Why Do Patients Pay for Blood That Is Donated for Free

Many Zimbabweans generously donate blood to save lives, yet patients who need transfusions often face charges at hospitals. Why does this happen?
The National Blood Service Zimbabwe (NBSZ) clarifies that while donated blood itself comes at no cost, expenses arise from the medical processes required to ensure its safety, storage and distribution before it reaches patients.
Ms. Lucy Marowa, NBSZ Chief Executive Officer, said donated blood must go through several procedures to ensure it is safe before use.
“Before transfusion, blood goes through rigorous screening for infections, grouping, separation into components, safe storage and then distribution.
These processes require advanced equipment, skilled personnel and adherence to strict international safety standards,” she said.
To ease financial strain, the Zimbabwean government launched the Free Blood Initiative in 2018, ensuring that patients in public hospitals receive blood at no charge.
However, private healthcare facilities still charge patients to recover operational costs related to testing, storage, and handling.
The Herald previously reported public concerns regarding these fees, prompting further explanation from NBSZ officials.
Marowa emphasized that NBSZ does not profit from blood supplies.
She explained that fees strictly cover operational costs, including testing and storage.
“Once blood leaves NBSZ and reaches healthcare facilities, those institutions manage it. We do not control its distribution or access. Our charges strictly cover operational expenses, not the blood itself,” she said.
Additionally, Marowa stated that NBSZ supports donors through a blood donor benefit policy, which allows those who have contributed ten times or more to access free blood for their biological parents, children, or spouses when needed.
Understanding the logistics behind Zimbabwe’s blood donation system helps citizens appreciate the vital role of voluntary donors and the measures taken to ensure safe and efficient transfusions across the country.