title: Poor procedures and quality control among nonaffiliated blood centers in Burkina Faso: an argument for expanding the reach of the national blood transfusion center.
abstract: BACKGROUND
  The World Health Organization (WHO) recommends the creation of national blood transfusion services. Burkina Faso has a CNTS (Centre National de Transfusion Sanguine-National Blood Transfusion Center) but it currently covers only 53% of the national blood supply versus 47% produced by independent hospital blood banks.
  
  
  METHODS
  To evaluate blood collection, testing, preparation, and prescription practices in the regions of Burkina Faso that are not covered by the CNTS, a cross-sectional survey was conducted.
  
  
  METHODS
  Data were collected by trained professionals from May to June 2009 at 42 autonomous blood centers not covered by the CNTS.
  
  
  RESULTS
  Blood collection was supervised in all sites by laboratory technicians without specific training. There was no marketing of community blood donation nor mobile collection. Donation was restricted to replacement (family) donors in 21.4% of sites. Predonation screening of donors was performed in 63.4% of sites, but some did not use written questionnaires. Testing for HIV, hepatitis B virus, and syphilis was universal, although some sites did not screen for hepatitis C virus. In 83.3% of the sites, blood typing was performed without reverse ABO typing. In 97.6% of the sites, nurses acted alone or in conjunction with a physician to order blood transfusions.
  
  
  CONCLUSIONS
  Shortcomings in non-CNTS blood centers argue for the development of a truly national CNTS. Such a national center should coordinate and supervise all blood transfusion activities, and is the essential first step for improving and institutionalizing blood transfusion safety and efficacy in a developing country.
authors: Centre National de Transfusion Sanguine du Burkina Faso (National Center for Blood Transfusion in Burkina Faso), France. nebie_yacouba@hotmail.com
authors: Koumpingnin
authors: K
authors: Nébié
authors: Siaka
authors: S
authors: Ouattara
authors: Mahamoudou
authors: M
authors: Sanou
authors: Youssouphe
authors: Y
authors: Kientega
authors: Honorine
authors: H
authors: Dahourou
authors: Lassina
authors: L
authors: Ky
authors: Kisito
authors: K
authors: Kienou
authors: Samba
authors: S
authors: Diallo
authors: Françoise
authors: F
authors: Bigirimana
authors: Catherine
authors: C
authors: Fretz
authors: Edward L
authors: EL
authors: Murphy
authors: Jean-Jacques
authors: JJ
authors: Lefrère
mesh_terms: D001771:Blood Banks / Q000458:organization & administration* / Q000592:standards* / Q000706:statistics & numerical data; D001800:Blood Specimen Collection / Q000592:standards / Q000706:statistics & numerical data; D002050:Burkina Faso / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005843:Geography; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control; D006505:Hepatitis / Q000453:epidemiology / Q000517:prevention & control; D006801:Humans; D017053:Infection Control / Q000458:organization & administration / Q000592:standards*; D017056:Medical Laboratory Personnel / Q000592:standards / Q000706:statistics & numerical data; D008499:Medical Records / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000458:organization & administration / Q000592:standards*; D011786:Quality Control; D013587:Syphilis / Q000453:epidemiology / Q000517:prevention & control