Evidence map›Paper›PMID 41017254›Full record

ArticleBritish journal of haematology2025

Systematic point-of-care newborn screening for sickle cell disease in rural Mali, West Africa.

Aldiouma Guindo, Kory Cablay, Joseph Kamate, Brett MacLean, David Saye, Philadelphie Dembele, Alan R Anderson

Abstract read
In one paragraph

Article in British journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Advances and Gaps in Global Newborn Screening for Sickle Cell Disease.International journal of neonatal screening · 2026
    Article
  3. Article
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

7 authors.

Aldiouma GuindoSickle Cell Research and Control Centre (CRLD), University of Bamako, Bamako, Mali.
Kory CablayDepartment of Internal Medicine and Pediatrics, PRISMA Health, Greenville, South Carolina, USA.ORCID https://orcid.org/0000-0002-5141-6298
Joseph KamateHôpital Femmes et Enfants, Koutiala, Mali.
Brett MacLeanGlobal Partners in Hope, Omaha, Nebraska, USA.
David SayeHôpital Femmes et Enfants, Koutiala, Mali.
Philadelphie DembeleHôpital Femmes et Enfants, Koutiala, Mali.
Alan R AndersonUniversity of South Carolina School of Medicine, Greenville, South Carolina, USA.ORCID https://orcid.org/0000-0002-5641-4224

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle cell disease (SCD) is a leading cause of under-five mortality in sub-Saharan Africa (SSA), yet newborn screening in rural settings remains scarce. We evaluated the feasibility, coverage and yield of a point-of-care (POC) screening programme at Koutiala Hospital for Women and Children (KHWC) in rural Mali, using HemotypeSC™. From March 2019 to 2025, newborns born at KHWC were offered POC screening within 24 h of birth. Heel-stick blood was applied to the HemotypeSC™ strip and results were read at 10 min. Culturally sensitive education was provided to all, and newborns with SCD were enrolled in the hospital's sickle cell programme for clinical management. Screening coverage, haemoglobin subtypes and carrier prevalence were calculated descriptively. Over 6 years, 18 164 newborns were delivered, with 18 015 (99.2%) successfully screened. We identified 118 haemoglobin SS (HbSS) (0.66%), 123 haemoglobin SC (HbSC) (0.68%) and 79 haemoglobin CC (HbCC) (0.44%). The prevalence of SCD (HbSS+HbSC) was 1.34%, with carrier frequencies of 8.89% for haemoglobin AS (HbAS) and 8.68% for haemoglobin AC(HbAC) (17.56% overall). Screening with HemotypeSC™ achieved near universal coverage in a high-volume rural hospital, identifying substantial SCD and carrier burdens. This model supports scale-up across rural SSA to bridge diagnostic gaps and link newborns to life-saving care.

Indexed as

Anemia, Sickle CellNeonatal ScreeningPoint-of-Care TestingFemaleHumansInfant, NewbornMaleMaliRural PopulationMalinewborn screeningpoint‐of‐care testingrural healthcaresickle cell anaemiasickle cell disease

Identifiers

PMID41017254
PMCPMC12624176

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Registered trials

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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.