title: Attitudes towards blood donation and transfusion in Bamenda, Republic of Cameroon.
abstract: OBJECTIVE
  This study was conducted in Bamenda, Cameroon. The objectives of the study were to develop a theoretical framework to better understand local attitudes towards blood donation and transfusion, to identify factors that motivate and deter blood donation and to identify interventions to improve the supply of blood for transfusion at Bamenda Regional Hospital.
  
  
  BACKGROUND
  The supply of blood for transfusion in sub-Saharan Africa is insufficient. Cameroon has no national blood service and the collection and screening of blood is the responsibility of individual hospitals. At Bamenda Regional Hospital patient relatives recruit replacement blood donors, who may or may not be family members, and shortages of blood and delays in transfusion are frequent.
  
  
  METHODS
  Qualitative research methods were used: direct observation, in-depth interviews, focus group discussions and a simulation exercise. Participants were clinical and laboratory staff, patient relatives, blood donors, secondary school students and community members.
  
  
  RESULTS
  Attitudes towards blood donation and transfusion fit a transanctionalist framework of health decision making. Deterrents to blood donation are multiple and varied. Some form of compensation is often expected, even by family members, although the blood donation is still considered 'voluntary' by the donor.
  
  
  CONCLUSIONS
  This study confirms that interventions to improve the blood supply must take into account local attitudes and conditions. In Bamenda, a variety of pragmatic approaches are required including education around specific biological misperceptions identified in the study and the retention of replacement donors as repeat donors. Issues around compensation for blood donation require further work.
authors.affiliation: Graduate School of Social Sciences, University of Amsterdam, Amsterdam, The Netherlands. jkoster@givesafeblood.nl
authors.forename: J
authors.initials: J
authors.lastname: Koster
authors.forename: O W
authors.initials: OW
authors.lastname: Hassall
mesh_terms: D001290:Attitude; D001782:Blood Donors / Q000523:psychology / Q000600:supply & distribution*; D001803:Blood Transfusion / Q000523:psychology*; D002163:Cameroon; D006801:Humans; D009042:Motivation; D036301:Qualitative Research