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This book reiterates the need for all stake holders involved in transfusion service delivery in Africa; from patients to the transfusion scientist, requesting clinicians, blood collection staff and distribution staff to work collaboratively to demonstrate judicious, world-class stewardship and use of the precious gifts of human blood as well as help people understand the limitations of blood supply. It is designed to emphasize the evidenced -based best practices in transfusion medicine in the developed world to enable countries in Africa optimise their transfusion service delivery to their patients.