Blood Transfusion
Conditions
Brief summary
The strategy of the CoBAnK study is to establish and enable the function of Community-Facility Transfusion Committees (CFTCs) incorporating diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care.
Detailed description
The strategy of the CoBAnK study is to establish and enable the function of Community-Facility Transfusion Committees (CFTCs) incorporating diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care. The CFTC strategy will be evaluated across nine transfusing facilities across three counties in Kenya (two intervention and one control site in each county). While the intervention will be tested in "beta" facilities (i.e., facilities without a co-located blood bank) in each county, blood availability will also be measured in "alpha" facilities (i.e., facilities with co-located blood banks) in the three counties, which supply blood to the beta facilities.
Interventions
Community-Facility Transfusion Committees (CFTCs) are intended to incorporate diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care.
Sponsors
Study design
Intervention model description
Type III hybrid effectiveness-implementation trial
Eligibility
Inclusion criteria
Eligibility criteria for study sites (beta hospitals): * Transfusing hospital at level 3 or higher * Has conducted at least 20 blood transfusions in the preceding year * Does not have a KTTA-approved blood bank (regional or satellite) in the facility premises * Receives blood from a blood bank at an Alpha Facility in the same county
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Met blood need | The time required for the hospital laboratory to process a request for blood for transfusion, up to two weeks. | The proportion of transfusion requests resulting in dispatch of blood products from the laboratory |
Countries
United States