BackgroundThe global prevalence of α-thalassemia necessitates effective newborn screening strategies due to its severe clinical consequences. Traditional methods such as liquid chromatography (LC), capillary electrophoresis (CE), and isoelectric focusing (IEF) face limitations, including low separation efficiency, poor sensitivity for detecting Hb Bart’s, and time-intensive operations, particularly with dried blood spots (DBS). These limitations hinder timely and accurate screening. This study addresses the need for a more efficient, sensitive, and rapid method for detecting Hb Bart’s in newborns. ResultsWe enhanced IEF separation and sensitivity by designing a microfluidic IEF (mIEF) system with shortened columns and employing a coelution sample loading technique using oil-sealed blood spots for rapid sample pretreatment. Our experiments demonstrated significant improvements: the total analysis time was reduced from 1110 minutes (IPG IEF) and 46 minutes (LC) per batch to 36 minutes per batch. For individual samples, the focusing time decreased from 6 minutes (previous mIEF) to 3 minutes, with the microcolumn length shortened by 50%, from 30 mm to 15 mm. The developed method showed excellent consistency with clinical Bart’s detection and PCR diagnosis, achieving 100% sensitivity and 98% specificity for α-thalassemia screening. Significance and NoveltyOur novel mIEF method provides an efficient, sensitive, and rapid tool for screening newborns for α-thalassemia. This advancement addresses the limitations of traditional techniques, improving early diagnosis and intervention strategies and ultimately enhancing health outcomes for at-risk newborns.