Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

Blood transfusion in developing countries, particularly sub-Saharan Africa (SSA) is radically different from affluent countries because most transfusions are for emergency life-threatening anaemia from haemorrhage or haemolysis, the blood supply and other resources are limited and the prevalence of viral, bacterial and parasitic infections are high. Approaches to transfusion medicine therefore need to be different and adapted to local circumstances. Bottom-up innovative solutions are being developed that often contradict rich country concepts or WHO recommendations. Priority should be given to a supply that saves lives and is evidence-based, and pragmatic views should be taken regarding donor selection, modes of blood testing and organization of blood systems. External help might be attached to inappropriate dogmatic views and are helpful only when long-term sustainability is taken as the endpoint. This edition first published 2013 © 2001, 2005, 2009, 2013 John Wiley & Sons Ltd.

Original publication





Book title

Practical Transfusion Medicine

Publication Date



250 - 260