blood donation in India

The history of voluntary blood donation in India dates back to 1942 during the Second World War when blood donors were required to help the wounded soldiers. The first blood bank was established in Kolkata, West Bengal in March 1949 at the All India Institute of Hygiene and Public Health and was managed by the Red Cross. The donors were mostly government employees and people from the Anglo-Indian community who donated blood for a humanitarian cause. The number of voluntary donors declined after the war and donors had to be paid for the blood. Leela Moolgaonkar, a social reformer, initiated voluntary blood donation camps in Mumbai from 1954.{{cite journal|last1=Marwaha|first1=Neelam|year=2020|title=Voluntary blood donation in India: Achievements, expectations and challenges|journal=Asian Journal of Transfusion Science|volume=9|issue=Suppl 1|pages=S1–S2|doi=10.4103/0973-6247.157011|pmc=4455102|pmid=26097329 |doi-access=free }} The 1960s saw many blood banks open in different cities. In 1975, the Indian Society of Blood Transfusion and Immunohaematology headed by J. G. Jolly declared 1 October as the National Voluntary Blood Donation Day.{{cite journal|pmc=3943136|title=Dr. J. G. Jolly Emeritus Professor, Department of Transfusion Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh |first1=Kshitija |last1=Mittal |first2=Ravneet |last2=Kaur |journal=Asian Journal of Transfusion Science |volume=8 |issue=1 |page=1|date=January–June 2014|doi=10.4103/0973-6247.126678 |doi-access=free }}

The HIV pandemic in the 1980s led to the government setting up the National AIDS Control Organisation (NACO) in 1992 to oversee the policies in preventing the spread of AIDS. Subsequently, the National AIDS Control Programme was launched which led to improvements in patient screening and hygienic transfusion procedures. A public interest litigation was filed in the Supreme Court in 1996 to abolish the practice of selling blood which became effective on 1 January 1998. This led to a temporary shortage of blood as voluntary donations were still relatively low.{{cite journal |title=Ban on payment to donors causes blood shortage in India |journal=BMJ | date=17 January 1998| volume=316 |issue=7126 | page=172| doi=10.1136/bmj.316.7126.167j| pmc=2665441 |pmid=9468677 |first1=G |last1=Mudur}} The NACO in 2002 adopted the WHO Guidelines on the Clinical Use of Blood.{{cite journal|title=Repeat voluntary non-remunerated blood donor is the best quality indicator for blood safety| doi=10.4103/0971-5916.160687| first1=SC| last1=Nair| first2=JJ|last2=Mammen| date= June 2015| volume=141| issue=6| pages=749–752| journal=Indian Journal of Medical Research|pmc=4525398| pmid=26205016| doi-access=free}} Selling or donating blood in exchange for money is illegal under the National Blood Transfusion Services Act 2007 and those found convicted may face a prison sentence of up to three months with fine.{{cite news|title=Professional blood donors may soon be jailed|first=Kounteya|last=Sinha|url=http://timesofindia.indiatimes.com/india/Professional-blood-donors-may-soon-be-jailed/articleshow/2576804.cms|access-date=2016-12-10|date=2007-11-28|newspaper=The Times of India|archive-date=25 October 2016|archive-url=https://web.archive.org/web/20161025104534/http://timesofindia.indiatimes.com/india/Professional-blood-donors-may-soon-be-jailed/articleshow/2576804.cms|url-status=live}} A petition was filed in the Supreme Court in March 2021 challenging the blood donation guidelines that prohibits transgender people, members of the gay community and sex workers from donating blood.{{cite web| url=https://www.hindustantimes.com/india-news/sc-seeks-centre-response-on-barring-transgenders-gay-people-from-donating-blood-101614936356466.html| title=Bar on transgender persons, others from donating blood: SC seeks govt's response| author=Abraham Thomas| work=Hindustan Times| date=2021-03-05| access-date=10 November 2021| archive-date=10 November 2021| archive-url=https://web.archive.org/web/20211110154106/https://www.hindustantimes.com/india-news/sc-seeks-centre-response-on-barring-transgenders-gay-people-from-donating-blood-101614936356466.html| url-status=live}}

There are several parameters that determine the eligibility of an individual to donate blood. Guidelines laid down by the Ministry of Health, Government of India have to be followed by blood banks for donor screening.

Overall health and vital signs:{{cite web|title=Donor Guidelines|url=http://indianbloodbank.com/donors-guidelines.html|website=www.indianbloodbank.com|access-date=2016-12-10|archive-url=https://web.archive.org/web/20161120211437/http://indianbloodbank.com/donors-guidelines.html|archive-date=2016-11-20|url-status=dead}}

• The donor must be fit and healthy, and should not be suffering from transmittable diseases.
• Age and weight- Between 18 and 65 years old and should weigh a minimum of 50  kg.
• Pulse rate- Between 50 and 100 without irregularities.
• Hemoglobin level- A minimum of 12.5 g/dL.
• Blood pressure- Diastolic: 50–100 mm Hg, Systolic: 100–180 mm Hg.
• Body temperature- Should be normal, with an oral temperature not exceeding 37.5 °C.
• The time period between successive blood donations should be more than 3 months.

Individuals under certain conditions are deemed ineligible to donate blood:

• Have been tested HIV positive.
• Suffering from ailments like cardiac arrest, hypertension, blood pressure, cancer, epilepsy, kidney ailments and diabetes.
• Have asthma with active symptoms, and severe asthma patients.
• Had fits, tuberculosis or allergic disorders in the past.
• Pregnant or breastfeeding women.
• Consumed alcohol in the past 24 hours.
• Underwent immunization in the past 1 month.
• Underwent major dental procedures or general surgeries in the past 1 month.
• Have had ear/body piercing or tattoo in the past 6 months.
• Treated for rabies or received Hepatitis B vaccine in the past 6 months.
• Women who have had miscarriage in the past 6 months.

The number of voluntary blood donors increased from 54.4% in 2006–2007 to 83.1% in 2011–2012, with the number of blood units increasing from 4.4 million units in 2006–2007 to 9.3 million units in 2012–2013. In 2016, the Ministry of Health and Family Welfare reported a donation of 10.9 million units against a requirement of 12 million units.{{cite web|title=Lok Sabha unstarred question no 2282 to be answered on 29th July, 2016|url=http://164.100.47.190/loksabhaquestions/annex/9/AU2282.pdf|publisher=Ministry of Health and Family Welfare|access-date=2017-10-10|archive-url=https://web.archive.org/web/20171010212114/http://164.100.47.190/loksabhaquestions/annex/9/AU2282.pdf|archive-date=10 October 2017|url-status=dead}} In 2018 the Ministry of Health and Family Welfare with support from its various institutions published a detailed report on the blood requirement in India.{{cite web|url=http://naco.gov.in/sites/default/files/Final%20Estimation%20Report%20of%20Blood%20Requirement%20in%20India%20%281%29.pdf|title=National Estimation of Blood Requirement in India|date=23 March 2018|publisher=Ministry of Health and Family Welfare, Govt of India|access-date=10 September 2022|archive-date=17 June 2022|archive-url=https://web.archive.org/web/20220617023508/http://naco.gov.in/sites/default/files/Final%20Estimation%20Report%20of%20Blood%20Requirement%20in%20India%20%281%29.pdf|url-status=live}} 12.7 million units were donated in 2020, lower than projected due to the COVID-19 pandemic.{{cite web|url=https://www.financialexpress.com/lifestyle/health/no-blood-bank-in-63-districts-of-india-govt-data/2185999/|title=No blood bank in 63 districts of India: Govt data|date=2021-02-02|work=Financial Express|access-date=15 October 2021|archive-date=28 October 2021|archive-url=https://web.archive.org/web/20211028171600/https://www.financialexpress.com/lifestyle/health/no-blood-bank-in-63-districts-of-india-govt-data/2185999/|url-status=live}} A study in 2022 extrapolated the eligible donor population in India at 402 million. The supply was estimated at 33.8 donations against the demand of 36.3 per thousand donations, translating to a shortage of one million units annually. Medical specialty had the highest demand for blood at 6.0 million units (41.2%), followed by surgery 4.1 million (27.9%), obstetrics and gynecology 3.3 million (22.4%) and pediatrics 1.2 million (8.5%).{{cite journal|title=The clinical demand and supply of blood in India: A National level estimation study|doi=10.1371/journal.pone.0265951|journal=PLOS ONE|date=6 April 2022|first1=Joy John|last1=Mammen|first2=Edwin Sam|last2=Asirvatham|first3=Jeyaseelan|last3=Lakshmanan|first4=Charishma Jones|last4=Sarman|first5=Arvind|last5=Pandey|first6=Varsha|last6=Ranjan|first7=Bimal|last7=Charles|first8=Thenmozhi|last8=Mani|first9=Sunil D|last9=Khaparde|first10=Sunita|last10=Upadhyaya|first11=Shobini|last11=Rajan|display-authors=3|volume=17|issue=4|page=e0265951|pmid=35385543 |pmc=8986005 |doi-access=free |bibcode=2022PLoSO..1765951M }}

Human blood is covered under the definition of drug under the Drugs and Cosmetics Act, 1940. Blood bank activities are regulated under this act and they are required to obtain timely renewal of the license from Drug Controller General for operation and have to comply with the terms presented in the license. It specifies accommodation, manpower, equipment, supplies and reagents, good manufacturing practices, and process control to be followed in Indian blood transfusion services.{{cite journal|last1=Choudhury|first1=Nabajyoti|last2=Desai|first2=Priti|title=Blood bank regulations in India|journal=Clinics in Laboratory Medicine|date=June 2012|volume=32|issue=2|pages=293–299|doi=10.1016/j.cll.2012.04.002|pmid=22727006}} Dual licensing of blood banks by federal and state regulatory bodies was made mandatory in 1993, with a renewal required every 5 years. NABH is the main accreditation body for hospitals and blood banks in the country.{{cite journal| url=https://www.ajts.org/article.asp?issn=0973-6247;year=2016;volume=10;issue=1;spage=37;epage=41;aulast=Gupta| title=Role of National Accreditation Board of Hospitals and Healthcare Providers (NABH) core indicators monitoring in quality and safety of blood transfusion| journal=Asian Journal of Transfusion Science| date=2016| volume=10| issue=1| pages=37–41| pmid=27011668| doi=10.4103/0973-6247.175394| pmc=4782491| first1=Anshu| last1=Gupta| first2=Chhavi| last2=Gupta| access-date=17 November 2021| archive-date=21 September 2021| archive-url=https://web.archive.org/web/20210921024601/https://www.ajts.org/article.asp?issn=0973-6247;year=2016;volume=10;issue=1;spage=37;epage=41;aulast=Gupta| url-status=live| doi-access=free}}{{cite web| url=https://www.financialexpress.com/strategy/there-is-an-immediate-need-to-improve-services-at-blood-banks/115498/| title=There is an immediate need to improve services at blood banks| work=The Financial Express| date=2015-08-10| author=Lakshmipriya Nair| access-date=17 November 2021| archive-date=17 November 2021| archive-url=https://web.archive.org/web/20211117135953/https://www.financialexpress.com/strategy/there-is-an-immediate-need-to-improve-services-at-blood-banks/115498/| url-status=live}} The National Haemovigilance Programme was launched in 2012 to monitor adverse transfusion reactions, and subsequently in 2015 the National Blood Donor Vigilance Programme was initiated.{{cite journal| url=https://www.ajts.org/article.asp?issn=0973-6247;year=2021;volume=15;issue=1;spage=1;epage=11;aulast=Bisht| title=National blood donor vigilance programme of India: Analysis of donor adverse reactions reported during initial 2 years of implementation (2016 and 2017)| date=12 June 2021| volume=15| issue=1| pages=1–11| first1=Akanksha| last1=Bisht| first2=Neelam| last2=Marwaha| first3=Satyam| last3=Arora| first4=Gopal K| last4=Patidar| first5=Reba| last5=Chhabra| journal=Asian Journal of Transfusion Science| doi=10.4103/ajts.ajts_195_20| pmc=8294431| pmid=34349450| access-date=13 September 2022| archive-date=13 September 2022| archive-url=https://web.archive.org/web/20220913162547/https://www.ajts.org/article.asp?issn=0973-6247;year=2021;volume=15;issue=1;spage=1;epage=11;aulast=Bisht| url-status=live| doi-access=free}}

The National AIDS Control Organisation (NACO) was formed in 1992 following the outbreak of AIDS. Following public interest litigation, a verdict by the supreme court in the case of Common Cause vs. the Union of India in January 1992 led to the establishment of the National Blood Transfusion Council (NBTC) at the federal level and State Blood Transfusion Councils (SBTC) for all the states to review the status of blood transfusion services in the country and conduct annual monitoring visits to blood banks.{{cite journal|last1=Chandrashekar|first1=Shivaram|last2=Kantharaj|first2=Ambuja|title=Legal and ethical issues in safe blood transfusion|journal=Indian Journal of Anaesthesia|date=2014|volume=58|issue=5|pages=558–564|doi=10.4103/0019-5049.144654|pmid=25535417|pmc=4260301|url=http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=5;spage=558;epage=564;aulast=Chandrashekar|access-date=18 October 2017|archive-date=19 October 2017|archive-url=https://web.archive.org/web/20171019055143/http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=5;spage=558;epage=564;aulast=Chandrashekar|url-status=live |doi-access=free }} While the regulatory authority is entrusted with the task of drug regulation, NACO and NBTC are the technical bodies that frame guidelines for the practice of transfusion medicine. In 2018, an expert working group of the NBTC proposed recommendations on manpower requirements for blood banks, which outlined the minimum number of staff at blood banks and their qualifications.{{cite web| url=https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadPublic_NoticesFiles/PublicNoticeBloodBanks.pdf| title=Inviting suggestions/comments on the recommendations of Expert Working Group constituted by the NBTC on 'review and recommendations of manpower norms for blood banks'| date=2019-01-10| publisher=CDSCO| access-date=12 November 2021| archive-date=12 November 2021| archive-url=https://web.archive.org/web/20211112121918/https://cdsco.gov.in/opencms/resources/UploadCDSCOWeb/2018/UploadPublic_NoticesFiles/PublicNoticeBloodBanks.pdf| url-status=live}}{{cite web| url=http://www.pharmabiz.com/NewsDetails.aspx?aid=113377&sid=1| title=Health Ministry to amend D&C Rules to ensure adequate manpower in all licensed blood banks| website=Pharmabiz| author=Arun Sreenivasan| date=2019-01-15| access-date=12 November 2021| archive-date=12 November 2021| archive-url=https://web.archive.org/web/20211112121916/http://www.pharmabiz.com/NewsDetails.aspx?aid=113377&sid=1| url-status=live}}

The Government of India in 2002 published the National Blood Policy to reiterate the commitment to safe blood and blood components.{{cite journal|url=https://www.ajts.org/article.asp?issn=0973-6247;year=2011;volume=5;issue=2;spage=171;epage=174;aulast=Pal|title=The quest for an Indian blood law as of blood transfusion services regulatory framework|first1=Ranabir|last1=Pal|first2=Sumit|last2=Kar|first3=Forhad Akhtar|last3=Zaman|first4=Shrayan|last4=Pal|journal=Asian Journal of Transfusion Science|date=Jul–Dec 2011|volume=5|issue=2|pages=171–174|doi=10.4103/0973-6247.83246|pmid=21897599|pmc=3159250|access-date=10 September 2022|archive-date=3 October 2022|archive-url=https://web.archive.org/web/20221003051724/https://www.ajts.org/article.asp?issn=0973-6247;year=2011;volume=5;issue=2;spage=171;epage=174;aulast=Pal|url-status=live |doi-access=free }} It documents the strategies for making available adequate resources, technology, and training for improving transfusion services apart from outlining methods for donor motivation and appropriate clinical use of blood by clinicians. It has also taken steps for research and development in transfusion medicine. There have been recommendations to include blood under the National List of Essential Medicines to control pricing transparency and affordability of blood.{{cite journal|vauthors=Jenny HE, Saluja S, Sood R, et al|url=https://gh.bmj.com/content/2/2/bmjgh-2016-000167|title=Access to safe blood in low-income and middle-income countries: lessons from India|journal=BMJ Global Health|year=2017|volume=2|issue=2|pages=e000167|pmid=30206488|doi=10.1136/bmjgh-2016-000167|pmc=5584485|access-date=28 August 2021|archive-date=28 August 2021|archive-url=https://web.archive.org/web/20210828164934/https://gh.bmj.com/content/2/2/bmjgh-2016-000167|url-status=live}} The fragmented nature of organisational types that conduct blood donations, along with advancements in transfusion science and new practices in blood bank management technology have prompted calls from academics to review and amend the Drugs and Cosmetics Act from time to time.{{cite journal| title=Need to change present regulatory framework for blood banks in India| journal=Asian Journal of Transfusion Science| first=Nabajyoti| last=Choudhury| doi=10.4103/0973-6247.75962| date=2011| volume=5| issue=1| pages=1–2| pmid=21572704| pmc=3082706| doi-access=free}}

{{See also|List of blood donation agencies#India}}

India has government-funded and private blood donation organisations. Some major organisations operate in many regions throughout the country while others are regional and operate with local support. Along with conducting blood donation camps, they also raise awareness on voluntary blood donation and public health. Most organisations maintain online portals or physical registry where donors can enter their details and receive updates when blood donation drives are conducted; this also facilitates a network between blood donors and organisations/hospitals.{{cite web|url=https://pib.gov.in/newsite/PrintRelease.aspx?relid=122497|title=National Aids Control Organization (NACO) observe "World Blood Donors Day"|date=2015-06-14|publisher=Ministry of Health and Family Welfare, GoI|access-date=18 October 2021|archive-date=18 October 2021|archive-url=https://web.archive.org/web/20211018151130/https://pib.gov.in/newsite/PrintRelease.aspx?relid=122497|url-status=live}} Apart from such organisations, major hospitals in the country have their own blood banks where blood donation is conducted within the facility. As of 2015, there were 2.2 blood banks per million population in the country.{{cite web| url=http://naco.gov.in/sites/default/files/Assessment%20of%20Blood%20Banks%20in%20India%20-%202016.pdf| title=Assessment of Blood Banks in India - 2016| publisher=NACO| date=| page=15| access-date=2021-11-16| archive-date=28 November 2021| archive-url=https://web.archive.org/web/20211128233207/http://www.naco.gov.in/sites/default/files/Assessment%20of%20Blood%20Banks%20in%20India%20-%202016.pdf| url-status=live}} As per a 2016 study, around 51% of the 2493 blood banks surveyed across the country had component separation facility.{{cite journal| title=Assessment of Performance of Blood Banks in India: A National Level Cross Sectional Study| date=2021-01-24| journal=Indian Journal of Hematology and Blood Transfusion| volume=37| pages=640–647| vauthors=Asirvatham ES, Mammen JJ, Lakshman J, et al| issue=4| pmc=8523628| doi=10.1007/s12288-021-01399-9| pmid=34744346}}

Despite a huge population, the demand-supply gap for blood units persists in many healthcare facilities in the country. As of 2022 the annual shortage of blood is estimated at one million units.

A study conducted between 2009 and 2013 concluded a high rate of non-compliance on the part of blood banks on the quality and safety of transfusion services.{{cite journal| last1=Agarwal| first1=RK| last2=Dhanya| first2=R| last3=Parmar |first3=LG| last4=Vaish |first4=A |last5=Sedai| first5=A| last6=Periyavan |first6=S| title=A study of the noncompliance of blood banks on safety and quality parameters in blood donation camps in Bengaluru| journal=Asian Journal of Transfusion Science| date=2015| volume=9| issue=1| pages=23–28| doi=10.4103/0973-6247.150942| pmid=25722568| pmc=4339926| doi-access=free}} Cases of transmission of infective diseases like AIDS due to substandard medical facilities and practices in blood banks continue to be relatively high.{{cite web|first=Sumitra|last=Debroy|title=Blood transfusions infected 1,342 with HIV in 2018-19, says NACO|url=https://timesofindia.indiatimes.com/india/blood-transfusions-infected-1342-with-hiv-in-2018-19-says-naco/articleshow/69732831.cms|date=2019-06-11|work=The Times of India|access-date=16 November 2021|archive-date=12 January 2021|archive-url=https://web.archive.org/web/20210112182657/https://timesofindia.indiatimes.com/india/blood-transfusions-infected-1342-with-hiv-in-2018-19-says-naco/articleshow/69732831.cms|url-status=live}} The National Blood Policy outlines the requirement for primary healthcare centres to have 24/7 service for blood transfusion, but over 80% of them lack blood storage facility.{{cite journal| url=https://www.gjtmonline.com/article.asp?issn=2468-8398;year=2016;volume=1;issue=2;spage=72;epage=74;aulast=Bhatia| title=Current status of blood banks in India| first1=V| last1=Bhatia| first2=B| last2=Raghuwanshi| first3=J| last3=Sahoo| journal=Glob J Transfus Med| date=2016| volume=1| issue=2| pages=72–74| doi=10.4103/2455-8893.189847| s2cid=79256662| doi-access=free| access-date=16 November 2021| archive-date=16 November 2021| archive-url=https://web.archive.org/web/20211116171923/https://www.gjtmonline.com/article.asp?issn=2468-8398;year=2016;volume=1;issue=2;spage=72;epage=74;aulast=Bhatia| url-status=live}} With the sector being largely unorganized and fragmented, and lack of communication between hospitals with no real-time centralized data on availability of blood units between them, there have been instances of shortage of blood at hospitals being a major factor in deaths caused by time-critical events such as accidents.{{cite journal| first=A| last=Gupta| title=The status of blood banking in India| journal=Health Millions| date=Mar–Apr 2000| volume=26| issue=2| pages=35–38| pmid=12349668}}{{cite web| url=https://health.economictimes.indiatimes.com/news/policy/blood-transfusion-service-in-india-continues-to-be-unorganized-and-fragmented-suryaprabha-sadasivan/69780706| title=Blood transfusion service in India continues to be unorganized and fragmented| author=Suryaprabha Sadasivan| date=2019-06-14| work=The Economic Times| access-date=10 November 2021| archive-date=10 November 2021| archive-url=https://web.archive.org/web/20211110164548/https://health.economictimes.indiatimes.com/news/policy/blood-transfusion-service-in-india-continues-to-be-unorganized-and-fragmented-suryaprabha-sadasivan/69780706| url-status=live}}

Disparities in access of donors in regions have led to wastage of blood stock in some parts of the country, while at the same time creating a shortage of blood in some other parts.{{cite news|last1=Grocchetti|first1=Silvio|title=Acute shortage: Why India needs 35 tankers of blood|url=http://www.hindustantimes.com/health-and-fitness/acute-shortage-why-india-needs-35-tankers-of-blood/story-N2yE8lIKOY1D15ZywImH1J.html|access-date=2017-11-11|newspaper=Hindustan Times|date=2016-09-03|archive-date=11 November 2017|archive-url=https://web.archive.org/web/20171111151948/http://www.hindustantimes.com/health-and-fitness/acute-shortage-why-india-needs-35-tankers-of-blood/story-N2yE8lIKOY1D15ZywImH1J.html|url-status=live}} Voluntary blood donation comprises about 70% of the blood demand, with the rest coming from replacement donors, whereas 62 nations in the world fulfill their blood demands through voluntary donations.{{cite news|first=R.|last=Prasad|title=Voluntary donation, safe blood|url=http://www.thehindu.com/opinion/op-ed/Voluntary-donation-safe-blood/article14420486.ece|access-date=2016-12-10|date=2016-06-14|newspaper=The Hindu|archive-date=21 December 2016|archive-url=https://web.archive.org/web/20161221104052/http://www.thehindu.com/opinion/op-ed/Voluntary-donation-safe-blood/article14420486.ece|url-status=live}}{{cite web|title=World Blood Donor Day 2016: Blood connects us all|url=https://www.who.int/campaigns/world-blood-donor-day/2016/en/|archive-url=http://wayback.vefsafn.is/wayback/20160612004003/http://www.who.int/campaigns/world%2Dblood%2Ddonor%2Dday/2016/en/|url-status=dead|archive-date=12 June 2016|publisher=World Health Organization}} A 2011 study reported that a mere 6% of women donated blood, mostly due to physiological problems and low hemoglobin count.{{cite news|first=Ankita|last=Chakrabarty|title=India faces huge blood donation deficit|url=http://zeenews.india.com/exclusive/-india-faces-huge-blood-donation-deficit_5581.html|access-date=2016-12-10|date=2012-06-14|publisher=Zee News|archive-date=21 December 2016|archive-url=https://web.archive.org/web/20161221015922/http://zeenews.india.com/exclusive/-india-faces-huge-blood-donation-deficit_5581.html|url-status=live}} Anaemia is also reported as a major cause of deferral in blood donation, accounting for up to 77.9% of female and up to 37% of male deferrals. Other hurdles in increasing voluntary blood donation include the fear of pain and weakness after the procedure, and illiteracy.{{cite journal|last1=Aggarwal|first1=Sourabh|last2=Sharma|first2=Vishal|title=Attitudes and problems related to voluntary blood donation in India: A short communication|journal=Annals of Tropical Medicine and Public Health|date=2012-02-13|volume=5|issue=1|pages=50–52|url=http://www.atmph.org/article.asp?issn=1755-6783;year=2012;volume=5;issue=1;spage=50;epage=52;aulast=Aggarwal|access-date=10 December 2016|archive-date=20 December 2016|archive-url=https://web.archive.org/web/20161220101414/http://www.atmph.org/article.asp?issn=1755-6783;year=2012;volume=5;issue=1;spage=50;epage=52;aulast=Aggarwal|url-status=live}}

Documented instances of forced blood extraction have occurred in India, among other countries, owing to its disproportionate ratio of available supply of blood and high poverty rate. One such ring gained national attention in 2008 when an emaciated man escaped from his captors near the city of Gorakhpur, in Uttar Pradesh.{{Cite news|url=http://timesofindia.indiatimes.com/city/lucknow/Gang-of-blood-suppliers-unearthed-in-Gorakhpur/articleshow/2870623.cms|title=Gang of blood suppliers unearthed in Gorakhpur|date=2008-03-16|newspaper=The Times of India|access-date=2017-02-08|archive-date=12 February 2017|archive-url=https://web.archive.org/web/20170212043709/http://timesofindia.indiatimes.com/city/lucknow/Gang-of-blood-suppliers-unearthed-in-Gorakhpur/articleshow/2870623.cms|url-status=live}}{{Cite news|url=https://www.wired.com/2011/06/red-market-excerpt/|title=Book Excerpt: Exposing India's Blood Farmers|last=Carney|first=Scott|date=2011-06-06|newspaper=WIRED|access-date=2017-02-08|language=en-US|archive-date=11 February 2017|archive-url=https://web.archive.org/web/20170211075543/https://www.wired.com/2011/06/red-market-excerpt/|url-status=live}} Blood donations reduced during the COVID-19 pandemic, primarily due to restrictions on travel and fear of contracting the disease at healthcare centres.{{cite journal |title=Covid-19 pandemic- response to challenges by blood transfusion services in India: a review report |date=2020-05-03 |doi=10.1111/voxs.12563 |journal=Vox Sanguinis |volume=15 |issue=4 |pages=365–373 |first1=Y |last1=Dhiman |first2=GK |last2=Patidar |first3=S |last3=Arora |s2cid=219058833 |doi-access=free }}{{cite journal|title=Potential challenges faced by blood bank services during COVID-19 pandemic and their mitigative measures: The Indian scenario| journal=Transfusion and Apheresis Science| first1=PJ| last1=Arcot| first2=K| last2=Kumar| first3=T| last3=Mukhopadhyay| first4=A| last4=Subramanian| volume=59| issue=5| date=October 2020| page=102877| doi=10.1016/j.transci.2020.102877| pmid=32709475| pmc=7365118}}{{cite web| url=https://www.financialexpress.com/lifestyle/health/world-blood-donor-day-2021-why-there-is-a-dip-in-blood-donation-due-to-covid-19/2270829/| title=World Blood Donor Day 2021: Why there is a dip in blood donation due to Covid-19| date=2021-06-14| work=Financial Express| access-date=15 October 2021| archive-date=28 October 2021| archive-url=https://web.archive.org/web/20211028171552/https://www.financialexpress.com/lifestyle/health/world-blood-donor-day-2021-why-there-is-a-dip-in-blood-donation-due-to-covid-19/2270829/| url-status=live}}

File: Civilian and Indian Navy personnel donating blood at a Blood Donation Camp in New Delhi (1).JPG

1 October is celebrated as the national voluntary blood donation day.{{cite web|title=National Voluntary Blood Donation Day|url=http://www.indianredcross.org/sg-message-27-sep-2013.htm|website=www.indianredcross.org|access-date=10 December 2016|archive-date=20 December 2016|archive-url=https://web.archive.org/web/20161220093102/http://www.indianredcross.org/sg-message-27-sep-2013.htm|url-status=live}} Blood donation agencies often organize workshops to educate people about the benefits of donating blood.{{cite news|title=Over 300 join in blood donation awareness program in Delhi|url=http://timesofindia.indiatimes.com/city/delhi/Over-300-join-in-blood-donation-awareness-programme-in-Delhi/articleshow/52749509.cms|access-date=2016-06-14|newspaper=The Times of India|archive-url=https://web.archive.org/web/20160927173315/http://timesofindia.indiatimes.com/city/delhi/Over-300-join-in-blood-donation-awareness-programme-in-Delhi/articleshow/52749509.cms|archive-date=2016-09-27|url-status=dead}} With a huge population of youth, blood donation drives are conducted by hospitals and organisations at college campuses.{{cite news|title=Maharaja's College students hold blood donation camp|url=http://www.thehindu.com/news/national/karnataka/Maharaja%E2%80%99s-College-students-hold-blood-donation-camp/article15471681.ece|access-date=2016-12-10|date=2016-10-06|newspaper=The Hindu|archive-date=21 December 2016|archive-url=https://web.archive.org/web/20161221103455/http://www.thehindu.com/news/national/karnataka/Maharaja%E2%80%99s-College-students-hold-blood-donation-camp/article15471681.ece|url-status=live}}{{cite news|first=Stanley|last=Pinto|title=HDFC Bank's 'Blood Donation Drive' on December 5|url=http://timesofindia.indiatimes.com/city/mangaluru/HDFC-Banks-Blood-Donation-Drive-on-December-5/articleshow/45339330.cms|access-date=2016-12-10|date=2014-12-01|newspaper=The Times of India|archive-date=27 November 2017|archive-url=https://web.archive.org/web/20171127024708/https://timesofindia.indiatimes.com/city/mangaluru/HDFC-Banks-Blood-Donation-Drive-on-December-5/articleshow/45339330.cms|url-status=live}} Blood donors and their family members are often given priority in case of emergency or accidents. 32 mobile blood banks were introduced in 2010 to facilitate donation in remote regions.{{cite web| url=http://naco.gov.in/access-safe-blood| title=Access to Safe blood| publisher=NACO| access-date=17 November 2021| archive-date=28 November 2021| archive-url=https://web.archive.org/web/20211128230458/http://www.naco.gov.in/access-safe-blood| url-status=live}}{{cite journal| url=https://www.ajts.org/article.asp?issn=0973-6247;year=2016;volume=10;issue=1;spage=59;epage=62;aulast=Sachdev| title=First report of the impact on voluntary blood donation by the blood mobile from India| journal=Asian Journal of Transfusion Science| date=Jan–Jun 2016| volume=10| issue=1| pages=59–62| pmid=27011672| doi=10.4103/0973-6247.164274| pmc=4782496| vauthors=Sachdev S, Singh L, et al.| access-date=17 November 2021| archive-date=17 November 2021| archive-url=https://web.archive.org/web/20211117172507/https://www.ajts.org/article.asp?issn=0973-6247;year=2016;volume=10;issue=1;spage=59;epage=62;aulast=Sachdev| url-status=live| doi-access=free}} In 2016, the government launched an initiative called E-{{lang|hi|RaktKosh}} (Rakt: blood, Kosh: repository), a web-based mechanism that integrates all blood banks in the state into a single network, providing information about blood camps and the availability of blood in hospitals throughout the country.{{cite news|title=Now, a website for blood banks; 117 banks listed|url=https://economictimes.indiatimes.com/industry/healthcare/biotech/healthcare/now-a-website-for-blood-banks-117-banks-listed/articleshow/60031902.cms|access-date=2017-11-11|work=The Economic Times|via=The Times of India|date=2017-08-12|archive-date=11 November 2017|archive-url=https://web.archive.org/web/20171111213424/https://economictimes.indiatimes.com/industry/healthcare/biotech/healthcare/now-a-website-for-blood-banks-117-banks-listed/articleshow/60031902.cms|url-status=live}} A mobile application for the E-{{lang|hi|RaktKosh}} portal was launched in 2020 to improve accessibility.{{cite web|url=https://indianexpress.com/article/india/harsh-vardhan-launches-mobile-app-to-enable-people-have-easy-access-to-blood-6476271/|title=Harsh Vardhan launches mobile app to enable people have easy access to blood|date=2020-06-25|work=The Indian Express|access-date=15 October 2021|archive-date=27 October 2021|archive-url=https://web.archive.org/web/20211027175427/https://indianexpress.com/article/india/harsh-vardhan-launches-mobile-app-to-enable-people-have-easy-access-to-blood-6476271/|url-status=live}}

• List of blood donation agencies

{{reflist}}

• Marwaha N.,[https://www.ajts.org/article.asp?issn=0973-6247;year=2014;volume=8;issue=3;spage=3;epage=5;aulast=Marwaha Transfusion medicine in India: Expanding horizons], Asian J Transfus Sci 2014;8, Suppl S1:3-5.
• T. J. Bray, K. Prabhakar, [https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-3156.2002.00895.x Editorial: Blood policy and transfusion practice – India], Trop Med Int Health. 2002 Jun;7(6):477-8.
• Bisht A, Singh S, Marwaha N. [https://www.ajts.org/text.asp?2016/10/1/1/175384 National blood donor vigilance programme: India] Asian J Transfus Sci 2016;10:1-2.

• [http://naco.gov.in/national-blood-transfusion-council-nbtc-0 National Blood Transfusion Council]
• [http://naco.gov.in/sites/default/files/Standards%20for%20Blood%20Banks%20and%20Blood%20Transfusion%20Services.pdf Standards for Blood Banks and Blood Transfusion Services]

{{portalbar|India|Medicine}}

Category:Blood donation

Category:Healthcare in India

Category:Blood banks in India