TOWARDS CREATIVE TOOLS FOR PROMOTING BLOOD DONATION: THE CASE OF PUBLIC HEALTH IN MOROCCO

Introduction We live in a country with a high rate of accidents, crime and medical emergencies for violent trauma, but in Rabat the main cause of deaths of people between 15 and 44 years is violence, for each violent death, between 8 and 10 people require blood products to save their lives. About 70% of the blood collected in the city is for trauma services, which increases the blood deficit for other services in need. Rabat now has a population of more than eight hundred thousand inhabitants, with an average donation of 5 to 6 units for each 1,435 people, a figure that has remained constant over the past three years. Compared with the international standards of 40 units per 1,000 inhabitants we are on a deficit of 36 points for each 1,000. The absorption mechanisms of blood donation and supply should meet demand of blood and its derivatives, mainly by improving existing systems without harming the quality. However, the current crisis shows us a dark panorama, based on a very high production cost because there are no economies of scale to optimize the process and ensure quality. In this context, the generated socio-economic problem has a very strong impact, and leads mainly the loss of lives and to costs exceeding the limits of the budget allocated by the state to blood transfusion. So how to reduce the gap? and how to improve the quality of the collection and distribution of blood? To answer this question, it is necessary to dwell on explaining the concept of quality in public sector. The quality of the public sector can only be assessed in a context where the state plays a significant role in accomplishing it. If the public sector allows the state to fulfill its objectives in an effective and successful way, we can say that it is of a high quality (Nassera Touati, 2009). However, objectives must be realistic, because the public sector can achieve the highest degree of efficiency, it would still be impossible to fulfill unachievable goals. So generally, the quality of the public sector cannot be measured by the quality of the results of the policy, but the two are closely linked, especially in the long term. In general, an efficient public sector should be able to achieve the stat