Anaemia in pregnancy in southern Malawi: prevalence and risk factors

Broek, Nynke R. van den; Rogerson, Stephen J.; Mhango, Chisale; Kambala, B.; White, Sarah; Molyneux, Malcolm E.

doi:10.1111/j.1471-0528.2000.tb13260.x

Cited by 50 publications

(9 citation statements)

References 21 publications

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“…A study from the urban areas of Udipi, Karnataka found the prevalence of anaemia to be 50.1 % (Hb determined by the cyanmethaemoglobin method) among pregnant women at ≤14 weeks of gestation, and identified age, parity, education, socio-economic status, compliance with Fe supplements, history of bleeding and food selection ability as significant determinants of anaemia; however, dietary factors were not studied (22) . Other studies have reported a higher prevalence of anaemia than our reported rate of 30.3% but these have been carried out among pregnant women later in pregnancy and have used different methods of measuring Hb (23–25) . The present anaemia prevalence is also lower than the published figures of 59% for any anaemia among pregnant Indian women (5) and 32 % for moderate to severe anaemia among pregnant women in Karnataka (7) .…”

Section: Discussioncontrasting

confidence: 71%

Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption

Samuel

Thomas

Finkelstein

et al. 2012

Public Health Nutr.

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Objective To identify correlates of anaemia during the first trimester of pregnancy among 366 urban South Indian pregnant women. Design Cross-sectional study evaluating demographic, socio-economic, anthropometric and dietary intake data on haematological outcomes. Setting A government maternity health-care centre catering predominantly to the needs of pregnant women from the lower socio-economic strata of urban Bangalore. Subjects Pregnant women (n 366) aged ≥18 and ≤40 years, who registered for antenatal screening at ≤14 weeks of gestation. Results Mean age was 22.6 (SD 3.4) years, mean BMI was 20.4 (SD 3.3) kg/m2 and 236 (64.5%) of the pregnant women were primiparous. The prevalence of anaemia (Hb <11.0g/dl) was 30.3% and of microcytic anaemia (anaemia with mean corpuscular volume <80fl) 20.2%. Mean dietary intakes of energy, Ca, Fe and folate were well below the Indian RDA. In multivariable log-binomial regression analysis, anaemia was independently associated with high dietary intakes of Ca (relative risk; 95% CI: 1.79; 1.16, 2.76) and P (1.96; 1.31, 2.96) and high intake of meat, fish and poultry (1.94; 1.29, 2.91). Conclusions Low dietary intake of multiple micronutrients, but higher intakes of nutrients that inhibit Fe absorption such as Ca and P, may help explain high rates of maternal anaemia in India.

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Section: Discussioncontrasting

confidence: 71%

Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption

Samuel

Thomas

Finkelstein

et al. 2012

Public Health Nutr.

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“…Studies on compliance with public health programs have identified that certain sub-groups have lower compliance based on social and demographic characteristics [26, 31–35, 51–55], and this study confirms the same problem with the prevention of anemia in pregnancy, thereby identifying subgroups of women who could benefit from more focused health education (Table 5). This study revealed positive association between use of ANC services and compliance with recommended uptake of micronutrients.…”

Section: Discussionsupporting

confidence: 68%

Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria

Onyeneho

I’Aronu

Chukwu

et al. 2016

J Health Popul Nutr

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BackgroundThe study investigated the factors associated with compliance to the recommended ≥90-day uptake of micronutrients for prevention of iron-deficiency anemia during pregnancy in Nigeria.MethodsA cross-sectional study of 1500 women who had babies within 6 months prior to the survey, drawn from six urban, peri-urban, and rural local government areas in Enugu and Imo States of Nigeria, was conducted, using a structured questionnaire. A focus group discussion was held with grandmothers and fathers of the new baby. In-depth interviews were held with health workers.ResultsThere were six demographic factors in the bivariate analysis: living in an urban center and close to health facility, and being wealthy, with post-secondary education as well as older and engaged in civil service showed significant association with compliance. The urban residents complied more than the peri-urban and rural residents (χ 2 = 12.749; p = 0.002). Those living close to the health facilities complied more than those living far away (χ 2 = 24.638; p < 0.001). Those in higher wealth quintile complied more (χ 2 = 13.216; p < 0.010). Utilization of antenatal clinics during pregnancy showed statistically significant association with compliance. Those who used the ANC services complied more than those that did not (χ 2 = 6.324; p = 0.010) and the more frequent the use of ANC services the more the compliance (χ 2 = 14.771; p < 0.001). These results were confirmed when the opinions expressed in the urban, peri-urban, and rural communities are compared. However, the multivariate binary logistic regression highlighted only urban residence, closeness to health facilities, and utilization of ANC services as positively associated with compliance.ConclusionThese findings could help in targeting health education program to increase compliance to the recommended uptake of micronutrients in prevention of anemia during pregnancy.

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“…In a study conducted in urban slum communities of Addis Ababa, the capital city of Ethiopia, the prevalence rate was 22.3% among lactating women [20].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Anemia among Lactating Mothers in Subsistence Farming Households from Selected Districts of Jimma Zone, South Western Ethiopia: A Community Based Cross-Sectional Study

Alemayehu¹

2017

J Nutr Food Sci

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Introduction: Anemia is the most common nutritional deficiency disorder affecting one third of the global population. Lactating mothers are more susceptible because of maternal iron depletion during lactation, blood loss during childbirth and inadequate nutrient intake. Morbidity associated with chronic anemia extends to loss of productivity from impaired work capacity, cognitive impairment, and increased susceptibility to infection. Nevertheless, many Ethiopian mothers remained anemic yet the availability of information is limited.

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Anaemia in pregnancy in southern Malawi: prevalence and risk factors

Abstract: The prevalence of anaemia in pregnancy in our population is unacceptably high and deserves more attention. Prophylaxis of all women rather than an 'at risk' group based on age or gravidity is recommended.

Cited by 50 publications

References 21 publications

Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption

Correlates of anaemia in pregnant urban South Indian women: a possible role of dietary intake of nutrients that inhibit iron absorption

Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria

Factors Associated with Anemia among Lactating Mothers in Subsistence Farming Households from Selected Districts of Jimma Zone, South Western Ethiopia: A Community Based Cross-Sectional Study

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