Evidence map›Paper›PMID 41956116›Full record

ArticleHemoglobin2026

SickleInAfrica Consortium: A Seven-Country Study Evaluating the Performance of Dried Blood Spot Point-of-Care Testing in Newborn Screening for Sickle Cell Disease.

Obiageli Eunice Nnodu, Wilson Mupfururirwa, Sarah Kiguli, Lulu Chirande, Boubacar Ali Toure, Fred Stephen Sarfo, Patience Kuona, Aldiouma Guindo, Andrew Louden, Arthemon Nguweneza and 33 more

Abstract readMulticenter Study
In one paragraph

Article in Hemoglobin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

43 authors.

Obiageli Eunice NnoduDepartment of Haematology and Blood Transfusion, University of Abuja & Centre of Excellence for Sickle Cell Disease Research and Training (CESRTA), University of Abuja, Abuja, Nigeria.ORCID 0000-0002-4801-3156
Wilson MupfururirwaSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-3631-8489
Sarah KiguliDepartment of Paediatrics and Child Health, Makerere University Faculty of Medicine, Kampala, Uganda.ORCID 0000-0002-8764-4161
Lulu ChirandeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Boubacar Ali ToureCentre de Recherche et Lutte contre la Drépanocytose (CRLD), Bamako, Mali.
Fred Stephen SarfoKwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Patience KuonaFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.ORCID 0000-0001-7693-7607
Aldiouma GuindoCentre de Recherche et Lutte contre la Drépanocytose (CRLD), Bamako, Mali.ORCID 0000-0003-2029-466X
Andrew LoudenNational Heart, Lung, and Blood Institute, Bethesda, Maryland, USA.
Arthemon NguwenezaSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Emmanuel BalandyaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Catherine Chunda-LiyokaUniversity of Zambia-School of Medicine, Lusaka, Zambia.
Victoria NembawareSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7966-4042
Chandré OosterwykSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Mario JonasSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.ORCID 0009-0001-7679-5167
Jack MorriceSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.
Andre Pascal KengneSchool of Medicine, Yaounde, Cameroon.
Siana NkyaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0001-7576-6279
Upendo MasamuMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Julie MakaniMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Patrick Ohiani MoruDepartment of Haematology and Blood Transfusion, University of Abuja & Centre of Excellence for Sickle Cell Disease Research and Training (CESRTA), University of Abuja, Abuja, Nigeria.ORCID 0009-0001-1440-5143
Abdulmalik KoyaCentre de Recherche et Lutte contre la Drépanocytose (CRLD), Bamako, Mali.ORCID 0000-0002-8655-2732
Heriud MartinCentre de Recherche et Lutte contre la Drépanocytose (CRLD), Bamako, Mali.
Lawson ChikaraFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Evans Xorse AmuzuKwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0001-5977-5706
Natasha Mupeta KawemeUniversity of Zambia-School of Medicine, Lusaka, Zambia.
Mary NakibirangoDepartment of Paediatrics and Child Health, Makerere University Faculty of Medicine, Kampala, Uganda.
Chinwe OkekeDepartment of Haematology and Blood Transfusion, University of Abuja & Centre of Excellence for Sickle Cell Disease Research and Training (CESRTA), University of Abuja, Abuja, Nigeria.
Maxwell NwegbuDepartment of Haematology and Blood Transfusion, University of Abuja & Centre of Excellence for Sickle Cell Disease Research and Training (CESRTA), University of Abuja, Abuja, Nigeria.
Yaa Oppong-MensahKwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Deogratias MunubeDepartment of Paediatrics and Child Health, Makerere University Faculty of Medicine, Kampala, Uganda.ORCID 0000-0002-1312-6804
Reuben Ikechukwu ChianumbaDepartment of Haematology and Blood Transfusion, University of Abuja & Centre of Excellence for Sickle Cell Disease Research and Training (CESRTA), University of Abuja, Abuja, Nigeria.ORCID 0000-0002-1081-5348
Anazoeze MaduDepartment of Haematology and Immunology, College of Medicine, University of Nigeria, Enugu, Nigeria.ORCID 0000-0003-4284-2428
Ruth NamazziDepartment of Paediatrics and Child Health, Makerere University Faculty of Medicine, Kampala, Uganda.
Gwendoline KandawasvikaFaculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe.ORCID 0000-0003-3623-2703
Nesla MahengeChristoffel-Blindenmission(CBM) International, Tanzania.
Bruno MmbandoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0001-7232-8708
Agnes JonathanMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0001-9928-0732
Josephine MgayaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-6234-5931
Janeth ManongiMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Irene MinjaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-5508-119X
Emmanuel PeprahSchool of Global Public Health, New York University, New York, New York, USA.ORCID 0000-0002-0495-7016
Ambroise WonkamSickleInAfrica Data Coordinating Centre (SADaCC), University of Cape Town, Cape Town, South Africa.ORCID 0000-0003-1420-9051

Funding

Sickle Africa Data Coordinating CenterU24HL135600 · NHLBI · UNIVERSITY OF CAPE TOWN · PI MULDER, NICOLA, WONKAM, AMBROISE · 2017 to 2025
$8.6M
The Sickle Pan-African Research Consortium (SPARCO)U24HL135881 · NHLBI · MUHIMBILI UNIVERSITY/ ALLIED HLTH SCIS · PI MAKANI, JULIE · 2017 to 2025
$5.3M
Sickle Pan-African Research Consortium (SPARCO)- TanzaniaU01HL156853 · NHLBI · MUHIMBILI UNIVERSITY/ ALLIED HLTH SCIS · PI BALANDYA, EMMANUEL · 2021 to 2025
$1.5M
Ghana-SPARCO: Ghana Sickle Pan-African Research ConsortiumU01HL157004 · NHLBI · KWAME NKRUMAH UNIVERSITY/SCIENCE/TECH · PI OFORI-ACQUAH, SOLOMON FIIFI, SARFO, FRED STEPHEN · 2021 to 2025
$1.4M
Sickle Pan African Research Consortium NigEria (SPARC-NEt)U01HL156942 · NHLBI · UNIVERSITY OF ABUJA · PI NNODU, OBIAGELI EUNICE · 2021 to 2025
$1.3M
Sickle Pan-African Research Consortium (SPARCO) Uganda: Strengthening Capacity for Clinical Care, Research and Training in Sickle Cell Disease - SCRT Project.U01HL156914 · NHLBI · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI KIGULI, SARAH · 2021 to 2025
$993k
Sickle Hemoglobinopathy reseArch in Zimbabwe (SHAZ)U01HL156943 · NHLBI · COLLEGE OF HEALTH SCIS UNIV OF ZIMBABWE · PI KUONA, PATIENCE · 2021 to 2025
$904k
Improving Sickle Cell Disease Care in Mali through Engagement with a Pan-African Sickle Cell Disease Network.U01HL157007 · NHLBI · UNIV OF SCIENCES, TECH & TECH OF BAMAKO · PI GUINDO, ALDIOUMA · 2021 to 2025
$892k
NHLBI NIH HHS U01 HL156853NHLBI NIH HHS U01 HL156914NHLBI NIH HHS U01 HL156942NHLBI NIH HHS U01 HL156943NHLBI NIH HHS U01 HL157004NHLBI NIH HHS U01 HL157007NHLBI NIH HHS U24 HL135600NHLBI NIH HHS U24 HL135881
6 · The paper itself

Abstract

Sickle cell disease (SCD) remains a major public health concern in sub-Saharan Africa (SSA), where approximately 200,000 newborns are affected annually. Without early diagnosis and access to care, up to 50% of these children may die before the age of five. Although newborn screening (NBS) programs have proven effective in improving survival, their implementation across Africa is constrained by logistical barriers associated with standard diagnostic methods such as isoelectric focusing (IEF), high-performance liquid chromatography (HPLC), and cellulose acetate electrophoresis. Dried blood spot point-of-care testing (DBS-POCT) offers a potentially scalable alternative due to its stability, simplicity, and suitability for centralized analysis. We evaluated the diagnostic accuracy of DBS-POCT using the HemoTypeSC test compared to both standard POCT and reference laboratory testing across 705 newborns (0-3 months old) in seven countries within the SickleInAfrica Consortium. DBS-POCT demonstrated high sensitivity and specificity for detecting HbAA and HbAS, moderate sensitivity for HbSS, and lower sensitivity for HbAC, with some variability across countries. In several countries, DBS-POCT outperformed standard POCT, particularly in detecting SCD subtypes. Our findings support the utility of DBS-POCT for expanding newborn screening programs in resource-limited settings.

Indexed as

Anemia, Sickle CellDried Blood Spot TestingNeonatal ScreeningPoint-of-Care TestingFemaleHumansInfant, NewbornMaleSensitivity and Specificitydried blood spotnewborn screeningpoint-of-care testingSickle cell diseaseSickleInAfrica

Identifiers

PMID41956116
PMCPMC13101935

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.