{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T01:24:30Z","timestamp":1786929870157,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"abstract":"Abstract<\/jats:title>\n \n Background and Objectives<\/jats:title>\n Maintaining safe and adequate blood supply in low\u2010 and middle\u2010income countries requires understanding factors influencing donor return intentions. Nigeria faces chronic blood shortages, yet evidence on determinants of return intention among blood donors in tertiary hospitals remains limited. This study assessed donor motivation, satisfaction and intention to return among blood donors at Lagos University Teaching Hospital (LUTH) and identified factors independently associated with post\u2010donation intention.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A descriptive cross\u2010sectional study was conducted among 1589 consecutive donors using a structured interviewer\u2010administered questionnaire adapted from validated instruments. Motivation, satisfaction and intention to return were measured using Likert\u2010scale items. Participants retrospectively reported pre\u2010donation intention and current post\u2010donation intention immediately after donation. Descriptive statistics, chi\u2010square tests, McNemar's test, subgroup analyses and binary logistic regression were performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Most donors were family\u2010replacement (70.5%) and male (91.8%), with a mean age of 30.9\u2009years. Motivation was high (84%), driven primarily by altruism, personal choice and perceived health benefits. Satisfaction was also high (mean 4.59\u2009\u00b1\u20090.64). Intention to return increased significantly after donation (56.1%\u201364.2%,\n p<\/jats:italic>\n \u2009<\u20090.001). Motivation (odds ratio [OR]\u2009=\u20097.32,\n p<\/jats:italic>\n \u2009<\u20090.001) and pre\u2010donation intention (OR\u2009=\u20090.014,\n p<\/jats:italic>\n \u2009<\u20090.001) were independently associated with post\u2010donation intention, whereas satisfaction was not significant after adjustment. Family replacement and voluntary non\u2010remunerated donors differed significantly in motivation, satisfaction and post\u2010donation intention.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Blood donors at LUTH demonstrated high motivation and satisfaction. Donation experience strengthened intention to return. Differences between donor types highlight the need for donor\u2010specific retention strategies in replacement\u2010dominated blood systems.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/vox.70345","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:32:00Z","timestamp":1786926720000},"source":"Crossref","is-referenced-by-count":0,"title":["Why donors intend to return: Motivation, satisfaction and post\u2010donation intention in a high\u2010demand tertiary hospital setting in Lagos, Nigeria"],"prefix":"10.1111","author":[{"given":"Obiageli B.","family":"Okwunze","sequence":"first","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1584-6247","authenticated-orcid":false,"given":"Ademola S.","family":"Adewoyin","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7101-5240","authenticated-orcid":false,"given":"Olufemi A.","family":"Oyedeji","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chika L.","family":"Uche","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion Abia State University Uturu Abia Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Titilayo F.","family":"Adeleke","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayoola M.","family":"Bakare","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora Onyedikachi","family":"Ohanete","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1441-2308","authenticated-orcid":false,"given":"Ann A.","family":"Ogbenna","sequence":"additional","affiliation":[{"name":"Department of Haematology and Blood Transfusion College of Medicine, University of Lagos Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Global status report on blood safety and availability 2021","author":"World Health Organization","year":"2022"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.Blood safety and availability. World Health Organization (fact sheet).2025. Available from:https:\/\/ww.who.int\/news-room\/fact-sheets\/detail\/blood-safety-and-availability. Last aceessed 20 Nov 2025."},{"key":"e_1_2_9_4_1","unstructured":"TapkoJB ToureB SamboLG.Status of blood safety in the WHO African region.2014. Available from:https:\/\/www.afro.who.int\/sites\/default\/files\/2017\u201006\/status_blood_safety_who_african_region.pdf. Last accessed 24 Oct 2025."},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4103\/atp.atp_59_18","article-title":"Pattern of blood procurement and utilization in a university hospital in Southeast Nigeria","volume":"10","author":"Okocha C","year":"2019","journal-title":"Ann Trop Pathol"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.bglo.2026.100075","article-title":"Characteristics of 66\u2009000 consecutive blood donations in the metropolitan area of Kano, Nigeria: a prospective study","volume":"2","author":"Ibrahim YY","year":"2026","journal-title":"Blood Glob Hematol"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.2147\/JBM.S17194","article-title":"The challenges of meeting the blood transfusion requirements in sub\u2010Saharan Africa: the need for the development of alternatives to allogenic blood","volume":"2","author":"Osaro E","year":"2011","journal-title":"J Blood Med"},{"key":"e_1_2_9_8_1","unstructured":"World Health Organization.Global database on blood safety: summary report.2009. Available from:https:\/\/www.who.int\/publications\/m\/item\/gdbs-summary-report-2009. Last accessed 24 Oct 2025."},{"key":"e_1_2_9_9_1","unstructured":"National Blood Service Commission.National blood safety standards for blood establishments in Nigeria.2022. Available from:https:\/\/nbsc.gov.ng\/wp\u2010content\/uploads\/2023\/05\/NATIONAL\u2010BLOOD\u2010SAFETY\u2010STANDARDS\u2010FOR\u2010BLOOD\u2010ESTABLISHMENTS\u2010IN\u2010NIGERIA.pdf. Last accessed 5 May 2026."},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.4103\/npmj.npmj_720_21","article-title":"COVID\u201019 impact on Nigeria's National Blood Service Commission \u2013 lessons for low\u2010 and middle\u2010income countries (LMICs)","volume":"29","author":"Oreh AC","year":"2022","journal-title":"Niger Postgrad Med J"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4103\/0973-6247.200781","article-title":"Blood transfusion safety; current status and challenges in Nigeria","volume":"11","author":"Aneke J","year":"2017","journal-title":"Asian J Transfus Sci"},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/j.0958-7578.2004.00474.x","article-title":"Knowledge, attitudes, beliefs and motivations towards blood donations among blood donors in Lagos, Nigeria","volume":"14","author":"Olaiya MA","year":"2004","journal-title":"Transfus Med"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.4103\/1115-2613.279408","article-title":"Assessment of the knowledge, attitude and practice of voluntary non\u2010remunerated blood donation among residents of Ekpoma, a peri\u2010urban community in Edo state","volume":"25","author":"Ehimen FA","year":"2016","journal-title":"Niger J Med"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12878-018-0130-3","article-title":"Motivational factors for blood donation, potential barriers, and knowledge about blood donation in first\u2010time and repeat blood donors","volume":"18","author":"Mohammed S","year":"2018","journal-title":"BMC Hematol"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1111\/bjh.14588","article-title":"Blood donors' perceptions, motivators and deterrents in sub\u2010Saharan Africa \u2013 a scoping review of evidence","volume":"177","author":"Asamoah\u2010Akuoko L","year":"2017","journal-title":"Br J Haematol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.tmrv.2011.04.005","article-title":"Donating blood: a meta\u2010analytic review of self\u2010reported motivators and deterrents","volume":"25","author":"Bednall TC","year":"2011","journal-title":"Transfus Med Rev"},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1111\/j.1537-2995.2007.01600.x","article-title":"Blood donor satisfaction and intention of future donation","volume":"48","author":"Nguyen DD","year":"2008","journal-title":"Transfusion"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","unstructured":"TanPP ChangCT RahmanJA NoorSM.Satisfaction and intention to return for donation among non\u2010remunerated blood donors in a tertiary hospital in Malaysia. Preprint. 2021.https:\/\/doi.org\/10.21203\/rs.3.rs-353981\/v1","DOI":"10.21203\/rs.3.rs-353981\/v1"},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.transci.2003.08.014","article-title":"Mild reactions to blood donation predict a decreased likelihood of donor return","volume":"30","author":"France CR","year":"2004","journal-title":"Transfus Apher Sci"},{"key":"e_1_2_9_20_1","first-page":"s37","article-title":"Characteristics of donors who do or do not return to give blood and barriers to their return","volume":"12","author":"Wevers A","year":"2014","journal-title":"Blood Transfus"},{"key":"e_1_2_9_21_1","first-page":"101","article-title":"Determinants of blood donor retention in a Nigerian tertiary health care blood transfusion facility: a pilot quality improvement initiative","volume":"21","author":"Aneke JC","year":"2022","journal-title":"Trop J Med Res"},{"key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.tmrv.2016.02.002","article-title":"How can we improve retention of the first\u2010time donor? A systematic review of the current evidence","volume":"30","author":"Bagot KL","year":"2016","journal-title":"Transfus Med Rev"},{"key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/j.1423-0410.2005.00593.x","article-title":"First year donation patterns predict long\u2010term commitment for first\u2010time donors","volume":"88","author":"Schreiber GB","year":"2005","journal-title":"Vox Sang"},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"2229","DOI":"10.1111\/j.1537-2995.2009.02288.x","article-title":"Age\u2010related donor return patterns among first\u2010time blood donors in the United States","volume":"49","author":"Notari EP","year":"2009","journal-title":"Transfusion"},{"key":"e_1_2_9_25_1","first-page":"366","article-title":"The influence of sociodemographic and donation behaviour characteristics on blood donation motivations","volume":"19","author":"Romero\u2010Dom\u00ednguez L","year":"2021","journal-title":"Blood Transfus"},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/tme.12233","article-title":"Mechanism of altruism approach to blood donor recruitment and retention: a review and future directions","volume":"25","author":"Ferguson E","year":"2015","journal-title":"Transfus Med"},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/voxs.12640","article-title":"Strategies and theories to attract and retain blood donors: fairness, reciprocity, equity and warm\u2010glow","volume":"16","author":"Ferguson E","year":"2021","journal-title":"ISBT Sci Ser"},{"key":"e_1_2_9_28_1","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18179115","article-title":"The effect of functional motivation on future intention to donate blood: moderating role of the blood donor's stage","volume":"18","author":"Zhang L","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s12208-021-00295-2","article-title":"Role of motivation in the return of blood donors: mediating roles of the socio\u2010cognitive variables of the theory of planned behavior","volume":"19","author":"M'Sallem W","year":"2022","journal-title":"Int Rev Public Nonprofit Mark"},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.amjsurg.2023.03.013","article-title":"A scoping review on the availability and utilization of essential opioid analgesics in sub\u2010Saharan Africa","volume":"226","author":"Yao JS","year":"2023","journal-title":"Am J Surg"},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1365-3148.2009.00958.x","article-title":"The blood donor in sub\u2010Saharan Africa: a review","volume":"20","author":"Tagny CT","year":"2010","journal-title":"Transfus Med"},{"key":"e_1_2_9_32_1","first-page":"91","article-title":"A cross\u2010sectional survey of the willingness of tertiary hospital staff to donate blood in Sagamu, Nigeria","volume":"2","author":"Jeminusi OA","year":"2016","journal-title":"Ann Health Res"},{"key":"e_1_2_9_33_1","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/vox.70013","article-title":"Facilitators of and barriers to blood donation among voluntary non\u2010remunerated blood donors in sub\u2010Saharan Africa: a scoping review","volume":"120","author":"Gondwe A","year":"2025","journal-title":"Vox Sang"},{"key":"e_1_2_9_34_1","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.htct.2019.09.004","article-title":"Development of a blood donor satisfaction questionnaire (BDSQ)","volume":"42","author":"Trov\u00e3o ACGB","year":"2020","journal-title":"Hematol Transfus Cell Ther"},{"key":"e_1_2_9_35_1","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1111\/vox.13212","article-title":"Motivation, blood donor satisfaction and intention to return during the COVID\u201019 pandemic","volume":"117","author":"Weidmann C","year":"2022","journal-title":"Vox Sang"},{"key":"e_1_2_9_36_1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1177\/08997640221106466","article-title":"Providing extra information increases blood donor return after deferral while offering an alternative good deed does not: results from a field randomized controlled trial","volume":"52","author":"Spekman MLC","year":"2022","journal-title":"Nonprofit Volunt Sect Q"},{"key":"e_1_2_9_37_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.21315\/mjms2021.28.3.8","article-title":"Development and validation of a Malaysian blood donor's satisfaction questionnaire","volume":"28","author":"Pei Pei T","year":"2021","journal-title":"Malays J Med Sci"},{"key":"e_1_2_9_38_1","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1159\/000354844","article-title":"Donor satisfaction with a new German blood donor questionnaire and intention of the donor to return for further donations","volume":"40","author":"Weidmann C","year":"2013","journal-title":"Transfus Med Hemother"},{"key":"e_1_2_9_39_1","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s12208-021-00303-5","article-title":"Blood donation barriers: how does donor profile affect them?","volume":"19","author":"Romero\u2010Dom\u00ednguez L","year":"2022","journal-title":"Int Rev Public Nonprofit Mark"},{"key":"e_1_2_9_40_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.afjem.2016.02.003","article-title":"Tapping into a vital resource: understanding the motivators and barriers to blood donation in sub\u2010Saharan Africa","volume":"6","author":"Zanin TZ","year":"2016","journal-title":"Afr J Emerg Med"},{"key":"e_1_2_9_41_1","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1186\/s12889-020-08594-9","article-title":"Effective methods for reactivating inactive blood donors: a stratified randomised controlled study","volume":"20","author":"Ou\u2010Yang J","year":"2020","journal-title":"BMC Public Health"},{"key":"e_1_2_9_42_1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.tmrv.2010.05.004","article-title":"Keys to open the door for blood donors to return","volume":"24","author":"Ringwald J","year":"2010","journal-title":"Transfus Med Rev"},{"key":"e_1_2_9_43_1","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.1016\/j.sbspro.2014.01.535","article-title":"Investigating knowledge and attitudes of blood donors and barriers concerning blood donation in Jordan","volume":"116","author":"Abderrahman BH","year":"2014","journal-title":"Procedia Soc Behav Sci"},{"key":"e_1_2_9_44_1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1111\/vox.13001","article-title":"Evaluation of the WHO global database on blood safety","volume":"116","author":"Kanagasabai U","year":"2021","journal-title":"Vox Sang"},{"key":"e_1_2_9_45_1","unstructured":"National Blood Service Agency.About the National Blood Service Agency. National Blood Service Agency.2023. Available from:https:\/\/nbsc.gov.ng\/about\/. Last accessed 7 May 2026."}],"container-title":["Vox Sanguinis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vox.70345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vox.70345","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vox.70345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:32:07Z","timestamp":1786926727000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vox.70345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":44,"alternative-id":["10.1111\/vox.70345"],"URL":"https:\/\/doi.org\/10.1111\/vox.70345","archive":["Portico"],"relation":{},"ISSN":["0042-9007","1423-0410"],"issn-type":[{"value":"0042-9007","type":"print"},{"value":"1423-0410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"article-number":"vox.70345"}}