Blood donors' attitudes towards voluntary non‐remunerated donation in Trinidad and Tobago

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Blood donors are classified into three major groups – voluntary non‐remunerated (VNRD), family replacement (F/R) and paid or remunerated. International bodies advocate the development of blood transfusion services based on VNRD as the only way to achieve safety, self‐sufficiency and efficient management of blood services (World Health Assembly, 1975, 2005; Pan American Health Organization, 1999; Council of Europe, 2003). This position has been challenged on the basis of impracticality in many developing countries and similar seropositivity in first‐time VNRD and F/R (Allain, 2010, 2012). Family donors (FD), F/R who donate to a hospital's blood supply rather than for a specific patient, have emerged as a safe and reliable alternative to VNRD in low‐income developing countries (Allain & Sibinga, 2016).
Over the years, ministers of health from member states of PAHO, the regional office of the World Health Organization (WHO), have committed to resolutions to ensure blood collection from exclusively VNRD (World Health Assembly, 1975; Pan American Health Organization/World Health Organization, 1999, 2005; Pan American Health Organization, 2014). A VNRD gives blood of his or her own free will and receives no payment for it, either in the form of cash or in kind. Remunerated donors receive payments in cash or in kind for giving blood. Remuneration can be provided by either the health system or the patients' relatives or friends. In this context, donors who have the option to claim blood in return for their donation are considered remunerated donors (Pan American Health Organization, 2005).
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