Background: India faces chronic blood shortages with suboptimal voluntary donation rates and high deferrals, particularly in northern states like Haryana. This study assessed knowledge, attitude, and practices (KAP) alongside deferral patterns to inform targeted interventions and used only anonymized secondary blood bank records and published literature.
Methods: Retrospective analysis of 5,000 donor records (2019-2024) from three Hisar blood banks and narrative synthesis of 27 published Indian KAP studies (n=18,450 respondents)
Results: Deferrals affected 24.8% of attempts (95% CI: 23.7-25.9%), predominantly anaemia (35.2%) and low weight (19.8%). Voluntary donors showed lower deferrals (18.6% vs 28.9% replacement; p<0.001) and reduced TTI reactivity. KAP synthesis revealed moderate knowledge adequacy (median 62%, range 45-85%), positive attitudes (65%), but poor practice (38%). Persistent myths (weakness 41%, infertility 27%) and ineligibility fears (39%) correlated strongly with empirical deferral causes (r=0.68). Educational attainment predicted 23% higher KAP scores.
Conclusion: Anaemia and nutritional deficits represent modifiable targets reclaiming 20-30% of deferrals through pharmacist-led screening and myth-busting campaigns. The voluntary-replacement safety disparity reinforces prioritisation of non-remunerated donations. Integrated KAP-deferral analysis provides an evidence scaffold optimising Haryana's blood procurement, validating synopsis objectives for enhancing donation attitudes through precision interventions
Rakesh Kumar , Dharmendra Ahuja,, Sushila Kaura , "Deferral Patterns and KAP Profiles in Haryana Blood Donors: Implications for Recruitment Optimization", Vol. 3, Issue 6, 18-09-2025, pp. 57-70.