Developing, Implementing and Evaluating Effective Community-facility Interactions to Improve Blood Availability and Transfusion in Three Distinct County Settings in Kenya (CoBAnK): A Type III Hybrid Effectiveness-implementation Trial.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Minnesota
- Enrollment
- 9
- Locations
- 2
- Primary Endpoint
- Met blood need
Study Overview
Brief Summary
The strategy of the CoBAnK study is to establish and enable the function of Community-Facility Transfusion Committees (CFTCs) incorporating diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care.
Detailed Description
The strategy of the CoBAnK study is to establish and enable the function of Community-Facility Transfusion Committees (CFTCs) incorporating diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care. The CFTC strategy will be evaluated across nine transfusing facilities across three counties in Kenya (two intervention and one control site in each county). While the intervention will be tested in "beta" facilities (i.e., facilities without a co-located blood bank) in each county, blood availability will also be measured in "alpha" facilities (i.e., facilities with co-located blood banks) in the three counties, which supply blood to the beta facilities.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Eligibility criteria for study sites (beta hospitals):
- •Transfusing hospital at level 3 or higher
- •Has conducted at least 20 blood transfusions in the preceding year
- •Does not have a KTTA-approved blood bank (regional or satellite) in the facility premises
- •Receives blood from a blood bank at an Alpha Facility in the same county
Exclusion Criteria
- Not provided
Arms & Interventions
CFTC
Community-Facility Transfusion Committees (CFTCs) will be established at the facilities randomized to this arm.
Intervention: Community-Facility Transfusion Committee (CFTC) (Other)
Control
Outcomes
Primary Outcomes
Met blood need
Time Frame: The time required for the hospital laboratory to process a request for blood for transfusion, up to two weeks.
The proportion of transfusion requests resulting in dispatch of blood products from the laboratory
Secondary Outcomes
No secondary outcomes reported