The low recruitment and retention of blood donors in sub-Saharan Africa is a grave concern for blood transfusion services in the region. This problem is exacerbated by factors such as a high prevalence of transfusion-transmissible infections and anaemia, over-reliance on family replacement donors, resource constraints, and poor communication with the public. To improve blood safety and availability, innovative intervention strategies must be developed and implemented. The primary objective of this Series paper is to discuss the available evidence in the region and to provide recommendations on how to improve safe blood supply in sub-Saharan Africa. These recommendations include a call for renewed attention to donor recruitment in blood transfusion centres, a consistent and structured educational intervention, the development and adherence to national policies on blood donor selection with focus on voluntary donations, and comprehensive screening of donations for transfusion-transmissible infections. TRANSLATION: For the French translation of the abstract see Supplementary Materials section.

中文翻译：

---

撒哈拉以南非洲的安全血液供应：挑战与机遇。

撒哈拉以南非洲地区献血者的招募和保留率低是该地区输血服务的一个严重问题。输血传播感染和贫血的高流行、过度依赖家庭替代捐赠者、资源限制以及与公众的沟通不畅等因素加剧了这一问题。为了提高血液的安全性和可用性，必须制定和实施创新的干预策略。本系列论文的主要目的是讨论该地区的现有证据，并就如何改善撒哈拉以南非洲地区的安全血液供应提出建议。这些建议包括呼吁重新关注输血中心的捐献者招募、一致和结构​​化的教育干预、制定和遵守以自愿献血为重点的献血者选择国家政策，并对输血传播感染的献血进行全面筛查。翻译：有关摘要的法语翻译，请参阅补充材料部分。