Articulação de um serviço de hemoterapia com a Rede de Atenção à Saúde para captação de doadores

Abstract

Introduction: The National Blood Policy guarantees Brazilians access to blood of sufficient quality and quantity. In this regard, all levels of management and the Health Care Network must be coordinated to carry out their actions, especially those related to donor recruitment. Recruiting donors is not a simple task and is fraught with difficulties and challenges faced by the health services involved in this endeavor, which must be coordinated with the Bahia Hematology and Hemotherapy Foundation to improve the stock of blood components and optimize blood self-sufficiency in the area covered by the Collection and Transfusion Unit. Objectives: This study aimed to analyze the coordination of a Hemotherapy Service in the interior of Bahia with the Health Care Network for donor recruitment. Methodology: Qualitative study conducted in three municipalities and a Blood Collection and Transfusion Unit in Bahia. Twelve people participated, including managers, coordinators, and health workers. Data collection was performed through semi-structured interviews, and some documents were explored, with their contents examined from the perspective of thematic content analysis. Data were collected only after the project was approved by the UEFS Research Ethics Committee under CAAE No. 83444224.7.0000.0053. Results: The data collected and analyzed in the documents and interviews showed blood donation to be an altruistic act. However, barriers to effective blood donation were also identified, such as the invisibility of the National Blood Policy in municipal health plans and managers' lack of awareness of the role of municipalities in recruiting donors. No standard operating procedure for donor recruitment was found in municipal health services, despite recognition of the importance of maintaining blood stocks for the health of the population. In addition, the data point to a lack of dialogue between the state and municipalities on the subject. Although strategies for recruiting donors adopted by the hemotherapy service studied were identified, from an internal perspective, without involving municipal participation, and superficial proposals presented in the State Master Plan for Blood, Components, and Blood Products involving municipalities in recruiting donors, this scenario revealed a mismatch between the growing demand for blood components and the absence of robust local strategies to encourage donor recruitment. As a technical product, it is proposed to hold a public hearing involving federal entities and the Public Prosecutor's Office to coordinate efforts to attract donors, as shown in the flowchart. This proposal will be presented to the Bahia Blood Center Coordinator and, upon approval, will be presented to the Regional Interagency Commission of the Central-North Region at an appropriate time. Final Considerations: Given this scenario, it is necessary to build a network involving the municipalities (grouped into health regions) and the state of Bahia to develop new strategies to encourage donor recruitment, since the existing strategies are not sufficient to maintain the blood bank's stocks.