Bethany A Yon, Rachel K Johnson
New School Meal Regulations and Consumption of Flavored Milk in Ten US Elementary Schools, 2010 and 2013
Preventing chronic disease
sickle cell disease scd remains public health problem especially subsaharan africa including ghana pilot initiatives africa demonstrated neonatal screening coupled early intervention reduces scdrelated morbidity mortality 5070 screenpositive babies successfully retrieved benefit interventions pointofcare testing poct high specificity sensitivity scd screening integrated existing immunization programs africa improve retrieval rates study explored community acceptability integrating poct screen scd children 5 years age primary healthcare facilities northern ghana exploratory study using qualitative research approach 10 focus group discussions 20 indepth interviews conducted community members health workers april june 2022 recorded interviews transcribed verbatim repeatedly listening recordings data coded themes using qsr nvivo 12 software thematic analysis participants 709 described scd serious potentially lifethreatening condition affecting children area 148 community members health workers 141 952 said screening exercise could facilitate diagnosis scd children early management however discrimination fear tested positive stigmatization negative health worker attitude linked issues maintaining confidentiality reported participants key factors could affect uptake scd screening exercise participants suggested intensive health education 783 positive attitude health workers 695 screening health workers biased 588 could promote community acceptability large majority participants viewed screening scd children important however opinions expressed participants suggest health education professionalism health workers keeping patients information confidential could improve uptake exercise