Email this article 
Hide
Show all
Original Research
Organisational management of hospital blood transfusion services in Nairobi County, Kenya: Evidence of implementation
Submitted: 11 September 2017 | Published: 26 August 2019
About the author(s)
Anne N. Mbuthia, Kenya Methodist University, Nairobi, KenyaEunice M. Mwangi, Kenya Methodist University, Nairobi, Kenya
Musa O. Ong'ombe, Kenya Methodist University, Nairobi, Kenya
Abstract
Background: The World Health Organization in 2002 recommended implementation of a quality system for national blood programmes to ensure adequate and safe blood products to patients. Key elements of the quality system include organisational management, standards, documentation, training and assessment.
Objectives: The aim of this study was to describe the extent to which organisational management, which is the first element of a quality system, has been implemented in hospitals in Nairobi County, Kenya.
Methods: A descriptive, cross-sectional study design was used. Sixty health workers were selected as respondents from 15 hospitals that provide blood transfusion services in Nairobi County. The data collection period was from June to August 2015 and the data were analysed in 2016.
Results: Faith-based hospitals had the lowest level of organisational management implementation (33.3%), private hospitals had 42.5%, whereas government hospitals had the highest implementation (60%). The extent of implementation was based on performance of the senior management team, overall rated by the respondents at 40.1%, establishment of hospital transfusion committees in nine (60%) of the hospitals and appointment of key staff – quality officers in three (20%) hospitals and blood transfusion specialists in six (40%) hospitals. These key staff were instrumental in steering the quality system and ensuring sound blood transfusion practices.
Conclusion: The implementation of quality management systems in hospital blood transfusion services can be improved through commitment from senior management teams, who should provide the necessary resources for employment of key staff and establish and empower hospital transfusion committees to guide the blood transfusion services.
Keywords
Metrics
Total abstract views: 4450Total article views: 7342
Crossref Citations
1. Sistemas de gestión de la calidad en el banco de sangre
Guillermo Escamilla Guerrero
Revista Mexicana de Medicina Transfusional vol: 16 issue: S1 first page: s17 year: 2024
doi: 10.35366/117581
2. Don’t Ask Don’t Tell – The Status, Barriers, and Opportunities for Hospital Transfusion Committees (HTCs) in Rivers State, Nigeria: Mixed Methods Research on Hemovigilance
A Oreh, V Agala, J Darlington-Woke, F Funso-Adebayo, J Fapohunda, I Mgbachi, T Bozegha, F Biyama, A Oyetunde, B Ogbonda, S Owusu-Ofori, M Postma, T Nwagha, M van Hulst
Nigerian Journal of Clinical Practice vol: 28 issue: 9 first page: 1010 year: 2025
doi: 10.4103/njcp.njcp_376_25
3. Protocol: identifying policy, system, and environment change interventions to enhance availability of blood for transfusion in Kenya, a mixed-methods study
Alejandro Munoz-Valencia, Jackline O. Aridi, Linda S. Barnes, Kristina E. Rudd, Bopaya Bidanda, Tonny Epuu, Robert Kamu, Tecla Kivuli, Jana Macleod, Cindy M. Makanga, Jennifer Makin, Muthoni Mate, Carolyne Njoki Muiru, Gatwiri Murithi, Abdirahaman Musa, Hellen Nyagol, Kevin Ochieng, Jayant Rajgopal, Nakul P. Raykar, Yiqi Tian, Mark H. Yazer, Bo Zeng, Bernard Olayo, Pratap Kumar, Juan Carlos Puyana
BMC Health Services Research vol: 23 issue: 1 year: 2023
doi: 10.1186/s12913-023-09936-0
4. Abnormal Uterine Bleeding: Diagnostic Evaluation, Medical and Surgical Management, and Patient Blood Management — A Narrative Review
Zhantong Hong, Zeqi Huang, Weichao Li, Qifeng Liu
Clinical and Experimental Obstetrics & Gynecology vol: 53 issue: 4 year: 2026
doi: 10.31083/CEOG48894