We’re looking at why levels of blood donation in Africa are so low compared with other parts of the world. From Nigeria we hear about hospitals having to ask patients and family members to give blood to ensure there is enough for their relatives if they require treatment. From Somalia we look at how the continuing violence and unrest has brought into sharp focus the need for an organised system of blood donation – currently there is only one donor centre – for the whole country, run by volunteers. And in Kenya we meet people who refuse blood transfusions, believing they might take on the characteristics of the person donating the blood. Health workers and religious leaders are coming together to try to change these beliefs.