Thalassemia is a genetic blood disorder characterized by defective hemoglobin synthesis and the destruction of red blood cells, requiring frequent blood transfusions. This places significant psychosocial burdens on those affected, including disruptions to education from transfusion leave and limitations to physical activity, as well as dissatisfaction from stunted growth and delayed puberty. The condition also negatively impacts family members through worries and guilt, concerns about health and education costs, loss of working days, and potential depression from a child's death. The document recommends premarital counseling and testing to screen for thalassemia.