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  • Blood, donors and dollars: Rethinking financial sustainability of safe blood services in Tanzania

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    Ganka IsangulaPUB977.pdf (185.6Kb)
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    Author(s)
    Isangula, Kahabi Ganka
    Brownie, Sharon
    Mahimbo, Abela
    Kibona, Solomon
    Juma, Abdu
    Mogela, Deus
    Griffith University Author(s)
    Brownie, Sharon M.
    Year published
    2016
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    Abstract
    Introduction: Collection, processing and distribution of safe blood in Tanzania occurs within a free-for-service context, that is, a collection from non-remunerated blood donors and distributing freely to the needy people through health facilities. The safe blood services in the country appear to be crippled with many challenges and cannot meet the demand for blood and its products. As such, a need for rethinking collection methods, financial models and possible mechanisms for donor remuneration is evident. Methods: In this paper, we venture on multi-stakeholder meetings and ongoing discussions regarding the internal mechanisms ...
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    Introduction: Collection, processing and distribution of safe blood in Tanzania occurs within a free-for-service context, that is, a collection from non-remunerated blood donors and distributing freely to the needy people through health facilities. The safe blood services in the country appear to be crippled with many challenges and cannot meet the demand for blood and its products. As such, a need for rethinking collection methods, financial models and possible mechanisms for donor remuneration is evident. Methods: In this paper, we venture on multi-stakeholder meetings and ongoing discussions regarding the internal mechanisms of safe blood transfusion financing. The intent is to offer a perspective on the considerations for self-sustaining safe blood services in the country and the extent to which they may be implemented or not. Results: We suggest that despite huge demand, the external donor dependent financing mechanisms for safe blood services in the country are ineffective. Therefore, we discuss two potential ‘internal’ financing mechanisms that have been identified in recent shareholders forums 1) introducing a blood processing fee accompanied by policy change to allow direct charging of either recipients or hospitals or 2) influencing the introduction of ‘blood services’ within the current insurance schemes. Conclusion: We conclude that there is a need for constructing alternative financial mechanisms to sustain the demand of safe blood in the country. We discuss two cost recovery mechanisms, blood processing fee and insurance schemes; however, warning is noted that their implementation warrants structural adjustments, massive community sensitization and optimum stakeholder engagement to maximize acceptability within the country.
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    Journal Title
    Global Journal of Medicine and Public Health
    Volume
    5
    Issue
    4
    Publisher URI
    https://gjmedph.com/archives.php
    Copyright Statement
    © The Author(s) 2016. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Public Health and Health Services not elsewhere classified
    Publication URI
    http://hdl.handle.net/10072/346295
    Collection
    • Journal articles

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