors.forename: Amadou Balobo
authors.initials: AB
authors.lastname: Kaya
authors.forename: Soumana Oumar
authors.initials: SO
authors.lastname: Traore
authors.forename: Oumar Moussokoro
authors.initials: OM
authors.lastname: Traore
authors.forename: Amadou
authors.initials: A
authors.lastname: Dolo
mesh_terms: D000293:Adolescent; D000328:Adult; D001771:Blood Banks / Q000600:supply & distribution*; D005260:Female; D006801:Humans; D008297:Male; D008302:Mali; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult