Anaemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes

Msuya, Sia E.; Hussein, Tamara H.; Uriyo, Jacqueline; Sam, Noel E.; Stray‐Pedersen, Babill

doi:10.4314/thrb.v13i1.60881

Cited by 71 publications

(83 citation statements)

References 15 publications

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“…The overall prevalence of anemia is our study is lower than the finding of a study conducted in Jimma, Ethiopia (38%) and Ethiopian national survey report (22%) [9, 10]. It is also lower than the prevalence in Tanzania (47%), Mali (47%) and Nigeria (40%) [11–13] along with other countries including Pakistan (91%), India (75%), Turkey (43%) and China (26%) [14–17]. The inconsistency between this study finding and the finding in Jimma might be because that study included only first visitors of ANC for the current pregnancy in which it is normal to see an excess number of pregnant women with anemia in such populations.…”

Section: Discussioncontrasting

confidence: 67%

Socio-economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia

2018

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BackgroundGlobally, anemia in pregnancy increases maternal, fetal and neonatal mortality and morbidity. According to 2011 Ethiopian Demographic and Health Survey, 22% of pregnant women in Ethiopia were reported to be anemic. However, since the Ethiopian population is diverse with regard to culture, religion and other characteristics, this evidence may not represent the condition in our study area. So, we aimed to determine the prevalence of anemia and its associated factors among women receiving Antenatal Care (ANC) in Debre Berhan Town Hospitals and Clinics.MethodsWe conducted an institution based cross sectional study among women receiving ANC at hospitals and clinics in Debre Berhan Town, Ethiopia from September to November, 2013. Antenatal care providers in the respective health facilities collected the data by interview and observation using closed and open-ended questions. We computed frequencies and percentages to describe the data. We performed bivariate and multivariable binary logistic regression analyses to identify factors associated with anemia in pregnancy. STATA version 12 was used to carry out the analyses.ResultsA total of 295 participants completed the study, with a response rate of 89%. This study demonstrated a 10% prevalence of anemia out of which 64.3%, 32% and 4% of the respondents were with mild, moderate and severe anemia respectively. Anemia was statistically significantly associated with education and occupation.ConclusionThe prevalence of anemia in our study area is lower than previous studies’ findings. Literacy and job status of the women were predictors of anemia in pregnancy. Since this study was conducted on women who had an opportunity to visit health facilities, it is more valuable to conduct community based research to better understand the problem in the study area and thus propose future deliverable.

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Section: Discussioncontrasting

confidence: 67%

Socio-economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia

2018

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“…However, the figure is relatively comparable to other studies conducted in African countries such as Nigeria at 54.5% [16] and Ethiopia at 56.8% [17]. But it is lower than the findings from Uganda at 63.1% [18] and Egypt at 62.2% [19] and higher than Tanzanian finding at 47.4% [20].…”

Section: Discussionsupporting

confidence: 64%

Prevalence and Factors Associated with Anaemia among Pregnant Women Attending Antenatal Clinic in the Second and Third Trimesters at Pumwani Maternity Hospital, Kenya

Okube¹,

Mirie²,

Odhiambo³

et al. 2016

OJOG

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Background: Anaemia is one of the most common nutritional deficiency diseases observed globally and affects more than a quarter of the world's population. Globally, 41.8% pregnant women and close to one third of non-pregnant women (30.2%) are anaemic. Anaemia during pregnancy contributes to 20% of all maternal deaths and it increases the risks of foetal, neonatal and overall infant mortality. In Kenya, according to the Ministry of Health, the prevalence of anaemia among pregnant women is 55.1%. Objective: To determine the prevalence and associated factors of anaemia among pregnant women attending antenatal clinic (ANC) at Pumwani Maternity Hospital (PMH). Methodology: A hospital based cross-sectional study design was conducted from 8 th June to 18 th August, 2015. Systematic random sampling method was used to select 258 pregnant women. Mothers who attended ANC during the study period and who met the inclusion criteria were interviewed and a capillary blood sample was taken. Hemoglobin level was determined by using HemoCue photometer. Data were cleaned, coded and fed into SPSS Version 20.0 for analysis. Descriptive statistics such as frequency, percentage, mean and standard deviation were used to describe selected variables. Pearson's chi-square test and odds ratio (OR) with corresponding 95% confidence intervals (CI) computed to find association between independent and dependent variables. Multivariate analysis was done to determine factors significantly and independently predicting * Corresponding author. O. T. Okube et al. 17anaemia during pregnancy. Results: The present study revealed that the prevalence of anaemia among the pregnant women was 57%. Advanced maternal age (>31 years) (AOR = 2.71; 95% CI = 1.25 -5.88; P = 0.012) more than 18 -24 years, government/private employed women (AOR = 2.94; 95% CI = 1.47 -5.88; P = 0.002) and self-employed women (AOR = 1.91; 95% CI = 1.03 -3.53; P = 0.039) compared to housewives, not taking iron/folic acid supplementation (IFAS) (AOR = 2.04; 95% CI = 1.14 -3.64; P = 0.016) and mid-upper arm circumference (MUAC) less than 23 cm (AOR = 2.52; 95% CI = 1.36 -4.67; P = 0.003) were found to be predictors of anaemia. Conclusion: Anaemia among pregnant women is found to be severe public health problem based on the World Health Organization classification of anaemia. Advanced age, employment, not taking IFAS during the current pregnancy and MUAC of less than 23 cm were significantly and independently associated with anaemia during pregnancy. Thus, special attention should be given to pregnant women who are employed and advanced in age. Moreover, they should be educated on the importance of taking iron and folic acid during pregnancy.

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“…In Africa, the estimated prevalence of anemia in pregnancy is 51.9–59.6% [1]. The occurrence of anemia shows substantial variation within and between populations [2]–[4].…”

Section: Introductionmentioning

confidence: 99%

Khat Chewing and Restrictive Dietary Behaviors Are Associated with Anemia among Pregnant Women in High Prevalence Rural Communities in Eastern Ethiopia

2013

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BackgroundAnemia affects a high proportion of pregnant women in the developing countries. Factors associated with it vary in context. This study aimed to determine the prevalence and predictors of anemia among pregnant women in the rural eastern Ethiopia.MethodsA community-based cross-sectional study was done on 1678 pregnant women who were selected by a cluster random sampling technique. A pregnant woman was identified as anemic if her hemoglobin concentration was <11 g/dl. Data were collected in a community-based setting. Multilevel mixed effect logistic regression was used to determine the adjusted odds ratios (AOR) with 95% confidence intervals (CI) for the predictors of anemia.ResultsAnemia was observed among 737(43.9%) of the 1678 pregnant women studied (95% CI 41.5%–46.3%). After controlling for the confounders, the risk of anemia was 29% higher in the women who chewed khat daily than those who sometimes or never did so (AOR, 1.29; 95% CI, 1.02–1.62). The study subjects with restrictive dietary behavior (reduced either meal size or frequency) had a 39% higher risk of anemia compared to those without restrictive dietary behavior (AOR, 1.39; 95% CI, 1.02–1.88). The risk of anemia was increased by 68% (AOR, 1.68; 95% CI, 1.15–2.47), and 60% (AOR, 1.60; 95% CI, 1.08–2.37) in parity levels of 2 births and 3 births, respectively. Compared to the first trimester, the risk of anemia was higher by two-fold (AOR, 2.09; 95% CI, 1.46–3.00) in the second trimester and by four-fold (AOR, 4.23; 95% CI, 2.97–6.02) in the third trimester.ConclusionIn this study, two out of five women were anemic. Chewing khat and restrictive dietary habits that are associated with anemia in the setting should be addressed through public education programs. Interventions should also focus on the women at higher parity levels and those who are in advanced stages of pregnancy.

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Anaemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes

Cited by 71 publications

References 15 publications

Socio-economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia

Socio-economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia

Prevalence and Factors Associated with Anaemia among Pregnant Women Attending Antenatal Clinic in the Second and Third Trimesters at Pumwani Maternity Hospital, Kenya

Khat Chewing and Restrictive Dietary Behaviors Are Associated with Anemia among Pregnant Women in High Prevalence Rural Communities in Eastern Ethiopia

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