Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

332
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
332
Nursing Clinical Information System01:27

Nursing Clinical Information System

1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

309
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
309
Integrated Healthcare System01:20

Integrated Healthcare System

2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Secondary Healthcare System01:11

Secondary Healthcare System

2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

290
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
290
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. Integrating Comprehensive Care In The Management Of Sickle Cell Disease Patients In Nigeria

Integrating comprehensive care in the management of sickle cell disease patients in Nigeria

Efobi Chilota Chibuife1, Nri-Ezedi Chisom Adaobi2, Chilaka Ugochinyere Jenny1

  • 1Nnamdi Azikiwe University, Department of Haematology and Blood Transfusion, Ituku-Ozalla Enugu, Nigeria.

Hematology, Transfusion and Cell Therapy
|November 1, 2025

Related Experiment Videos

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
05:23

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

20.3K
A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
07:24

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy

1.9K
Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry
08:23

Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry

Published on: November 5, 2019

10.3K

View abstract on PubMed

Summary
This summary is machine-generated.

Physicians in Nigeria implement comprehensive sickle cell disease care variably, with key components mainly in urban hospitals. Strengthening care requires equitable workforce distribution and integrating services like neonatal screening.

Area of Science:

  • Hematology
  • Public Health
  • Clinical Practice

Background:

  • Comprehensive sickle cell care involves a multidisciplinary approach from birth to adulthood, including screening, investigations, medications, and referrals.
  • Established by the US Sickle Cell Control Act (1972) and ASH initiatives, its adoption in Nigeria is evaluated.
  • This study assesses the implementation of these strategies by Nigerian physicians.

Purpose of the Study:

  • To examine the extent of comprehensive care strategy implementation in sickle cell disease management.
  • Focus on adult and pediatric hematologists in Nigeria.

Main Methods:

  • Cross-sectional study conducted from September to November 2022 in six tertiary hospitals.
  • Utilized an adapted primary care assessment tool to collect data on physician demographics and care components.
Keywords:
Comprehensive careHaematologistsPaediatriciansRoutine referrals

Related Experiment Videos

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
05:23

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

20.3K
A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy
07:24

A Precision Medicine Tool for Measurement and Monitoring of Hemoglobin S in Sickle Cell Disease Patients Receiving Transfusion Therapy

1.9K
Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry
08:23

Characterization of Sickling During Controlled Automated Deoxygenation with Oxygen Gradient Ektacytometry

Published on: November 5, 2019

10.3K
  • Data analyzed using descriptive statistics and chi-square tests.

    • Main Results:

    • 157 doctors participated, primarily in tertiary hospitals.
    • Folic acid and proguanil hydrochloride were common; hydroxyurea use was below 50%.
    • Complete blood count was the most frequent investigation; 58% scheduled routine investigations. Adult hematologists ordered more echocardiograms, pediatric hematologists more transcranial Dopplers. Adult hematologists had higher inter-speciality referral rates (p=0.0001). All participants provided counseling on clinic attendance, medication adherence, and lifestyle.

    Conclusions:

    • Key components of comprehensive sickle cell care are practiced at varying levels, predominantly in urban/tertiary hospitals.
    • Policy recommendations include prioritizing equitable workforce distribution and integrating services like neonatal screening and novel therapies for nationwide improvement.
    • Enhancing comprehensive care delivery necessitates addressing disparities in healthcare access and resources.
    Sickle cell disease