Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

Djamila L. Ghafuri; Shehu U. Abdullahi; Abdu H. Dambatta; Jamil Galadanci; Musa A. Tabari; Halima Bello-Manga; Nura Idris; Hauwa Inuwa; Aliyu Tijjani; Aisha A. Suleiman; Binta W. Jibir; Safiya Gambo; Awwal I. Gambo; Yusuf Khalifa; Lawal Haliru; Sani Abdulrasheed; Mohammed A. Zakari; Brittany C. Greene; Edwin Trevathan; Lori C. Jordan; Muktar H. Aliyu; Ana A. Baumann; Michael R. DeBaun

doi:10.1097/MPH.0000000000002179

Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

Djamila L. Ghafuri, Shehu U. Abdullahi, Abdu H. Dambatta, Jamil Galadanci, Musa A. Tabari, Halima Bello-Manga, Nura Idris, Hauwa Inuwa, Aliyu Tijjani, Aisha A. Suleiman, Binta W. Jibir, Safiya Gambo, Awwal I. Gambo, Yusuf Khalifa, Lawal Haliru, Sani Abdulrasheed, Mohammed A. Zakari, Brittany C. Greene, Edwin Trevathan, Lori C. JordanMuktar H. Aliyu, Ana A. Baumann, Michael R. DeBaun

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Abstract

We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.

Original language	English
Pages (from-to)	E56-E61
Journal	Journal of Pediatric Hematology/Oncology
Volume	44
Issue number	1
DOIs	https://doi.org/10.1097/MPH.0000000000002179
State	Published - Jan 1 2022

Keywords

Low-resource setting
Nigeria
RE-AIM
Sickle cell
Stroke prevention

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Ghafuri, D. L., Abdullahi, S. U., Dambatta, A. H., Galadanci, J., Tabari, M. A., Bello-Manga, H., Idris, N., Inuwa, H., Tijjani, A., Suleiman, A. A., Jibir, B. W., Gambo, S., Gambo, A. I., Khalifa, Y., Haliru, L., Abdulrasheed, S., Zakari, M. A., Greene, B. C., Trevathan, E., ... DeBaun, M. R. (2022). Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework. Journal of Pediatric Hematology/Oncology, 44(1), E56-E61. https://doi.org/10.1097/MPH.0000000000002179

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title = "Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework",

abstract = "We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.",

keywords = "Low-resource setting, Nigeria, RE-AIM, Sickle cell, Stroke prevention",

author = "Ghafuri, {Djamila L.} and Abdullahi, {Shehu U.} and Dambatta, {Abdu H.} and Jamil Galadanci and Tabari, {Musa A.} and Halima Bello-Manga and Nura Idris and Hauwa Inuwa and Aliyu Tijjani and Suleiman, {Aisha A.} and Jibir, {Binta W.} and Safiya Gambo and Gambo, {Awwal I.} and Yusuf Khalifa and Lawal Haliru and Sani Abdulrasheed and Zakari, {Mohammed A.} and Greene, {Brittany C.} and Edwin Trevathan and Jordan, {Lori C.} and Aliyu, {Muktar H.} and Baumann, {Ana A.} and DeBaun, {Michael R.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2021 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY)",

year = "2022",

month = jan,

day = "1",

doi = "10.1097/MPH.0000000000002179",

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Ghafuri, DL, Abdullahi, SU, Dambatta, AH, Galadanci, J, Tabari, MA, Bello-Manga, H, Idris, N, Inuwa, H, Tijjani, A, Suleiman, AA, Jibir, BW, Gambo, S, Gambo, AI, Khalifa, Y, Haliru, L, Abdulrasheed, S, Zakari, MA, Greene, BC, Trevathan, E, Jordan, LC, Aliyu, MH, Baumann, AA & DeBaun, MR 2022, 'Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework', Journal of Pediatric Hematology/Oncology, vol. 44, no. 1, pp. E56-E61. https://doi.org/10.1097/MPH.0000000000002179

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AU - Ghafuri, Djamila L.

AU - Abdullahi, Shehu U.

AU - Dambatta, Abdu H.

AU - Galadanci, Jamil

AU - Tabari, Musa A.

AU - Bello-Manga, Halima

AU - Idris, Nura

AU - Inuwa, Hauwa

AU - Tijjani, Aliyu

AU - Suleiman, Aisha A.

AU - Jibir, Binta W.

AU - Gambo, Safiya

AU - Gambo, Awwal I.

AU - Khalifa, Yusuf

AU - Haliru, Lawal

AU - Abdulrasheed, Sani

AU - Zakari, Mohammed A.

AU - Greene, Brittany C.

AU - Trevathan, Edwin

AU - Jordan, Lori C.

AU - Aliyu, Muktar H.

AU - Baumann, Ana A.

AU - DeBaun, Michael R.

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AB - We used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to evaluate a Stroke Prevention Team's readiness to prevent strokes in children with sickle cell anemia living in northern Nigeria. The NIH sponsored Stroke Prevention Trial in Nigeria included a goal of a sustainable stroke prevention program. The program's 1-year reach for transcranial Doppler screening was 14.7% (4710/32,000) of which 6.0% (281/4710) had abnormal velocities (≥ 200 cm/s). All participants with abnormal transcranial Doppler velocities were started on hydroxyurea (effectiveness). The leaders of all 5 hospitals agreed to adopt the program. After 1 year, program-implementation and maintenance rates were 100%, demonstrating the program's feasibility and short-term sustainability.

KW - Low-resource setting

KW - Nigeria

KW - RE-AIM

KW - Sickle cell

KW - Stroke prevention

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AN - SCOPUS:85122810958

SN - 1077-4114

VL - 44

SP - E56-E61

JO - Journal of Pediatric Hematology/Oncology

JF - Journal of Pediatric Hematology/Oncology

IS - 1

ER -

Establishing Sickle Cell Disease Stroke Prevention Teams in Africa is Feasible: Program Evaluation Using the RE-AIM Framework

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Keywords

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