Publications Summary

Document Type
Working Papers
Publication Topic(s)
Child Health and Development, Youth
Nigeria DHS, 2018
Recommended Citation
Pullum, Thomas W. 2020. Analysis of Sickle Cell Genotypes of Young Children in Nigeria Using the 2018 DHS Survey. DHS Working Papers No. 175. Rockville, Maryland, USA: ICF.
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Publication Date
September 2020
Publication ID


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Small PDF IconAnalysis of Sickle Cell Genotypes of Young Children in Nigeria Using the 2018 DHS Survey (PDF, 1627K)
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A DHS survey conducted in Nigeria in 2018 included sickle cell genotyping of a subsample of children age 6-59 months. The survey was the first population-based household survey to include sickle cell genotyping of children at a national level. This working paper provides continued analysis of the data that was not possible in the main survey report. The paper examines the spatial distribution of the problematic genotypes and alleles and their relationship with indicators of child health, and compares with evidence from clinical studies of higher mortality for the SS and SC genotypes, and lower mortality for the AS genotype, which has a known protective effect against malaria. We find serious limitations in the capacity of these data to quantify differences in the mortality risk from sickle cell disease, malaria, or any other cause. However, we found that the siblings of genotyped children with sickle cell disease are about 2.5 times as likely to have died as the siblings of other genotyped children. The only significant relationship with childhood illness is with severe anemia. The main value of the data is the description of the spatial distribution of the genotypes and alleles within Nigeria. The S and C genes are primarily concentrated in most states in the South West Zone, including Lagos. Spatial information such as this will be informative for education and intervention campaigns.


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