Evidence map›Paper›PMID 31145786›Full record

ArticleInternational health2019

Newborn screening for sickle cell disease: an innovative pilot program to improve child survival in Dar es Salaam, Tanzania.

Siana Nkya, Lillian Mtei, Deogratias Soka, Vera Mdai, Promise B Mwakale, Paul Mrosso, Issa Mchoropa, Stella Rwezaula, Mary Azayo, Nzovu Ulenga and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in International health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  12. Newborn screening initiatives for sickle cell disease in Africa.Hematology. American Society of Hematology. Education Program · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 5 institutions in 3 countries.

Siana NkyaDar es Salaam University College of Education, Dar es Salaam, Tanzania.
Lillian MteiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Deogratias SokaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Vera MdaiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Promise B MwakaleMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Paul MrossoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Issa MchoropaSickle Cell Program, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Stella RwezaulaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Mary AzayoMinistry of Health, Community Development, Gender, Elderly and Children, Dodoma, Tanzania.
Nzovu UlengaManagement and Development for Health, Dar es Salaam, Tanzania.
Melkiory NgidoSickle Cell Program, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Sharon E CoxMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Brenda S D'MelloComprehensive Community Based Rehabilitation in Tanzania (CCBRT), Dar es Salaam, Tanzania.
Honorati MasanjaIfakara Health Institute, Dar es Salaam, Tanzania.
Gregory S KabadiMinistry of Health, Community Development, Gender, Elderly and Children, Dodoma, Tanzania.
Frederick MbuyaSickle Cell Program, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Bruno MmbandoDar es Salaam University College of Education, Dar es Salaam, Tanzania.
Yvonne DanielPublic Health England, NHS Sickle Cell and Thalassemia Screening Programme and National Healthcare Public Health Division, London, UK.
Allison StreetlyPublic Health England, NHS Sickle Cell and Thalassemia Screening Programme and National Healthcare Public Health Division, London, UK.
Japhet KillewoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Furahini TluwayMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Magdalena LyimoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Julie MakaniMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZMinistry of Health, Community Development, Gender, Elderly and Children · TZPublic Health England · GBIfakara Health Institute · TZManagement and Development for Health · TZ

Funding

The Sickle Pan-African Research Consortium (SPARCO)U24HL135881 · NHLBI · MUHIMBILI UNIVERSITY/ ALLIED HLTH SCIS · PI MAKANI, JULIE · 2017 to 2025
$5.3M
NHLBI NIH HHS U24 HL135881
6 · The paper itself

Abstract

backgroundSickle cell disease (SCD) is a recognized cause of childhood mortality. Tanzania has the fifth highest incidence of SCD (with an estimated 11 000 SCD annual births) worldwide. Although newborn screening (NBS) for SCD and comprehensive healthcare have been shown to reduce under-5 mortality by up to 94% in high-income countries such as the USA, no country in Africa has maintained NBS for SCD as a national health program. The aims of this program were to establish and evaluate NBS-SCD as a health intervention in Tanzania and to determine the birth prevalence of SCD.

methodsMuhimbili University of Health and Allied Sciences conducted NBS for SCD from January 2015 to November 2016. Dried blood spot samples were collected and tested for SCD using isoelectric focusing.

resultsScreening was conducted on 3981 newborns. Thirty-one (0.8%) babies had SCD, 505 (12.6%) had sickle cell trait and 26 (0.7%) had other hemoglobinopathies. Twenty-eight (90.3%) of the 31 newborns with SCD were enrolled for comprehensive healthcare.

conclusionsThis is the first report on NBS as a health program for SCD in Tanzania. The SCD birth prevalence of 8 per 1000 births is of public health significance. It is therefore important to conduct NBS for SCD with enrollment into a comprehensive care program.

Indexed as

National Health ProgramsNeonatal ScreeningAnemia, Sickle CellChildChild MortalityDiffusion of InnovationFemaleHumansInfant, NewbornMalePilot ProjectsPrevalenceProgram EvaluationTanzaniacomprehensive carenewborn screeningsickle cell diseaseTanzania

Identifiers

PMID31145786
PMCPMC7967808
OpenAlexW2947384712

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.