{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T23:49:20Z","timestamp":1776383360112,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Lab Hematology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>There have been considerable advances in diagnosing and treating bleeding disorders. But the scenario remains dismal in resource\u2010constrained settings in low and lower\u2010middle\u2010income countries (LMICs). Seventy\u2010five percent of the patients with inherited bleeding disorders do not get diagnosed in LMICs. In resource\u2010constrained settings, infectious disease and malignancies take the major focus. Bleeding disorders do not get prioritised in LMICs, and this leads to underdiagnoses and suboptimal treatment. There are various challenges like financial status, inadequacy of health care infrastructure, lack of patient registry and lack of awareness across medical staff, general population and government stakeholders. The lack of skilled laboratory personnel and laboratory infrastructure for optimal bleeding disorder diagnosis adds on to the problem. World Federation of Hemophilia (WFH) has been at the forefront in developing strategies to overcome some of these inadequacies; however, more active participation of the stakeholders including patients, medical professionals and policy makers is the need of the hour. This review highlights the different challenges in LMICs in diagnosing bleeding disorders, the gap between high\u2010income countries and LMICs and the possible strategies in closing the gap.<\/jats:p>","DOI":"10.1111\/ijlh.14377","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T07:23:31Z","timestamp":1728631411000},"page":"36-40","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Current Diagnosis of Bleeding Disorders in Lower Income Countries"],"prefix":"10.1111","volume":"47","author":[{"given":"Deepak K.","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Laboratory Hematology Tata Medical Center  Kolkata India"},{"name":"Department of Molecular Pathology Tata Medical Center  Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asish","family":"Rath","sequence":"additional","affiliation":[{"name":"Department of Laboratory 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