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Outcomes, challenges and prospects of emicizumab prophylaxis in Sub-Saharan Africa – Insights from the Tanzanian experience Cover

Outcomes, challenges and prospects of emicizumab prophylaxis in Sub-Saharan Africa – Insights from the Tanzanian experience

Open Access
|Mar 2025

Figures & Tables

Figure 1.

Adherence patterns of study participant on emicizumab prophylaxis
Adherence patterns of study participant on emicizumab prophylaxis

Figure 2:

Site and location of bleeds in Haemophilia A patients on emicizumab prophylaxis
Site and location of bleeds in Haemophilia A patients on emicizumab prophylaxis

Sociodemographic and clinical characteristics of study participants

VARIABLEFREQUENCY(N=55)PERCENTAGE(%)
Age group
Below 5 years1425.5%
5–18 years3461.8%
Above 18 years712.7%
Median age (IQR)8 (4,14)
Area of residence
Dar es Salaam2850.9%
Outside Dar es Salaam2749.1%
Haemophilia severity
Severe (<1%)2850.9%
Moderate (1–5%)2240.0%
Mild (6–40%)47.3%
Unknown11.8%
History of inhibitors post CFC exposure
Present1934.6%
Absent3665.4%
Pre-emicizumab prophylaxis ABR (median and IQR)8(5,16)
Target joint prior to prophylaxis
Present1934.6%
Absent3665.4%

Association between sociodemographic and clinical characteristics and spontaneous bleeding

VARIABLESPONTANEOUS BLEEDINGUNIVARIABLE ANALYSIS
YES (%)NO (%)P VALUEAPR95%CIP VALUE
Age group (years)
< 51 (7.1%)13 (92.9%)< 0.0001Ref
5–185 (15.2%)28 (84.8%)2.120.27–16.540.473
>185 (83.3%)1 (16.7%)11.671.71–79.760.012
Severity of haemophilia
Mild1 (25.0%)3 (75.0%)0.885Ref
Moderate4 (18.2%)18 (81.8%)0.730.11–4.940.744
Severe6 (23.1%)20 (76.9%)0.920.15–5.790.932
Cumulative adherence
Adherence6 (14.6%)35 (85.4%)0.0980.350.13–0.950.040
Non-adherence5 (41.7%)7 (58.3%)Ref
Residence
Dar-es-Salaam5 (19.2%)21 (80.8%)1.000Ref
Outside Dar-es-Salaam6 (22.2%)21 (77.8%)1.160.40–3.330.789
Mode of payment
Exemption0 (0.0%)1 (100.0%)1.0000.800.68–0.950.010
Insured7 (23.3%)23 (76.7%)0.990.80–1.220.900
Private2 (25.0%)6 (75.0%)1.000.75–1.341.000
Public (cost sharing)4 (25.0%)12 (75.0%)Ref
Language: English
Page range: 15 - 22
Published on: Mar 19, 2025
Published by: Haemnet Ltd
In partnership with: Paradigm Publishing Services
Publication frequency: 1 times per year

© 2025 Rebbecca Wughanga Mwakichako, Rajabu Hussein Mnkugwe, Clara Chamba, Peter Kunambi, Martha Bruckman, Anna Schuh, Michelle Munroe, Gladys Kaaya, Mwashungi Ally, Ahlam Nasser, William Mawala, Magdalena Lyimo, Johnny Mahlangu, Stella Rwezaula, published by Haemnet Ltd
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.