Cost- analysis of Malaria Screening to Identify Transfusion Tansmissible Malaria in Hawassa Regional Blood Bank, Hawassa, Ethiopia
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Date
2018-11
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Addis Ababa University
Abstract
Back ground: The transmission of malaria by blood transfusion is one of the first recordedincidents of transfusion-transmitted infection (TTI). To reduce the risk of transmissiontransmissible infection effective screening for the presence of the most common and dangeroustransfusion transmissible pathogens should be practiced in transfusion centers. Blood transfusionservices should therefore establish efficient systems to ensure that all donated blood is correctlyscreened for specific transfusion transmissible infection.
Objective: To determine the magnitude of transfusion transmissible malaria and to compute thesum cost of screening blood donors for malaria in comparison to other transfusion transmissibleinfection in Hawassa regional blood bank, Hawassa, Ethiopia.
Methods: A cross sectional study was conducted from April-May 2018, blood samples of donorswas screened for malaria using rapid diagnostic test method as well thick smear microscopy asconfirmatory test. In addition to this the cost of malaria screening was calculated using activibased costing method.414 donors were included in the study and the donors were selected conveniently.
Results: From the total number of 414 blood units collected 29 donors were positive for any ofthe TTI tested giving an overall positivity rate of 7%. 2(0.5%) of the donors were positive for malaria. 2 donors were deferred due to malaria symptom but both of them ware negative for malaria. The total cost of each test is $5.91 for HIV, $5.48HBV, $5.98 HCV and $5.62 Syphilis.The cost per test for malaria is $4.73 which is the least in comparison to the others and the cost to be added for malaria screening with marginal cost of $11,025.36 which is 4.58%.
Conclusion: The overall prevalence of malaria during the study is 0.5% but in the other way thecost for malaria screening computed to be the least compared to other TTI screening and also thecost to be added for malaria screening is minor compared to the complication caused by transfusion transmissible malaria for non immune patients. So, screening of malaria in endemic countries is beneficial. More studies are needed to infer this recommendation to endemic places as routine practice.
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cost-analysis, transfusion-transmitted infections, malaria, donor blood screening