Sundas Foundation

PURPOSE OF SUNDAS FOUNDATION

Sundas Foundation: The absence of an adequate, effective, safe and affordable National Blood Transfusion Service is an important health system problem that Pakistan faces today. The requirement for blood transfusion for potentially preventable maternal morbidity and mortality is quite high in Pakistan. Over 50% of under privilege mothers have haemoglobin level less then 10 g/dl (normal range 11.5 – 13 g/dl). The same is true of children below 5 years of age, 85 percent of whom have haemoglobin level below 10 g/dl (normal range 13 – 15 g/dl). Creation of blood -intensive speciality centers for Cancer Surgery, Chemotherapy, Radiotherapy, Renal Dialysis, Renal Transplantation, Cardiovascular by-pass Surgery, Thalassaemia, Leukaemia, Haemophilia etc., have all led to an even greater need for blood and blood products. Read More

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Sundas Foundation

Sundas Foundation estimated that, on an average, Pakistan requires around 3000-4000 units of blood every day. However, while the transfusion needs outstrip the current availability of blood, Hepatitis virus prevalence rates in the potential Blood donors population is fairly high. Although systematic surveys have not been carried out in all areas of the country, between 10 –12 % of blood donors are estimated to carry hepatitis. While one cannot be complacent about the dangers of spreading HIV infections even in a low incidence country like Pakistan, its important to recognize that hepatitis related diseases kills more people in two weeks than AIDS does in one year. ( Sundas Foundation )

Transmission of HIV and hepatitis infections through blood and blood products has therefore further complicated the matter and has moved the issue of blood Transfusion to that of an adequate supply of un-infected and safe blood and blood products for transfusion. Now it is overwhelmingly important that the blood supply is safe. It is equally important that the clinicians are aware of the potential danger of unsafe blood transfusion so as to limit spread of transfusion-transmitted infections. ( Sundas Foundation )

Since most of the blood transfused in Pakistan, except in few places, is derived from donors who are not selected to exclude high- risk groups and not in most cases screened for hepatitis and HIV. It is understood that a large majority of blood transfusion are potentially dangerous. At the same time, apart from individual efforts made by some members of the health profession, there is little evidence that a clinicians and public at large are benign sufficiently aware of the dangers of inherent blood transfusions. The public sector facilities are inadequate to meet the huge demands whereas private sector facilities, generally available only in large cities, charge exorbitantly. Another facet of the problem is the rampant commercialism of unregulated private blood banks. The questions regarding quality of blood and blood products are serious ones, and apply equally to the public, private and the NGO sector facilities. ( Sundas Foundation )

Read More: What is leukaemia , What is Hemophilia , What is Thalassemia

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