Blood bank programs and transfusion sustainability. A serial mediating model.

INTRODUCTION: Researchers establish that the current challenges of blood safety and shortage are based on relationship between master production scheduling and blood transfusion sustainability of blood banks. OBJECTIVE: The objective of this study is to evaluate program relationship between master production scheduling and blood transfusion sustainability through total quality management and blood production. METHODS: A survey questionnaire was adopted with staff from regional and government university teaching hospital blood banks. Simple random sampling was used to collect data from respondents. Preliminary and main data analysis was done using SPSS AMOS23. RESULTS: The results revealed that master production scheduling influence blood transfusion sustainability when serially mediated by total quality management and blood production with 34% variation change at 95% confidence interval. Again, the results obtained show that master production scheduling influence total quality management significantly. Furthermore, total quality management influence blood production significantly. Finally, blood production influence blood transfusion sustainability significantly. CONCLUSION AND RECOMMENDATIONS: Master production scheduling program actions has a positive significant relationship with blood transfusion sustainability through total quality management and blood production programs as serial mediators. This research contributes to the management of blood banks and suggests to have a greater relational management of total quality management, blood production and master production scheduling program actions in order to achieve high levels of blood transfusion sustainability, and in general, a greater benefit for society.

Development and appraisal of handwash-wastewater treatment system for water recycling as a resilient response to COVID-19.

In this work, results from characterization of handwashing wastewater from selected stations in Kampala City, Uganda, revealed that handwashing wastewater did not meet permissible international standards for wastewater discharge to the environment. The ratio of BOD5 to COD of ˂ 0.5 implied that handwashing wastewater was not amenable to biological treatment processes. Turbidity of ˃ 50 NTU pointed to the need for a roughing filter prior to slow sand filtration. Subsequently, a handwashing wastewater treatment system consisting of selected particle sizes of silica sand, zeolite, and granular activated carbon as filtration and/or adsorption media was developed and assessed for performance towards amelioration of the physicochemical and biological parameters of the handwashing wastewater. Treated water from the developed wastewater treatment system exhibited a turbidity of 5 NTU, true color of 10 Pt-Co, apparent color of 6 Pt-Co, and TSS of 9 mgL-1, translating to removal efficiencies of up to 98.5%, 98.1%, 99.7%, and 96.9%, respectively. The residual total coliforms and E. coli of 1395 and 1180 CFU(100 mL)-1 respectively, were totally eliminated upon disinfection with 0.5 mL NaOCl (3.5% wt/vol) per liter of treated wastewater. The treated water was thus suitable for recycling for handwashing purpose as opposed to letting handwashing wastewater merely go down the drain. This approach provides a resilient response to COVID-19, where communities faced with water scarcity can treat and recycle handwashing wastewater at the point of washing. It thus enables more people to have the opportunity to practice handwashing, abating the high risks of infection, which could otherwise arise.