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Background: The reasons why deferral from blood donation reduces the likelihood of future return remainunclear. This aim of this study was to investigate possible reasons why deferral has such adramatic impact on donation patterns. Methods: Qualitative methods were used to explore donors' motivations to give blood, theirexperiences of temporary deferral, and their intentions to return once eligible. Semistructuredinterviews were conducted with 23 donors in the two weeks following a temporarydeferral due to a low haemoglobin concentration. The Framework approach was used toanalyse data and identify themes associated with prompt return, ascertained from BloodService records. Results: We found that, predominantly, individuals give blood because it represents an easy andconvenient way to help others, and provides personal rewards, such as enhancing positiveself-concepts and valuable knowledge about health. Deferral disrupts the habit of regulardonation, and additionally, introduces an element of practical and emotional hassle to what isgenerally seen as an undemanding activity. Return after deferral was related to four aspects ofa person and their context: an individual's other obligations, especially parenting; whetherdonation arrangements were facilitated by a range of supports; the presence of a strong"blood donor" identity; and whether deferral left the donor feeling valued and appreciated. Conclusions: Aspects of the deferral process need to be improved to ensure individuals feel valued, andcontinued attention should be given to the convenience of donation, especially for those withcompeting obligations.Source: http://www.biomedcentral.com/1471-2458/12/1063
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