Developing countries comprise a heterogeneous group of low and middle income countries throughout the world with different cultures, geographical characteristics and states of development. Population growth rate is usually high, gross national product is low, income per capita varies greatly, and infrastructure is poorly developed. Communities in developing countries are facing a new set of health problems related to a rapid rate of urbanization and industrialization. People are affected by infectious diseases and malnutrition, and chronic anemia is common. There is weak management capacity, poor management training, poor accountability mechanisms, and deficient quality systems resulting in lack of planning, evaluation, accurate records, control and supervision.[11

Some limiting factors in establishing blood transhsion services in developing counhes deal with insufficient national health budget, and the need of health care services to adjust to national and local contexts to guarantee optimal use of resources. Most donors are replacement first time donors with higher incidence of infectious markers than repeat donors, resulting in a higher amount of discarded blood units. Chronic shortage of blood constitutes a frequent situation that could be reversed with a well organized and centralized national transfusion service. The risk of transhsion transmitted viral infection is of geat concern due to the high prevalence of infection and the limited Screening of markers owing to scarce financial mOumS.