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mphasis to marginalized and remote areas. Children with sickle cell anemia are at risk for stroke. Ischemic stroke risk can be identified among children ages 2-16 years with sickle cell anemia using transcranial Doppler ultrasound. Despite strong recommendations for transcranial Doppler screening in guidelines released by the National Heart, Lung, and Blood Institute, implementation of transcranial Doppler screening in sickle cell anemia remains suboptimal. The purpose of this study was to identify barriers and facilitators to transcran