Willingness To Voluntarily Donate Blood Among High School Students In Addis Ababa Assessment Of Determinants Using The Theory Of Planned Behavior

Back ground/ Statement of the Problem: Various researches indicate that amongrnthe different types of blood donors the safest blood comes from voluntary bloodrndonors that donate blood purely out of altruism. WHO, EU and Red Cross discouragernreplacement and remunerated blood donation. In Ethiopia, however, largestrnproportion (76.6%) of blood is obtained by hospital based replacement donation. Thernneed to shift to voluntary non-remunerated blood donation necessitatesrnunderstanding of the determinants of voluntary blood donation among eligiblernsegment of the society. High schools take the lion’s share of voluntary blood donationrnthereby attracting the attention of the blood bank and this study. Theory of plannedrnbehavior has been repeatedly demonstrated to contain better constructs like selfrnefficacy that can help predict blood donation behavior.rnObjective: To determine prevalence and assess factors associated with voluntaryrndonation of blood among secondary school students in Addis Ababa using the theoryrnof planned behavior.rnMethodology: A cross sectional survey of high school students in A.A. usingrnanonymous, structured, self administered questionnaire supplemented by FGDs andrnan in-depth interview were used in accordance with the theory of planned behavior torninvestigate the determinants of willingness to voluntarily donate blood.rnResults: 450 high school students, 42% females, were studied of which 70% werernwilling to voluntarily donate blood without remuneration. The proportions of studentsrnthat had previously donated and regular blood donors are 10% and 1% respectively.rnAmong socio-demographic variables sex was found to be associated with willingnessrnto VNRBDP (P=0.000, OR=2.68 (1.70, 4.22). Among the constructs of theory ofrnplanned behavior self efficacy, attitude and personal moral norm were found to berndetermining willingness to voluntary donate blood.rnConclusion: Compared to the proportion of students that have actually donatedrnblood those who are willing to do so are significantly higher. TPB provides importantrnconstructs as determinants of willingness to VNRBDP. ERCS/Blood bank can usernpromotional activities that address donor’s gender, perception of weight andrnknowledge, attitude, self efficacy and personal moral norm.

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