13 results on '"Bigirimana, Françoise"'
Search Results
2. WHO’s path to elimination of mother-to-child transmission of HIV and syphilis
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Shaffer, Nathan, Taylor, Melanie, Newman, Morkor, Nuwagira, Innocent, Bigirimana, Francoise, Regis, Merceline Dahl, Mushavi, Angela, Doherty, Meg, Bulterys, Marc, Askew, Ian, and Hirnschall, Gottfried
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- 2020
3. Entomological surveys and insecticide susceptibility profile of Aedes aegypti during the dengue outbreak in Sao Tome and Principe in 2022.
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Kamgang, Basile, Acântara, João, Tedjou, Armel, Keumeni, Christophe, Yougang, Aurelie, Ancia, Anne, Bigirimana, Françoise, Clarke, Sian E., Gil, Vilfrido Santana, and Wondji, Charles
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AEDES aegypti ,DENGUE ,INSECTICIDES ,WATER supply management ,STORAGE tanks - Abstract
Background: The first dengue outbreak in Sao Tome and Principe was reported in 2022. Entomological investigations were undertaken to establish the typology of Aedes larval habitats, the distribution of Ae. aegypti and Ae. albopictus, the related entomological risk and the susceptibility profile of Ae. aegypti to insecticides, to provide evidence to inform the outbreak response. Methodology/Principal findings: Entomological surveys were performed in all seven health districts of Sao Tome and Principe during the dry and rainy seasons in 2022. WHO tube and synergist assays using piperonyl butoxide (PBO) and diethyl maleate (DEM) were carried out, together with genotyping of F1534C/V1016I/V410L mutations in Ae. aegypti. Aedes aegypti and Ae. albopictus were found in all seven health districts of the country with high abundance of Ae. aegypti in the most urbanised district, Agua Grande. Both Aedes species bred mainly in used tyres, discarded tanks and water storage containers. In both survey periods, the Breteau (BI > 50), house (HI > 35%) and container (CI > 20%) indices were higher than the thresholds established by WHO to indicate high potential risk of dengue transmission. The Ae. aegypti sampled were susceptible to all insecticides tested except dichlorodiphenyltrichloroethane (DDT) (9.2% mortality, resistant), bendiocarb (61.4% mortality, resistant) and alpha-cypermethrin (97% mortality, probable resistant). A full recovery was observed in Ae. aegypti resistant to bendiocarb after pre-exposure to synergist PBO. Only one Ae. aegypti specimen was found carrying F1534C mutation. Conclusions/Significance: These findings revealed a high potential risk for dengue transmission throughout the year, with the bulk of larval breeding occurring in used tyres, water storage and discarded containers. Most of the insecticides tested remain effective to control Aedes vectors in Sao Tome, except DDT and bendiocarb. These data underline the importance of raising community awareness and implementing routine dengue vector control strategies to prevent further outbreaks in Sao Tome and Principe, and elsewhere in the subregion. Author summary: During the first dengue outbreak in Sao Tome and Principe reported in 2022, entomological investigations were undertaken to establish the typology of Aedes larval habitats, the distribution of Ae. aegypti and Ae. albopictus, the related entomological risk and the susceptibility profile of Ae. aegypti to insecticides to inform the outbreak response. Surveys revealed the presence of Ae. aegypti and Ae. albopictus in all seven health districts of the country with high abundance of Ae. aegypti in the most urbanised district, Agua Grande. Both Aedes species bred mainly in used tyres, discarded tanks and water storage containers suggesting good waste management and improved water supply system could help to reduce Aedes densities and the risk of dengue transmission. Analyses also revealed that most of the insecticides tested remain effective to control Aedes vectors in Sao Tome, except dichlorodiphenyltrichloroethane and bendiocarb. These findings revealed a high potential risk for dengue transmission throughout the year and underline the importance of raising community awareness and implementing routine dengue vector control strategies to prevent further outbreaks in Sao Tome and Principe, and elsewhere in the subregion. [ABSTRACT FROM AUTHOR]
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- 2024
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4. The WHO African Region: Research Priorities on Sexual and Reproductive Health and Rights
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Symplice Mbola Mbassi, Issiaka Sombié, Chilanga Asmani, Triphonie Nkurunziza, Souleymane Zan, Dadji Kwami, Hayfa Elamin, Assumpta Muriithi, Blami Dao, Gbenou Dina, Ali Moazzam, Bigirimana Françoise, Kim Caron Rahn, Theopista Kabuteni John, Leopold Ouedraogo, Tolu Lemi, Mihretu Belete, and Okech Mollent
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Cultural Studies ,History ,Resource (biology) ,Literature and Literary Theory ,Scope (project management) ,business.industry ,Process (engineering) ,Sexual and reproductive health and rights ,Public relations ,Phase (combat) ,Unsafe abortion ,business ,Psychology ,Reproductive health ,Theme (narrative) - Abstract
Background: Many policy makers deliberating on comprehensive sexual and reproductive health and rights services need reliable evidence to make choices that benefit women, adolescents, children and the wider society. While universal health coverage discourse provides an opportunity to expand access through evidence based interventions, many gaps exist. Research prioritization has proved to be very helpful in identifying relevant areas especially in constrained resource settings. The purpose of this paper is to present the results of the World Health Organization Africa Region research prioritization for sexual and reproductive health and rights. These priorities hope to guide the region for the next three years. Methods: We used the Child Health and Nutrition Research Initiative approach to identify priority questions among many potential areas for research prioritization on sexual and reproductive health and rights. The implementation process was organized in three phases. The first phase involved sending out an online survey to various experts with experience in sexual and reproductive health rights. These questions were received by a technical team from World Health Organization headquarters for review. 634 questions were identified for potential research and grouped into 12 themes. The second phase involved experts who reviewed the questions. The team merged questions with duplications, removed the questions that were out of scope and finally refined the wordings. In the final phase, experts worked in groups to score and rank top ten priority questions for each of the 12 thematic areas. Results: A list of 120 priority questions for sexual and reproductive health and rights were prioritized by 67 participants drawn from 16 organizations. Most of the priority research questions (45%) focused on the theme of gender-based violence, 35% prioritized services in sexual and reproductive health and rights in humanitarian settings while 15% prioritized preventing unsafe abortion. 5% of the participants prioritized cervical cancer prevalence, prevention and treatment as a thematic area out of the questions in the top 20 research priority questions. Conclusions: Key priority research questions in sexual and reproductive health and rights were identified around five themes. The priority list will be of significance to World Health Organization regional Office for Africa and her stakeholders for the next three years.
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- 2021
5. Research Priorities for Addressing Gender Based Violence in the WHO Africa Region
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Mihretu Belete, Tolu Lemi, Issiaka Sombié, Chilanga Asmani, Souleymane Zan, Triphonie Nkurunziza, Blami Dao, Kim Caron Rahn, Okech Mollent, Assumpta Muriithi, Theopista Kabuteni John, Leopold Ouedraogo, Dadji Kwami, Bigirimana Françoise, Gbenou Dina, Hayfa Elamin, and Ali Moazzam
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Cultural Studies ,Prioritization ,History ,Literature and Literary Theory ,Human rights ,business.industry ,Research areas ,media_common.quotation_subject ,Sexual and reproductive health and rights ,Psychological intervention ,Context (language use) ,Public relations ,Quality (business) ,Psychology ,business ,Limited resources ,media_common - Abstract
Background: There is an increasing emphasis on conducting research to identify gender based violence issues to enable development of appropriate programs and interventions. However, these efforts are mixed in quality and often raise ethical questions. The increased pressure on policy makers to move to a more evidence-based approach in addressing gender based issues creates the need for this research prioritization activity. Inadequate evaluative evidence in this area poses a challenge in the planning for responsive interventions especially in resource limited settings. The purpose of this paper is to present gender based violence research priority areas for the WHO Africa Region. Methods: We utilized a modified version of the Child Health and Nutrition Research Initiative approach to reach consensus on research priorities on the thematic area of gender based violence. In three phases, we first conducted an online survey with sexual and reproductive health and rights experts in academia, ministries of health, non-governmental organizations and other health actors with a wide range of experiences. These questions were consolidated by three experts from World Health Organization headquarters into themes. Secondly, experts were invited in a meeting in Cape Town South Africa to analyze and generate relevant areas of research based on the themes. Finally, a smaller group of experts prioritized research areas based on agreed criteria. Results: A list of 10 priority research questions for addressing gender based violence were scored and ranked. Four priority research questions scored 30 points out of the possible 30 points and were thus ranked as the highest priority. These included questions that “engage young adolescents in behavioral interventions to influence gender roles”, “determinants of gender based violence analysis”, “both long and short term complications of gender based violence on survivors” and “assessment of men’s involvement in addressing gender-based violence against women”. The second most highly ranked question was on the assessment of the extent and strategies to prevent gender-based violence in the context of humanitarian crises. Conclusions: Priority research questions for addressing gender based violence were identified. This exercise provides a three year investment case for research with high potential of effectively identifying interventions with high impact on addressing gender based violence.
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- 2021
6. Research Priorities for mHealth and Innovative Strategies in Sexual and Reproductive Health and Rights in the WHO Africa Region
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Bigirimana Françoise, Theopista Kabuteni John, Hien Clotaire, Blami Dao, Gbenou Dina, Triphonie Nkurunziza, Mekdes Daba, Okech Mollent, Leopold Ouedraogo, Tolu Lemi, Assumpta Muriithi, Issiaka Sombié, Hayfa Elamin, Dadji Kwami, Kim Caron Rahn, Mihretu Belete, Chilanga Asmani, Souleymane Zan, and Ali Moazzam
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Cultural Studies ,History ,Literature and Literary Theory ,Referral ,business.industry ,Service delivery framework ,Data management ,Sexual and reproductive health and rights ,Public relations ,Information and Communications Technology ,Mobile technology ,business ,mHealth ,Reproductive health - Abstract
Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and especially among the adolescents where specific messages are tailored for various audiences with specific messages. The purpose of this paper is to present the results of a research priority setting exercise on mHealth and innovative strategies. Methods: We adapted Child Health and Nutrition Research Initiative methodology to identify and set research priorities on mHealth and innovative strategies that respond to sexual and reproductive health and rights services. General potential research questions were gathered online from multiple stakeholders in the region and sent for consolidation consolidated to technical experts in World Health Organization headquarters. The second phase involved a meeting with experts to review and thematically analyze the questions list of 33 questions producing a list of 22 research questions. The questions were scored against a six point criteria and ranked accordingly. Ten top priority research questions were identified. Results: Lists of 33 priority research questions for mHealth and innovative strategies were proposed for discussions by 67 stakeholders. The questions were reviewed, scored and ranked in a technical meeting by experts. The highest ranking questions at 87% include evaluation of mHealth for data management and sexual and reproductive health and rights decision making, assessment of innovative local financing techniques to support community based sexual reproductive health and rights and evaluation of the role of mobile technologies in referral and counter referral. Conclusions: Information and communication technology is developing drastically and has a great potential in improving health especially in sexual and reproductive health and rights service delivery. This potential must be demonstrated with more relevant and quality research on mHealth and innovative strategies priorities identified.
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- 2021
7. Research Priorities for Preventing Unsafe Abortions in the WHO Africa Region
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Assumpta Muriithi, Bigirimana Françoise, Tolu Lemi, Chilanga Asmani, Dadji Kwami, Souleymane Zan, Ali Moazzam, Hayfa Elamin, Gbenou Dina, Kim Caron Rahn, Okech Mollent, Triphonie Nkurunziza, Leopold Ouedraogo, Theopista Kabuteni John, Issiaka Sombié, Blami Dao, and Mihretu Belete
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Cultural Studies ,History ,medicine.medical_specialty ,Literature and Literary Theory ,business.industry ,Sexual and reproductive health and rights ,Psychological intervention ,Abortion ,Incentive ,Knowledge base ,Unsafe abortion ,Family medicine ,medicine ,Continuance ,Thematic analysis ,Psychology ,business - Abstract
Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.
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- 2021
8. Setting Regional Research Priorities for Sexual and Reproductive Health and Rights Services in Humanitarian Settings
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Assumpta Muriithi, Ali Moazzam, Hayfa Elamin, Kim Caron Rahn, Issiaka Sombié, Bigirimana Françoise, Dadji Kwami, Blami Dao, Triphonie Nkurunziza, Chilanga Asmani, Souleymane Zan, Leopold Ouedraogo, Tolu Lemi, Gbenou Dina, Okech Mollent, and Mihretu Belete
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Cultural Studies ,History ,Literature and Literary Theory ,business.industry ,Sexual and reproductive health and rights ,Psychological intervention ,Scoring criteria ,Equity (finance) ,Public relations ,Mainstreaming ,Scientific evidence ,Unsafe abortion ,business ,Psychology ,health care economics and organizations ,Reproductive health - Abstract
Background: Despite increased recognition of the need for sexual and reproductive health and rights in humanitarian settings, evidence focusing on mainstreaming reproductive health services such as maternal, neonatal mortality, human immunodeficiency virus transmission and unsafe abortion still remains inadequate. The ability to understand the magnitude of the needs and highlight existing gaps is supported by improved data which is critical to informing effective policies, programming and funding decisions. The purpose of this report is to present the results of a research prioritization exercise on sexual and reproductive health and rights services in humanitarian settings for the WHO Africa region for the next three years. Methods: We adapted the Child Health and Nutrition Research Initiative method in three phases. Experts from the region participated in an online survey to identify key areas for research in sexual and reproductive health and rights. To identify potential areas for research, the experts ensured answerability, effectiveness, deliverability, equity and potential impact of the questions. The research areas they identified were reviewed by World Health Organization technical team from headquarters. In a meeting of 67 participants, the questions were subjected to further review and analysis. Using a modified for scoring criteria, the questions were scored and ranked to provide the top ten priority questions to address sexual and reproductive health and rights services in humanitarian settings. Results: A list of 21 priority research questions on sexual and reproductive health and rights services in humanitarian settings were scored and ranked. Top ten priorities research questions were identified. Those that scored highly by scoring 30 points out of the possible maximum of 30 include: “determining the prevalence and associated factors of unwanted pregnancies and abortions performed in emergency and humanitarian settings”, “evidence on gender-based violence in humanitarian situations and its associated factors” and “defining an optimal model for coordinating sexual and reproductive health and rights interventions and responses in crisis situations”. Conclusions: Top ten research priorities in sexual and reproductive health and rights services in humanitarian settings were identified. The priority research areas have the potential to identify the best areas for programming of services in humanitarian settings. It is our hope that the identified research areas will be prioritized to support programming of services in humanitarian settings based on scientific evidence.
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- 2021
9. Setting Research Priorities for Cervical Cancer Prevalence, Prevention and Treatment in WHO Africa Region
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Mihretu Belete, Blami Dao, Leopold Ouedraogo, Kim Caron Rahn, Dadji Kwami, Triphonie Nkurunziza, Okech Mollent, Assumpta Muriithi, Bigirimana Françoise, Tolu Lemi, Chilanga Asmani, Issiaka Sombié, Souleymane Zan, Hayfa Elamin, Ali Moazzam, and Gbenou Dina
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Cultural Studies ,Cervical cancer ,History ,medicine.medical_specialty ,Literature and Literary Theory ,business.industry ,Emerging technologies ,Sexual and reproductive health and rights ,Psychological intervention ,Human papillomavirus vaccine ,medicine.disease ,Child health ,Human papillomavirus vaccination ,Vaccination ,Family medicine ,Medicine ,business - Abstract
Background: Cervical cancer has been ranked among the leading causes of deaths among women in Africa. Despite this, priority setting mechanisms used in planning for programmes and interventions that respond to sexual and reproductive health and rights services particularly in cervical cancer prevalence, prevention and treatment have not adequately taken into account research based evidence to respond appropriately. Methods: We adapted the Child Health and Nutrition Research Initiative method. A wide range of stakeholders identified potential research areas in an online survey. A technical working group comprising of 67 participants reviewed the questions for modification and removal of out scope questions. Finally, scoring and ranking was done to provide the top ten priorities questions. Results: “Cost-benefit analysis of systematic human papillomavirus vaccination compared to the current cost of cervical cancer in public health care systems” scored 27. This was followed by two research questions ranked at 24 points: “assessment of women’s and girls’ knowledge on the importance of early cervical cancer screening,” and “human papilloma virus vaccination and contributions of new technologies to the supply and storage of vaccines, including human papillomavirus vaccine”. Conclusion: The study identified 10 priority research questions that can guide the agenda for cervical cancer prevalence, prevention and treatment in the WHO Africa region. The identified priorities will be of use to policy makers, researchers and programmers and other stakeholders who can invest in areas that greatly affect cervical cancer prevalence, prevention and treatment.
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- 2021
10. Surveillance of Transmitted Drug-Resistant HIV Among Young Pregnant Women in Ouagadougou, Burkina Faso
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Somda, Antoine, Sangare, Lassana, Soro, Monique, Yameogo, Saydou, Bazie, Babou, Bigirimana, Françoise, Bertagnolio, Silvia, Peeters, Martine, Mouacha, Fatima, Rivera, Ana Maria, Jordan, Michael R., and Sanou, Marie-Joseph
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- 2012
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11. Poor procedures and quality control among nonaffiliated blood centers in Burkina Faso: an argument for expanding the reach of the national blood transfusion center
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Nébié, Koumpingnin, Ouattara, Siaka, Sanou, Mahamoudou, Kientega, Youssouphe, Dahourou, Honorine, Ky, Lassina, Kienou, Kisito, Diallo, Samba, Bigirimana, Françoise, Fretz, Catherine, Murphy, Edward L., and Lefrère, Jean-Jacques
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- 2011
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12. Surveillance of Transmitted Drug-Resistant HIV Among Young Pregnant Women in Ouagadougou, Burkina Faso
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Somda, Antoine, Sangare, Lassana, Soro, Monique, Yameogo, Saydou, Bazie, Babou, Bigirimana, Françoise, Bertagnolio, Silvia, Peeters, Martine, Mouacha, Fatima, Rivera, Ana Maria, Jordan, Michael R., and Sanou, Marie-Joseph
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parasitic diseases ,population characteristics ,health care economics and organizations ,geographic locations - Abstract
Burkina Faso began rapid antiretroviral therapy (ART) scale-up in 2003 and by December 2009, 26 448 individuals were on treatment. With rapid scale-up of ART, some degree of human immunodeficiency virus transmitted drug resistance (TDR) is inevitable. Following World Health Organization methods, between June 2008 and July 2009, Burkina Faso assessed TDR in primigravid pregnant women aged
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- 2017
13. Poor procedures and quality control among non-affiliated blood centers in Burkina Faso: an argument for expanding the reach of the national blood transfusion center
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Nébié, Koumpingnin, Ouattara, Siaka, Sanou, Mahamoudou, Kientega, Youssouphe, Dahourou, Honorine, Ky, Lassina, Kienou, Kisito, Diallo, Samba, Bigirimana, Françoise, Fretz, Catherine, Murphy, Edward L., and Lefrère, Jean-Jacques
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Quality Control ,Blood Specimen Collection ,Infection Control ,Geography ,Quality Assurance, Health Care ,HIV Infections ,Article ,Medical Records ,Hepatitis ,Cross-Sectional Studies ,Burkina Faso ,Medical Laboratory Personnel ,Blood Banks ,Humans ,Syphilis ,Developing Countries - Abstract
The World Health Organization (WHO) recommends the creation of national blood transfusion services. Burkina Faso has a CNTS (Centre National de Transfusion Sanguine-National Blood Transfusion Center) but it currently covers only 53% of the national blood supply versus 47% produced by independent hospital blood banks.To evaluate blood collection, testing, preparation, and prescription practices in the regions of Burkina Faso that are not covered by the CNTS, a cross-sectional survey was conducted.Data were collected by trained professionals from May to June 2009 at 42 autonomous blood centers not covered by the CNTS.Blood collection was supervised in all sites by laboratory technicians without specific training. There was no marketing of community blood donation nor mobile collection. Donation was restricted to replacement (family) donors in 21.4% of sites. Predonation screening of donors was performed in 63.4% of sites, but some did not use written questionnaires. Testing for HIV, hepatitis B virus, and syphilis was universal, although some sites did not screen for hepatitis C virus. In 83.3% of the sites, blood typing was performed without reverse ABO typing. In 97.6% of the sites, nurses acted alone or in conjunction with a physician to order blood transfusions.Shortcomings in non-CNTS blood centers argue for the development of a truly national CNTS. Such a national center should coordinate and supervise all blood transfusion activities, and is the essential first step for improving and institutionalizing blood transfusion safety and efficacy in a developing country.
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- 2011
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