Evidence map›Paper›PMID 30206488›Full record

ReviewBMJ global health2017

Access to safe blood in low-income and middle-income countries: lessons from India.

Hillary E Jenny, Saurabh Saluja, Rachita Sood, Nakul Raykar, Raman Kataria, Ravindranath Tongaonkar, Nobhojit Roy

Abstract readReview
In one paragraph

Review in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  6. Observational
  7. Article
  8. Article
  9. Article
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  14. Assessment of Performance of Blood Banks in India: A National Level Cross Sectional Study.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021
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  15. Article
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  19. Dangerous shortage of blood banks as an indirect effect of SARS-CoV-2: An obstetrics perspective.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hillary E JennyDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, USA.
Saurabh SalujaProgram in Global Surgery and Social Change, Harvard Medical School, Boston, USA.
Rachita SoodProgram in Global Surgery and Social Change, Harvard Medical School, Boston, USA.
Nakul RaykarProgram in Global Surgery and Social Change, Harvard Medical School, Boston, USA.
Raman KatariaDepartment of Surgery, Jan Swasthya Sahyog, Beltookri, Chhattisgarh, India.
Ravindranath TongaonkarAssociation of Rural Surgeons of India, Chennai, Tamil Nadu, India.
Nobhojit RoyDepartment of Surgery, BARC Hospital, Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Timely, affordable access to screened blood is essential to the provision of safe surgical care and depends on three key aspects: adequate volume of blood supply, safe protocols for blood donation and transfusion, and appropriate regulation to ensure safe, equitable and sustainable distribution. Many low-income and middle-income countries experience a deficit in these categories, particularly in rural areas. We draw on the experience of rural surgical practitioners in India and summarise the existing literature to evaluate India's blood banking system and discuss its major barriers to the safe and equitable provision of blood. Many low-income and middle-income countries struggle with accruing a sufficient voluntary, unpaid blood donation base to meet the need. Efforts to increase blood supply through mandatory family replacement donations can lead to dangerous delays in care provision. Additionally, prohibition of unbanked, directed blood transfusion restricts the options of health practitioners, particularly in rural areas. Blood safety is also a significant concern, and efforts must be taken to decrease the risk of transfusion-transmitted infections and inform and treat donors who test positive. Lastly, blood banking systems need a centralised governing body to ensure fair prices for blood, promote comprehensive transfusion reporting and increase system-wide transparency and accountability.

Indexed as

Blood bankingGlobal surgeryHealth policyHealth systemsIndiaLow- and middle-income countriesMaternal healthSurgeryTraumatologyUnbanked directed blood transfusion

Identifiers

PMID30206488
PMCPMC5584485

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.