Title |
Health policy for sickle cell disease in Africa: experience from Tanzania on interventions to reduce under‐five mortality
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Published in |
Tropical Medicine & International Health, November 2014
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DOI | 10.1111/tmi.12428 |
Pubmed ID | |
Authors |
Julie Makani, Deogratias Soka, Stella Rwezaula, Marlene Krag, Janneth Mghamba, Kaushik Ramaiya, Sharon E. Cox, Scott D. Grosse |
Abstract |
Tanzania has made considerable progress towards reducing childhood mortality, achieving a 57% decrease between 1980 and 2011. This epidemiological transition will cause a reduction in the contribution of infectious diseases to childhood mortality and increase in contribution from non-communicable diseases (NCDs). Haemoglobinopathies are among the most common childhood NCDs, with sickle cell disease (SCD) being the commonest haemoglobinopathy in Africa. 10,313 children with SCD under 5 years of age (U5) are estimated to die every year, contributing an estimated 7% of overall deaths in U5 children. Key policies that governments in Africa are able to implement would reduce mortality in SCD, focusing on newborn screening and comprehensive SCD care programmes. Such programmes would ensure that interventions such as prevention of infections using penicillin plus prompt diagnosis and treatment of complications are provided to all individuals with SCD. This article is protected by copyright. All rights reserved. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Scientists | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Kenya | 1 | <1% |
Tanzania, United Republic of | 1 | <1% |
Unknown | 222 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 37 | 16% |
Student > Bachelor | 36 | 16% |
Student > Postgraduate | 18 | 8% |
Researcher | 17 | 8% |
Student > Ph. D. Student | 16 | 7% |
Other | 38 | 17% |
Unknown | 63 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 85 | 38% |
Nursing and Health Professions | 19 | 8% |
Biochemistry, Genetics and Molecular Biology | 11 | 5% |
Social Sciences | 8 | 4% |
Immunology and Microbiology | 8 | 4% |
Other | 26 | 12% |
Unknown | 68 | 30% |