{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:21:37Z","timestamp":1778084497255,"version":"3.51.4"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,3]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Donor notification and counseling after reactive screening for transfusion-transmitted infections (TTIs) are critical to transfusion safety and public health, yet practices in low- and middle-income countries (LMIC) remain inconsistent and poorly evaluated.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews\u2013guided scoping review was conducted to map evidence on TTI-reactive donor notification and follow-up in LMIC. We searched PubMed, EMBASE, Scopus, and Web of Science for English-language studies published between January 2005 and June 2025. Eligible studies reported notification strategies, donor psychological factors, linkage-to-care outcomes, digital health interventions, or system-level integration. Data were extracted and narratively synthesized across 5 thematic domains, as mentioned in the \u201cResults\u201d section.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Notification success and donor response varied widely. Telephone-based notification consistently achieved higher return rates than letters or text messaging, while replacement donors demonstrated lower follow-up than did voluntary donors. Stigma, fear, and inaccurate contact information were major barriers to counseling. Evidence on linkage to confirmatory testing and treatment was limited; digital health approaches were largely absent. No studies evaluated cost-effectiveness or workforce impact.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Overall, TTI-reactive donor notification in LMIC remains fragmented, with critical gaps in digital innovation, psychosocial support, and linkage-to-care evaluation. Strengthening system-integrated, technology-enabled, culturally sensitive notification models is essential to improve donor and public health outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/labmed\/lmag022","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T12:53:01Z","timestamp":1773838381000},"source":"Crossref","is-referenced-by-count":0,"title":["Beyond the first call: unveiling the gray areas in reactive donor notification and counseling in lower-middle-income countries\u2014a systematic scoping review"],"prefix":"10.1093","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0893-914X","authenticated-orcid":false,"given":"Rishiraj","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Transfusion Medicine and Blood Center , Artemis Hospitals , Gurgaon,","place":["India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1175-9579","authenticated-orcid":false,"given":"Richard","family":"Gammon","sequence":"additional","affiliation":[{"name":"Transfusion Medicine, Hematopathology Department, Moffitt Cancer Center and Research Institute , Tampa, FL,","place":["United States"]},{"name":"Department of Oncologic Sciences, University of South Florida , Tampa, FL,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"2026050612011845000_lmag022-B1","doi-asserted-by":"publisher","first-page":"203","DOI":"10.4103\/ajts.AJTS_75_19","article-title":"Effectiveness of donor notification and counseling of HIV-reactive donors in a tertiary care hospital from North India: An audit","volume":"18","author":"Bansal","year":"2024","journal-title":"Asian J Transfus 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