Hi J 16000155
Hi J 16000155
Abstract
Background: Blood transfusion is a vital therapeutic approach in modern health care that saves millions of lives, but there is
a great challenge to gate sufficient voluntary blood donation in developing country like Ethiopia at the same time pregnancy
and child birth related problem, rod traffic accident, malaria-related death is high.
Methods: Institutional based cross-sectional quantitative study was used from April 27 to May 11, 2018, and data was
collected using a self-administered questionnaire. A stratified sampling method was used and an individual was selected by
simple random sampling within each stratum. EPI data version 3.02 for data entry and SPSS version 16 for analysis was used
both bi-variant and multi-variant analysis was computed and significance was declared at AOR <0.05.
Results: From the total study participants, 162(48.5%) had adequate knowledge, 230(68.9%) of the respondent had favorable
attitudes towards blood donation whereas only 85 (25.4%) have ever donated blood in their lifetime. Having inadequate
knowledge 3.118 times more likely non-donors [AOR=3.118: 1.775, 5.479] than compared to those having adequate
knowledge, and unfavorable attitude 4.254 times non-donors [AOR=4.254%CI: 1.996, 9.069] than compared to those having
a favorable attitude. Whereas being a user of television 2.015 times more likely non-donors of blood [AOR= 2.015 %CI: 1.100,
3.690] than compared to non-user.
Conclusion: the result shows that there was poor habit of blood donation practice among students and even from donors
above the mean range 57.6% of respondent donate blood to help relatives or friends and we recommend further study in this
area, to give training for blood bank service workers and organize motivational blood donor club to utilize potential voluntary
blood donors.
Keywords: Blood donation; Emergency health care; Assosa; Benishangul Gumuz; Assosa University
Abbreviations: KAP: Knowledge, Attitude, Practice; care, the key life-saving interventions, which saves millions of
KAMC: King Abdul-Aziz Medical City. lives [1,2] each year, every second someone in the world needs
blood for surgery, trauma, severe anemia or complications of
Introduction pregnancy, [1] generous blood donors are the only source of
blood for a patient that needs blood transfusions, [3] there
Blood transfusion is an essential component of health no substitute for it, it be mead or manufactured [4].
Knowledge, Attitude, Practices, and Factors Associated with Voluntary Blood Donation among Haematol Int J
Graduating Class Students of Assosa University, Benishangul Gumuz, Ethiopia, 2018
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Haematology International Journal
Every day, almost 800 women die related to complications not available in time of data collection period and students
of pregnancy and childbirth [2] worldwide ever year 1.35 who are critically ill on the days of the data collection
million people die as a result of a road traffic crash, at the period were excluded from this study. Socio-demographic
same time 93% of the world’s fatalities on the roads occur characteristics (Age, Sex, Religion, department, residence,
in low- and middle-income countries [5]. Road traffic injury and use of social Media) among study participants were used
death rates are highest in the African, including Ethiopia as an independent variable. Whereas Knowledge, attitude,
which is ranked the 6th cause of death According to the and practice towards voluntary blood donation among
latest WHO data published in 2017 [6]. Road traffic injuries graduating class students were the dependent variable.
are predicted to become the third-largest contributor to the
global burden of disease by 2020 [7]. Urgent access to safe The sample size was determined by using a single
supplies of blood for transfusion is critical to saving these proportion formula based on the prevalence from the
women’s lives. previous study conducted in samara university using 54%
for knowledge level, using 95% confidence interval level
Despite WHO recommend 100% Voluntary Non- (Zα/2=1.96) and absolute precision or margin of error to be
Remunerated Donation of Blood and blood components 5% (d = 0.05).
to every patient as the need should be available in each
health facility, In many countries, family members are often The sample size required was 346 after considering a
pressured to donate blood or find a replacement donor in an 10% non-response rate. The study participant was selected
emergency [8]. This causes emotional and financial stress using, first graduating class students were stratified based on
and significant delays in obtaining suitable blood and also their college/faculty/ and proportionally allocated for each
puts women at risk of blood-borne infections as there is often stratum, and the sample was drawn by using simple random
no time or facilities to properly screen the donated blood. sampling technique (lottery method) based on the students’
identification number (ID NO) (Figure 1). Data collection
University students are expected to be more aware than was done by pre-tested, pre-coded, and self- administered
the general population towards voluntary blood donations questionnaire with open and closed-ended questions. This
among the population. They also considered as a potential structured questionnaire adapted from similar previous
pool of eligible voluntary donors and motivators, so, keeping studies on [9,10] literature and a questionnaire that was
in view, of the significance of blood donation and transfusion modified to the study setting. Pre-testing of the questionnaire
is important, but there is no research conducted before in was performed on 17(5%) students from the total sample
our area and this study was conducted to see the KAP and size on Polly Professional technique college students before
factors associated with voluntary blood donation among one week of actual data collection (Figure 1).
graduating class students would be helpful to identify
the gaps and implement appropriate strategies among
responsible sectors.
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
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Haematology International Journal
Supervision conducted by two principal investigators, experienced blood donation activity at least once in their
finally data were checked for consistency and completeness lifetime will be considered as having practice.
before analysis. The questionnaire is originally prepared in
English language and then translated to Amharic and again c) Voluntary donors: Those individuals who donate blood
retranslated to English by language experts for consistency without receiving payment or a replacement for family
and both of them was given to the study participants or friends, but only for an internally generated sense of
altruism or community responsibility.
Data were entered with EPI data version 3.02 to minimize
data entry error and final data was export to SPSS version 16 The ethical review and approval commute of health
for data analysis. The data wound was presented by using Science College, Assosa University approved the study for its
table and bar graph after analysis. Frequency distributions, ethical and scientific merit. Informed verbal consent was also
cross-tabulations, and graphs were used to describe obtained from the respective students for their participation
the variables under the study. Binary logistic regression after the nature of the study was fully explained in their
analysis was used to examine the association between the local languages. The right to withdraw from the study at any
independent variables and dependent variables. All variables time was also communicated and respected. And also the
with p-value < 0.2 in bivariate analysis were entered into the confidentiality of information was maintained in each level of
final multiple logistic regression model to identify variables the response including omitting personal identifiers such as
independently associated with KAP towards blood donation. the name and identification number or ID No of participants.
The backward stepwise likelihood ratio was used to select
the final independent predictors with a 95% confidence Results
interval. The significance of the Adjusted Odds Ratio (AOR)
was declared at p-value < 0.05. Socio-Demographic Characteristics
A total of 334 (96.5%) graduating class students were
According to the literature [9,10] on this operational
participated from 346 of the proposed sample size with a
definition was taken to make measurable our study.
non-response rate of 3.5% due to un-availability on time
of data collection. Concerning sex composition of study
a) Knowledge: From the major questions on the knowledge
participants, 181(54.2%) of them were male and 153
part, each of those who have answered above the 50th
(45.8%) were female and the mean age of the respondent
percentile (out of 23quetionnaire, who answered
was 23.02 years old which ranges from 20 to 30 years.
13and above) of the score were considered to be having
Regarding religion 222(66.5%) of the respondents were
adequate knowledge. The rest were categorized as
Orthodox followed by Muslim and protestant 58 (17.4%) and
insufficient knowledge.
51(15.3%) respectively and others 3 (0.9%).
b) Attitude: Respondents who answered above the mean
Almost all of the respondents 318(95.2%) were familiar
range (out of 9 questionnaires, who answered 5 and
and use social media. Among 8 collage, the proportion of
above) correctly will be considered as favorable attitude.
engineering collage was highest which accounts, 99 (29.6%)
Those individuals who gave a correct answer below
compared to the school of law 10(2.4%) were included in
the mean range will be considered as an unfavorable
this study which was directly proportional to the source
attitude towards blood donation. Practice individuals
population (Table 1).
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
4
Haematology International Journal
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
5
Haematology International Journal
The Attitude of the Study Participants towards fourth 230(68.9%) of the respondent had favourable attitude
Voluntary Blood Donation towards blood donation whereas 104(31.1%) unfavourable
attitude.
Among the overall respondents 207(62.0%) said blood
donation is good habit, 79(23.6%) of them thinks bad and Factors Associated with Attitude towards
48(14.4%) of them say no idea. Around the mean range Voluntary Blood Donation
168(50.3%) of study participants respond as voluntary
blood donation is the best source of blood donation. The In bivariate logistic regression age, internet user, and
overall attitude of individuals towards voluntary blood level of knowledge were shows significantly associated
donation was assessed by summing up the correct answers with the attitude of the participants towards VBD, while
of individual questions and from the total participant three in multivariate logistic regression internet user doesn’t
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
6
Haematology International Journal
significantly associate with VBD. When you see the level of and. Also, Bing increases the age of respondents from 26-35
knowledge, inadequate knowledge, was 2.098 times having was 2.393 times having an unfavorable attitude (AOR=2.393,
an unfavorable attitude towards VBD (AOR= 2.098, 95% CI: 95% CI: 1.051, 5.449) towards VBD when compared with age
1.281, 3.437) when compared to having adequate knowledge between 18-25 (Table 3).
Age
18-25 89 216 1 1
0.048***
26-35 14 15 2.600(1.205,5.611) 2.393(1.051,5.449)
Internet user
yes 66 170 1
z
no 31 51 1.566(0.922,2.658)
Level of knowledge
Adequate knowledge 37 125 1 1
In adequate know 0.003***
67 105 2.156(1.337,3.477) 2.098(1.281,3.437)
ledged
Z=factors associated in bi-variant but not in multi-variant. ***=variables show significant association on both bi vibrant and
multi variant analysis
Table 3: factor associated with attitude of among study participant towards VBD in 2018.
The Practice of Blood Donation towards once in their lifetime, 19 (22.4%), 9(10.6%), and 4(4.7%) of
Voluntary Blood Donation them donate blood twice, three times and four times, but no
one donor donate blood either regularly or greater than four
Among the total participant of graduating class students, times. Regarding reasons that motivate for blood donation,
only around one quarter, 85 (25.4%) have ever donated greater than the mean range, 49(57.6%) of the total donors
blood and of these 53(62.4%) of donors had donated blood said that donation could be for helping relatives or friends.
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
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Haematology International Journal
From donors, the majority 77(90.6%) of them were collage (field of study) didn’t show significance association
satisfied to do so. Concerning reasons for non-donating towards VBD practice (p-value>0.2) and didn’t include from
among non-donors 249, 112(45.0%) of them side fear of a multivariate regression analysis. A multivariate analysis on
knowing their screen status followed by 106(42.6%) of them blood donation practice revealed that a statistically significant
side donated blood may be sold were mentioned as major association with television user, attitude and knowledge
reasons for not donating blood. Satisfactorily majority of level of respondent. Being a user of television 2.015 times
study participants 263(78.7%) of them were having the more likely non-donors of blood [AOR= 2.015, 95% CI: 1.100,
interest to donate blood in the future. We can see Details 3.690] than compared to non-user but internet and radio /
from Figure 2 about the reason that makes study participants FM user didn’t show statistically significant association with
do donate blood. VBD. When you compared to the knowledge and attitude
towards practice, both having inadequate knowledge 3.118
Factors Associated with Voluntary Blood times non-donors [AOR=3.118, 95% CI: 1.775, 5.479], and
Donation Practice unfavorable attitude 4.254 times non-donors [AOR=4.254,
95% CI: 1.996, 9.069] than compared to those adequate
The likelihood of blood donation in bi-variant analysis knowledge and favorable attitude respectively (Table 4).
Sex, age, religion, the residence where you come, and
Discussion essential and this study found out the level of Knowledge,
Attitude, Practice (KAP) with respective of associated factors
One of the visions of WHO by 2020 counters to achieve towards voluntary blood donation among graduating class
100% voluntary non-remunerated blood donation in students in Assosa University.
every country of the world but concurrently, blood donor
recruitment becomes more difficult and a global issue In this study, 162(48.5%) had adequate knowledge
particularly in developing countries at the same time the towards blood donation which is less knowledgeable
demand for blood products steadily increases. Therefore, than compared study conducted Samara university health
understanding the level of knowledge, attitude, practice, science student which is 54%, health science students of
and associated factor towards voluntary blood donation is Addis Ababa University 121 (83.7%), and study conducted
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
8
Haematology International Journal
at Nigeria which is 64.8% of the respondents had good a good attitude towards blood donation [18]. This difference
knowledge about blood donation [11-13] respectively. may be due to the study population difference. Both studies
This might be due to the study population difference. The were conducted at Gondar and Debre-Markos town which
previous study conducted only health science, students. But was at the community level but this study was conducted
in our study, participants selected from both health and non- among graduating class students.
health since students. The current study revealed that the
level of knowledge towards voluntary blood donation was Among the total participant of graduating class students,
higher when you compared to study conducted among Ambo only around one quarter, 85 (25.4%) have ever donated
university about 161 (40.4%) had good knowledge [10] and blood which is almost similar in study conducted in Addis
study conducted in bachelor level students in Nepal which Ababa University 90(23.4%) have ever donated blood [12]
were average score was 32.01% had good knowledge about and study conducted ambo university which is 94(23.6%) of
blood donation [14]. This might be due to time and socio- the study participants were donated blood at least one times
demographic difference respectively. Ambo university study [10]. But this study was less compared to study conducted
was conducted in 2014 and In this study 223 (66.8%) of samara university health science students which is 252
respondent say no human blood manufactured artificially in (32.6%) has ever donated blood at least once in their lifetime
the laboratory that means answered correctly which is higher [11]. This might be due to knowledge and attitude difference
study conducted in India college students of both health of study population difference. The previous study conducted
and non-health science students 40(63%) of health science only health science, students. But in our study, participants
student respond “no artificial blood” i.e. has good knowledge selected from both health and non-health since students.
about artificial and 88(59.9%) of non-health students think
that there is artificial blood available [15]. This might be due This study showed that the frequency of blood donation
to socio-demographic differences. was 53(62.4%) of donors had donated blood once in their
lifetime among the total donor, 19(22.4%), 9(10.6%), and
And also in this study, only 97(29.0%) of them know 4(4.7%) of them donate blood twice, three times and four
the volume of blood donation which is less than compared times respectively which is higher than study conducted from
to study conducted in samara university health science 216 university students of medial income country which is
student (54.6%) of individuals know the volume of blood 10% had donated for once, 8.5% two times, 1% three times,
donated during each donation and study conducted Addis 1.5% four times [19]. This might be due to study population
Ababa university (8.6%) of respondents didn’t know the coverage which means the previous study conducted on
maximum amount of blood to be donated respectively medial income counters that include different counters but
[9,12]. This might be due to study population difference. The this study conducted only among graduating class students
previous study conducted only health science, students. But of Assosa University.
study participants selected from both health and non-health
science students. In this study showed that no one donor donate blood five
times or more which is less than study conducted from 216
From the total participant, three fourth 230(68.9%) of the university students of medial income country which is2.5%
respondent had favorable attitude towards blood donation at least five times [19] and study conducted in Addis Ababa
which is almost similar with study conducted in Addis Ababa university students which are 38(42.2%) of them were a
university 68%of the participants had favorable attitude [12] regular donor [12]. This might be due to difference socio-
and study conducted in samara university health science demographic characteristics of study population.
student which is 65.8% of respondents(61.0%–71.0%) had
favorable attitude towards VBD(9)This study was higher Concerning reasons for non-donating among non-
than study conducted in ambo university student which is donors 249, 112(45.0%) of them side fear of knowing their
189(47.4%) had positive attitude towards voluntary blood screen status followed by 106(42.6%) of them side donated
donation with the 95%CIof 42.4% to 52.4%(13) and study blood may be sold were mentioned as major reasons for
conducted in two public and one private medical college not donating blood which is differ from study conducted at
in Karachi, Pakistan which is 252 (42.00%) had positive King Abdul-Aziz Medical City (KAMC) in Saudi Arabia which
attitude towards blood donation [16]. This might be due to is more than half of them (52.4%) mentioned that blood
time, social, and cultural deference among study participants donation did not think in their minds and 45% mentioned
respectively. And at the same time, this study was higher that they had no time for donation while 41.3% mentioned
than the study conducted in Debre-Markos 403(52.2%) of that they had difficulty in accessing blood donation center as
respondents had a favorable attitude towards blood donation major reason [20]. And study conducted in ambo university
[17]. But the result of this study less than the study conducted which is 94(23.6)were due to fear or pain, 70 (17.5%) were
in Gondar town which is 630(82%), of the respondents had due to safety reasons [10], also study conducted in Addis
Ayenew BA and Adulla MA. Knowledge, Attitude, Practices, and Factors Associated with Voluntary Copyright© Ayenew BA and Adulla MA.
Blood Donation among Graduating Class Students of Assosa University, Benishangul Gumuz,
Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.
9
Haematology International Journal
Ababa university student which is lack of information 68.4%, towards VBD. Having adequate knowledge, favorable attitude
not asked to donate 66.7% [12]. towards blood donation independent predictors of blood
donation practice, also non-user of television increase blood
In this study, sex doesn’t show any significant association donation practice more often so we recommend creating a
with attitude on both bi-vibrant and multi-variant analysis regular promotion, organize mobile blood back service and
which but it shows a significant study conducted in Addis further study on this area.
Ababa University which is. Being male increased odds of
favorable attitude AOR (95% CI) =2.2 (1.4, 3.6) [12] this might References
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Ethiopia, 2018. Haematol Int J 2020, 4(1): 000155.