{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:58:43Z","timestamp":1783112323811,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T00:00:00Z","timestamp":1423008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["U97HA04128"],"award-info":[{"award-number":["U97HA04128"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR000124"],"award-info":[{"award-number":["UL1TR000124"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>In Mozambique, there is a limited supply of blood and elevated risks for transmission of infections. Prior studies have documented that many transfusions in Mozambique are potentially avoidable. Transfusion training workshops with a survey and exam were held for providers to understand their perceptions and to improve knowledge and clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND METHODS<\/jats:title><jats:p>Health care providers completed a survey and a knowledge assessment. The Wilcoxon signed rank test was utilized to compare the relative importance of each factor in the survey, and pre\u2010 and posttraining exam scores were compared using Fisher's exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 216 health care providers participated; the majority worked in a referral hospital (74%) and reported transfusing blood at least once per week (56%). Most acknowledged the limited blood supply and transfusion risks. Providers rated low hemoglobin (Hb) levels and pallor as significantly important indications for transfusion (p\u2009&lt;\u20090.001). They were more likely to transfuse with age under 5 years when compared to other ages (p\u2009&lt;\u20090.01). The three most potentially influential factors for transfusion practice were increased reliability of the blood supply, education about transfusion indications, and assessment of perfusion. Before training, the majority of participants identified an incorrect Hb threshold for preoperative or critically ill patients. Overall exam scores improved from a mean of 58% to 74% (p\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Mozambican providers were knowledgeable about the risks of blood transfusions. Preoperative patients, the critically ill, and children appear to be at highest risk for receiving an avoidable blood transfusion. These results will help guide planning for future provider training.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.13019","type":"journal-article","created":{"date-parts":[[2015,2,4]],"date-time":"2015-02-04T07:09:26Z","timestamp":1423033766000},"page":"1607-1612","source":"Crossref","is-referenced-by-count":10,"title":["Transfusion practice and knowledge in Mozambique"],"prefix":"10.1111","volume":"55","author":[{"given":"Emily","family":"Hartford","sequence":"first","affiliation":[{"name":"UCLA Center for World Health Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olegario","family":"Muanantatha","sequence":"additional","affiliation":[{"name":"Mozambique Ministry of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valigy Ismael","family":"Valigy","sequence":"additional","affiliation":[{"name":"Hospital Central De Maputo Universidade Eduardo Mondlane Faculdade De Medicina Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Salimo","sequence":"additional","affiliation":[{"name":"Hospital Central De Maputo Universidade Eduardo Mondlane Faculdade De Medicina Maputo Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Ziman","sequence":"additional","affiliation":[{"name":"UCLA Division of Transfusion Medicine David Geffen School of Medicine at UCLA Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel A.","family":"DeUgarte","sequence":"additional","affiliation":[{"name":"UCLA Center for World Health Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"TapkoJB MainukaP Diarra\u2010NamaAJ.Status of blood safety in the WHO African region: report of the 2006 survey. Geneva: World Health Organization;2009."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2008.01697.x"},{"key":"e_1_2_8_4_1","first-page":"56","article-title":". Blood and blood products usage in Maputo","volume":"40","author":"Barradas R","year":"1994","journal-title":"Cent Afr J Med"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12252"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199408000-00016"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","unstructured":"BlajchmanMA.Landmark studies that have changed the practice of transfusion medicine.Transfusion2005;45:1523\u201030.","DOI":"10.1111\/j.1537-2995.2005.00566.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-157-1-201206190-00429"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199902113400601"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.790"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.12.047"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.01.006"},{"key":"e_1_2_8_13_1","first-page":"CD002042","article-title":"Transfusion thresholds and other strategies for guiding allogeneic red blood cell transfusion","volume":"4","author":"Carson JL","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_14_1","doi-asserted-by":"crossref","unstructured":"ChamboEL SalimoS ZefaniasE et al.A letter from Mozambique.Transfusion2008;48:1266\u20107.","DOI":"10.1111\/j.1537-2995.2008.01730.x"},{"key":"e_1_2_8_15_1","unstructured":"PfuntnerA WierLM StocksC.Statistical brief #149: most frequent procedures performed in U.S. hospitals 2010. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville (MD): Agency for Healthcare Research and Quality;2006."},{"key":"e_1_2_8_16_1","doi-asserted-by":"crossref","unstructured":"GharehbaghianA Javadzadeh ShahshahaniH AttarM et al.Assessment of physicians knowledge in transfusion medicine Iran 2007.Transfus Med2009;19:132\u20108.","DOI":"10.1111\/j.1365-3148.2009.00923.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","unstructured":"RockG BergerR PinkertonP et al.A pilot study to assess physician knowledge in transfusion medicine.Transfus Med2002;12:125\u20108.","DOI":"10.1046\/j.1365-3148.2002.00363.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3148.2011.01118.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","unstructured":"HaspelRL LinY FisherP et al.;Biomedical Excellence for Safer Transfusion (BEST) Collaborative.Development of a validated exam to assess physician transfusion medicine knowledge.Transfusion2014;54:1225\u201030.","DOI":"10.1111\/trf.12425"},{"key":"e_1_2_8_20_1","unstructured":"US Department of State. PEPFAR blueprint: creating an AIDS\u2010free generation. Washington (DC):The Office of the Global AIDS Coordinator;2012."},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","unstructured":"EichbaumQ ShanH GoncalezTT et al.Global health and transfusion medicine: education and training in developing countries.Transfusion2014;54:1893\u20108.","DOI":"10.1111\/trf.12609"},{"key":"e_1_2_8_22_1","unstructured":"United Nations Development Programme. Human development reports: international human development indicators. New York: United Nations Development Programme; 2014 [cited 2014 Nov 11]. Available from:http:\/\/hdr.undp.org\/en\/countries."},{"key":"e_1_2_8_23_1","volume-title":"World Health Organization. Clinical use of blood handbook","year":"2002"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2011.02.001"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldh023"},{"key":"e_1_2_8_26_1","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.5858\/2009-0328-OA.1","article-title":"Implementation and assessment of a resident curriculum in evidence\u2010based transfusion medicine","volume":"134","author":"Haspel RL.","year":"2010","journal-title":"Arch Pathol Lab Med"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftrf.13019","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.13019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T19:43:46Z","timestamp":1695498226000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.13019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,4]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/trf.13019"],"URL":"https:\/\/doi.org\/10.1111\/trf.13019","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,4]]}}}