2020
DOI: 10.3390/tropicalmed5030127
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Sickle Cell Disease in the Democratic Republic of Congo: Assessing Physicians’ Knowledge and Practices

Abstract: Background: Sickle cell disease is a major public health issue in the Democratic Republic of Congo (DRC), but it is still poorly understood by health professionals. The objective of this study was to assess the knowledge and practices of Congolese physicians treating sickle cell disease (SCD), in order to identify the areas for improvement in clinical care. Methods: This was a descriptive observational study conducted among Congolese physicians using a questionnaire. Participants were evaluated using a pre-est… Show more

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Cited by 9 publications
(8 citation statements)
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“…14 But due to inconsistent supply of medication in SSA, pain management is often restricted to level 2 analgesics. 15 Similarly, hydroxyurea is not routinely prescribed in Malawi and universal use policy is not available despite documented evidence of its safety and efficacy. 16 Previous studies have attributed under utilisation of hydroxyurea to provider inexperience, cost and inaccessibility.…”
Section: What This Study Adds?mentioning
confidence: 99%
“…14 But due to inconsistent supply of medication in SSA, pain management is often restricted to level 2 analgesics. 15 Similarly, hydroxyurea is not routinely prescribed in Malawi and universal use policy is not available despite documented evidence of its safety and efficacy. 16 Previous studies have attributed under utilisation of hydroxyurea to provider inexperience, cost and inaccessibility.…”
Section: What This Study Adds?mentioning
confidence: 99%
“… 28 Findings from this study indicated that comprehensive management of sickle cell disease, including specific interventions, such as neonatal screening, early diagnosis, preventive penicillin therapy, pneumococcal and haemophiliac influenza vaccination, and malaria prophylaxis, were all lacking. Mukinayi et al 29 highlighted poor diagnostic and treatment options as factors contributing to increased morbidity and mortality for sickle cell anaemia patients in the Democratic Republic of the Congo. Galadanci et al 14 reported similar findings in their study on current sickle cell disease management practices in Nigeria.…”
Section: Resultsmentioning
confidence: 99%
“…Essentially, nurses may enhance their understanding and management of SCD through accumulated field experience, thereby improving their practice in managing the condition. 25 , 26 Nevertheless, for this knowledge to be translated in practice, health centres must have the necessary equipment for diagnosing SCD. A multisite study in the DRC showed that 85% of the participants, from which the most were physicians, had no access to diagnostic tools of sickle disease.…”
Section: Discussionmentioning
confidence: 99%