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Capacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluation

2026-05Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorRibeiro, Ricardo Teresa
dc.contributor.authorHcini, Najeh
dc.contributor.authorVasconcelos, Jocelyne
dc.contributor.authorAlves, Ligia
dc.contributor.authorMendes, Manuela
dc.contributor.authorGomes, Tatiana M.
dc.contributor.authorBrito, Miguel
dc.contributor.authorPomar, Léo
dc.date.accessioned2026-05-26T11:05:51Z
dc.date.available2026-05-26T11:05:51Z
dc.date.issued2026-05
dc.descriptionThis work was conducted as part of the UpScale (Ultrasound Predictive management of Sickle Cell Anaemia disease Enhancement in Pregnancy) project (n°131437), funded by the Swiss Tropical and Public Health Institute (Swiss TPH) in its capacity as the Leading House Africa, under the Consolidation Grant instrument.
dc.description.abstractObjectives: Sickle cell disease (SCD) increases risks in pregnancy, affecting both maternal and fetal outcomes. Ultrasound (US) is essential for monitoring these high-risk pregnancies. However, in countries like Angola, where SCD affects nearly 3% of pregnancies, access to skilled professionals is limited. This study evaluated the impact of an intensive US training program in Luanda, focusing on obstetric and abdominal US for SCD pregnancies. Methods: A prospective pre-post intervention study was conducted with 24 healthcare professionals working in 2 maternity units. Participants completed a survey to assess confidence in performing US procedures before and after a 1-week intensive training program. The training consisted of didactic lectures, supervised hands-on practice with real patients, and case discussions. Statistical analysis included distribution analysis and frequency, Mann-Whitney U tests, and effect sizes. Results: Pre-training, participants demonstrated limited experience with both abdominal and obstetric US in SCD pregnancies. Post-training, improvements were observed in assessments of abdominal organs and obstetric evaluations, with significance in Doppler assessments. Conclusion: The program effectively improved US proficiency and confidence in assessing SCD pregnancies. Incorporating continuous mentorship and locally adapted protocols could sustain these gains, with potential long-term benefits in maternal and fetal outcomes. Future initiatives should incorporate digital mentorship and refresher training.eng
dc.description.sponsorshipThis work was conducted as part of the UpScale (Ultrasound Predictive management of Sickle CelL Anaemia disease Enhancement in Pregnancy) project (n°131437), funded by the Swiss Tropical and Public Health Institute (Swiss TPH) in its capacity as the Leading House Africa, under the Consolidation Grant instrument.
dc.identifier.citationRibeiro RT, Hcini N, Vasconcelos J, Alves L, Mendes M, Brito M, et al. Capacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluation. J Sickle Cell Dis. 2026;3(1):yoag022.
dc.identifier.doi10.1093/jscdis/yoag022
dc.identifier.issn3029-0473
dc.identifier.urihttp://hdl.handle.net/10400.21/22896
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOxford University Press (OUP)
dc.relation.hasversionhttps://academic.oup.com/jscd/article/3/1/yoag022/8672522
dc.relation.ispartofJournal of Sickle Cell Disease
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPregnancy
dc.subjectSickle cell disease
dc.subjectUltrasound
dc.subjectObstetric ultrasound
dc.subjectCapacity building
dc.subjectMedical education
dc.subjectTraining programs
dc.subjectAngola
dc.titleCapacity building in obstetric and abdominal ultrasound for sickle cell disease pregnancies in Angola: a pre- and post-training evaluationeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.startPageyoag022
oaire.citation.titleJournal of Sickle Cell Disease
oaire.citation.volume3
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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