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Step-by-step · Sickle cell

How to Get Your Child’s Sickle Cell Treated in India: Step-by-Step from Nigeria

The order of things matters. This is what to do first, what can wait, and where families from Nigeria usually lose time, from the first blood test to the flight home.

Illustration of a seven-step path from reports in Nigeria to returning home after treatment in India

Most parents who contact us from Lagos, Abuja or Port Harcourt have already done months of reading. What they're missing is the order of things: what to do first, what can wait, and where families tend to lose weeks. This is that order.

Typical timeline for a sickle cell transplant in India, from NigeriaWk 0Wk 2Wk 4Wk 6Wk 8Wk 10Wk 12Wk 14Wk 16Wk 18Reports + HLA typingSpecialist opinion (48 hrs)Visa + travel planningArrive, pre-transplant testsConditioning + transplantEngraftment, in hospitalRecovery near hospitalAbout 90 days in India
A typical timeline. Your child's own plan depends on donor type, recovery speed and visa processing.

1. Collect your child's reports

Start with the haemoglobin electrophoresis or HPLC result confirming the diagnosis, a recent full blood count, and kidney and liver tests. Add a short history: crises per year, any stroke or acute chest syndrome, and how many transfusions. Clear phone photos are fine for a first review.

2. Get HLA typing for your child and full siblings

This blood test shows who can donate. Each full brother or sister (same mother and father) has about a one-in-four chance of being a perfect match. If nobody matches, a parent can usually donate as a half-match. Our page on types of BMT explains both.

3. Send everything to us

A senior transplant specialist reviews the case, and within 48 hours you'll hear whether a transplant is right for your child, with a written cost estimate. If more than one unit suits the case, you get more than one estimate to compare. You can look through the hospitals and doctors beforehand.

4. Apply for the medical visa

Once you choose a hospital, it emails an invitation letter to the Indian mission in Nigeria. Your child applies for a medical visa, and the donor and one carer apply as medical attendants. Sort the vaccination certificates early. They're the usual hold-up.

Medical visa checklist for Nigerian families
DocumentWhere it comes fromGood to know
Passport, 6+ months validNigeria Immigration ServiceOne for every traveller, including the donor
Hospital invitation letterIndian hospital, emailed to the missionNames the patient, donor and attendants
Referral letterYour child's haematologistOn letterhead, signed and stamped
Bank statement, last 3 monthsYour bankCertified; add a sponsor affidavit if someone else pays
Donor compatibility reportHLA laboratoryRequired for transplant visas
Yellow fever certificateVaccination centreEveryone except infants under six months
Polio vaccination certificateVaccination centreMandatory for Nigerian residents; valid one year

5. Travel and settle in

There's no direct flight, so plan for one connection and 14 to 20 hours door to door. Our team meets you at the airport and helps you find a furnished flat near the hospital. Pack two weeks of your child's usual medicines and a warm layer, because transplant wards are kept cool.

6. The transplant

Week one is tests for your child and the donor. Then comes conditioning chemotherapy, the stem cell infusion (it looks like a blood transfusion and takes an hour or two), and two to four weeks of waiting for the new marrow to start working. Our treatment process page walks through each stage.

7. Recovery and going home

Most families stay about three months. Before you fly, the hospital hands over a follow-up plan your doctor at home can run with, and we stay in touch for the check-ins after that. For the money side, see our India vs Nigeria cost breakdown or the treatment cost page.

BMT Treatment India helps families from Nigeria and across Africa plan bone marrow transplants at accredited hospitals in India, from the first report to the flight home.

Sources and notes. Visa document list based on the medical visa requirements published by the High Commission of India, Abuja. Requirements change, so confirm with the Indian mission before you apply.

Get a specialist opinion for your child

Send the electrophoresis report and recent blood counts. A senior transplant specialist replies within 48 hours, at no charge.

Medical disclaimer. BMT Treatment India is a patient-facilitation service, not a hospital or healthcare provider. The information on this page is general education and is not a substitute for professional medical advice, diagnosis or treatment. Costs, durations and outcomes are indicative and vary by diagnosis, donor availability, centre and clinical condition; only a treating transplant physician can confirm suitability, and only the hospital can issue a binding estimate. Always seek the advice of a qualified doctor regarding your medical condition.
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