Impact of notification and counselling of reactive blood donors at a super-speciality hospital


  • Neha Syal Department of Transfusion Medicine, Gian Sagar Medical College, Ramnagar, Patiala, Punjab, India
  • Neetu Kukar Department of IHBT, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India



Donor notification, Counselling, Ceropositive


Background: Donor notification is emphasized as an efficient method of curtailing TTIs recently. But its limitations like low notification rate and lack of follow up of treatment of notified donors are still unaddressed. The aim of the study was to analyze the response rate of notified reactive donors, to elicit hidden risks factors and to see impact of donor notification on reactive donors.

Methods: This retrospective study was conducted in the blood bank of a 350 bedded multispecialty hospital in north India. Data was collected from reactive blood donor counselling register over a period of one year. After six months a telephonic interview was conducted of all the reactive donors who responded to notification calls and came for counselling to inquire if they went for further testing and treatment after they were notified.

Results: There were 1345 whole blood donations over a period of 14 months of which 29 (2.15%) were reactive donors. Notification rate was 48.27%. During counselling 4 donors revealed high risk history which they had denied during pre-donation counselling. After telephonic conversation with these notified donors, we analyzed that 7 (50%) donors were taking treatment while 3 donors informed that they got themselves tested from a private lab and were reported negative. Two donors informed that they had not gone for any testing anywhere while we could not trace 2 donors due to change of contact numbers.

Conclusions: Curtailing TTI’s through donor notification by blood banks alone is an unattainable mission. A centralized computer data system connecting all blood banks and interlinking of government agencies and blood banks like the recently started NVHCP is need of the hour.



Kotwal U, Doda V, Arora S, Bhardwaj S. Blood donor notification and counseling: Our experience from a tertiary care hospital in India. Asian J Transfus Sci. 2015;9(1):18-22.

Agarwal N. Response rate of blood donors in the Uttarakhand region of India after notification of reactive test results on their blood samples. Blood Transfus. 2014;12(1):51-3.

Manzoor I, Hashmi N, Daud S, Ajmal S, Fatima H, Rasheed Z, et al. Seroprevalence of transfusion transmissible infections (TTIS) in blood donors. Biomedica. 2009;25:154-8.

Government of India. Drugs and Cosmetics rules, 2015. Available at: Accessed on 22 November 2021.

Kumari S. Reactive donor notification and counseling: reveals concealed risk factors. Indian J Soc Psychiatry. 2017;33:38-43.

Chandrashekar S, Kantharaj A. Blood donor notification: Boon for the community, bane for blood donors, and blood centers?. Glob J Transfus Med. 2018;3:6-12

Dontula S, Mathur A, Kamaladoss T, Adimurthy S, Jagannathan L. Donor disclosure - a donor′s right and blood bank′s responsibility. Transf Alter Transf Med. 2012;12:44-50.

Choudhury LP, Tetali S. Ethical challenges in voluntary blood donation in Kerala, India. J Med Ethics 2007;33:140-2.

Patel SG, Patel JN, Patel AC, Raja KA, Dobariya GH, Pandya AN. Blood Donor notification and counseling of reactive test result in Blood Bank of South Gujarat: A better approach to prevent reactive donors from donating blood again. Glob J Transfus Med. 2016;1:57-60.

Kaur G, Kaur P, Basu S, Kaur R, Sharma S. Donor notification and counseling--experience and challenges. Transfus Apher Sci. 2013;49(2):291-4.

Handa A, Kukar N, Aggarwal D, Maharishi R.N. Donor notification and response rate of sero-reactive blood donors: a challenge and long way to go. J Community Med Public Health. 2019;6(7).

Sharma UK, Schreiber GB, Glynn SA, Nass CC, Higgins MJ, Tu Y, et al. Knowledge of HIV/AIDS transmission and screening in United States blood donors. Transfusion. 2001;41(11):1341-50.

Moreno EC, Bruhn R, Sabino EC, Santos E, Miranda C, Proietti AB, et al. Test seeking: are healthcare professionals referring people to blood centers for infections marker testing? Hematol Transfus Cell Ther. 2019;41(3):229-35.

Zucoloto ML, Martinez EZ. High prevalence of blood donor test-seeking behavior among health sciences undergraduate students. Rev Soc Bras Med Trop. 2020;53:20190476.

Truong HM, Blatyta PF, Santos FM, Montebello S, Esposti SP, Hangai FN, et al. Blood Donor Test-Seeking Motivation and Prior HIV Testing Experiences in São Paulo, Brazil. AIDS Behav. 2015;19(9):1574-8.

Sachdev S, Mittal K, Patidar G, Marwaha N, Sharma RR, Duseja AK, et al. Risk Factors for Transfusion Transmissible Infections Elicited on Post Donation Counselling in Blood Donors: Need to Strengthen Pre-donation Counselling. Indian J Hematol Blood Transfus. 2015;31(3):378-84.




How to Cite

Syal, N., & Kukar, N. (2022). Impact of notification and counselling of reactive blood donors at a super-speciality hospital. International Journal Of Community Medicine And Public Health, 9(2), 853–857.



Original Research Articles