# Analysis of Blood Donor Deferrals: Experience From a Newly Established Blood Centre in a Rural Medical College Hospital in a Tribal Area

## TL;DR

This study analyzed blood donor deferrals at a rural blood center, finding low hemoglobin and infections as common reasons, and suggests adding sickle cell testing to improve donor screening.

## Contribution

The study provides insights into donor deferral patterns in a newly established rural blood center in a tribal area.

## Key findings

- Low hemoglobin was the most common reason for temporary donor deferrals.
- Hepatitis B surface antigen and syphilis reactivity were the main causes of permanent deferrals.
- The study recommends including sickle cell testing in donor screening due to the region's endemic status for the disease.

## Abstract

Introduction

Blood transfusion services (BTS) are an integral part of healthcare. In rural areas, the status of BTS has not been properly studied. We conducted this retrospective study to analyse the donor deferral pattern and understand the reasons for deferral in a newly established blood centre at a rural medical college.

Methodology

This was a retrospective study, where we analysed blood donor deferral data from January 1, 2024, to December 31, 2024. The donor deferral records of both replacement and voluntary donors, maintained in the blood centre, were analysed.

Results

A total of 4,716 donors were registered. Of these, 322 were deferred due to various reasons, with 70.8% (n = 228) being temporary deferrals and 29.2% (n = 94) being permanent deferrals. Males accounted for 94% (n = 303) and females for 6% (n = 19) of the deferrals. Low haemoglobin (Hb) was the most common reason for temporary deferrals, while hepatitis B surface antigen (HBsAg) and syphilis reactivity were the most common reasons for permanent deferral.

Conclusion

This retrospective analysis of donor deferral patterns in a rural hospital showed low Hb, alcohol intake, and HBsAg reactivity as some common reasons for deferrals. As the region is endemic for sickle cell disease, we recommend the inclusion of sickle cell testing in donor screening, as well as efforts to improve the overall health of the rural population.