Developing, Implementing and Evaluating Effective Community-facility Interactions to Improve Blood Availability and Transfusion in Three Distinct County Settings in Kenya

Study Overview
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Brief Summary
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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
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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.

Official Title
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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.

Conditions
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Blood Transfusion

Intervention / Treatment
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* Other: Community-Facility Transfusion Committee (CFTC)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All submitted blood requisition requests at study sites Exclusion Criteria: -
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Type III hybrid effectiveness-implementation trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CFTC<br>Community-Facility Transfusion Committees (CFTCs) will be established at the facilities randomized to this arm. | Other: Community-Facility Transfusion Committee (CFTC)<br>* Community-Facility Transfusion Committees (CFTCs) are intended to incorporate diverse representation involving hospital, community, and county leadership, to improve blood availability and transfusion at the point-of-care.<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Met blood need | The proportion of transfusion requests resulting in dispatch of blood products from the laboratory | The time required for the hospital laboratory to process a request for blood for transfusion, up to two weeks. |