Another study conducted in the Democratic Republic of Congo by Aloni et al, comparing renal functions among 67 non SCD and 65 SCD children reported 12.3% of children with SCD had renal insufficiency (defined as eGFR<80ml/min/1.73m2) which was lower compared to our findings and this can partly be explained by the difference in population prevalence of SCD and use of different urine strips for albumin estimation[23]. Here, ALB is linked to Renal insufficiency.