Smart Interventions to Enhance Voluntary Blood Donation Attitudes and Reduce Deferrals in Haryana: Evidence-Based Strategies and Pharmacist-Led Guidelines
Abstract
Background: Haryana, India faces persistent blood shortages despite national collection gains, driven by suboptimal voluntary donation rates (~42%) and high temporary deferrals. This conceptual strategy paper synthesized primary data from 5,000 donor records (2019-2024) across three Hisar blood banks with 40 literature studies to identify intervention priorities.
Methods: PRISMA-ScR-guided narrative synthesis integrated retrospective deferral analysis (n=1,240 cases, 24.8% rate) with KAP scoping review (27 studies, n=18,450). Thematic analysis (NVivo v14) prioritized modifiable targets; logic modeling projected outcomes. Pharmacist-led protocols were developed per synopsis objectives.
Results: Temporary deferrals predominated (87%), led by anaemia (35.2%) and low weight (19.8%)—55% of pre-donation exclusions. KAP synthesis revealed implementation gaps (knowledge 62%, practice 41%), with myths (weakness 42%, infertility 28%) correlating strongly with deferrals (r=0.68). Voluntary donors showed superior safety (23.1% vs 34.2% deferrals). Four themes emerged: barriers, motivators (altruism 85%), deferral causes, and proven solutions (counselling +20-30% KAP).
Conclusions: Five evidence-based packages were prioritized: myth-busting IEC campaigns, donor counselling, nutritional triage, staff training, and pharmacist-led medication screening (14.7% deferrals). Logic model projected 20-30% deferral reduction and 60% voluntary target within 12-18 months via Hisar pilot. Pharmacist integration uniquely addresses nutritional/pharmacological gaps feasibly within resource constraints, fulfilling synopsis mandate for "smart approaches" to enhance voluntary attitudes and minimize deferrals. Immediate implementation promises equitable blood access and national replicability.
How to Cite
Rakesh Kumar , Dharmendra Ahuja,, Sushila Kaura , "Smart Interventions to Enhance Voluntary Blood Donation Attitudes and Reduce Deferrals in Haryana: Evidence-Based Strategies and Pharmacist-Led Guidelines", Vol. 3, Issue 8, 21-11-2025, pp. 46-60.
