Anaemia in pregnancy still a major cause of morbidity and mortality: insights from Koppal district, Karnataka, India

Shankar, Mridula; Reddy, B. Sambi

doi:10.1016/s0968-8080(12)40669-3

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…Pregnant women and children under 5 are 2 populations for which inadequate nutrition has the largest impact; so targeting women will also be critically important for reducing childhood undernutrition. [50][51][52] However, some study limitation must be noted. The study only includes 4 villages (2 treatment villages and 2 comparison villages) across Kalalé District in northern Benin, thus limiting its generalizability to other rural areas in the region.…”

Section: Discussionmentioning

confidence: 99%

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Solar-Powered Drip Irrigation Impacts on Crops Production Diversity and Dietary Diversity in Northern Benin

et al. 2016

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Background: Meeting the food needs of Africa's growing population will require innovative and appropriate technologies whose effectiveness needs to be assessed. Objective: To evaluate the impact of Solar Market Gardens (SMGs) on crops production diversity and dietary diversity in the Kalalé district of Northern Benin. Methods: In 2007, SMGs were installed in 2 villages for women's agricultural groups as a strategy for enhancing food and nutrition security. Data were collected through interviews at installation and 1 year later from all women's group households (30-35 women/group) and from a random representative sample of 30 households in each village, for both treatment and matched-pair comparison villages. Results: Comparison of baseline and endline data indicated increases in the variety of fruits and vegetables produced and consumed by SMG women's groups compared to other groups. The proportion of SMG women's group households engaged in vegetable and fruit production significantly increased by 26% and 55%, respectively (P < .05). After controlling for baseline values, SMG women's groups were 3 times more likely to increase their fruit and vegetable consumption compared with comparison non-women's groups (P < .05). In addition, the percentage change in corn, sorghum, beans, oil, rice and fish purchased was significantly greater in the SMG women's groups compared to other groups. At endline, 57% of the women used their additional income on food, 54% on health care, and 25% on education. Conclusions: Solar Market Gardens have the potential to improve household nutritional status through direct consumption and increased income to make economic decisions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Solar-Powered Drip Irrigation Impacts on Crops Production Diversity and Dietary Diversity in Northern Benin

et al. 2016

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“…[7][8][9] Apart from obstetric conditions (e.g., anemia, preeclampsia), women often suffered from other morbidities (e.g., malaria, tuberculosis) and/or social vulnerabilities stemming from abuses of gender power (e.g., domestic violence) or from stigma (e.g., postpartum depression/psychosis). Furthermore, cultural norms and traditions around childbearing were often at loggerheads with allopathic advice or treatment (see Table 3).…”

Section: How Ad Hoc Adaptations Undermine Maternal Safety and Equitymentioning

confidence: 99%

Adapting maternal health practice to co-morbidities and social inequality: A systematic approach

Iyer

Srinidhi

Sreevathsa

et al. 2017

Can J Public Health

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The process of adapting universal guidelines to local institutional and cultural settings is recognized as important to their implementation and uptake. However, clarity on what, why and how to adapt in an evidence-based manner is still somewhat elusive. Health providers in low and middle income country contexts often have to deal with widely present co-morbidities and social inequalities among pregnant women. Since neither of these problems finds adequate discussion within the usual guidelines, and given the continual pressures posed by resource scarcity, health providers respond through ad hoc adaptations inimical to maternal safety and equity. We argue for, and describe, a grounded process of systematic adaptation of available guidelines through the example of a handbook on maternal risks for primary care doctors and staff nurses. The systematic adaptation in this practical, action-oriented handbook builds on research for a long-standing community-based project on maternal safety and rights. It takes a case-based problem-solving approach. Reiterating guidelines and best practices in diagnostic decision-making and risk management, it indicates how these can respond to co-morbidities and social inequality via complex clinical cases and new social science information.KEY WORDS: Maternal health; best practices; guidelines; co-morbidity; social inequality; capacity building La traduction du résumé se trouve à la fin de l'article.

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“…30 In fact, anaemic women who reported fatigue during pregnancy did not seek medical attention because they believed their anaemia-related fatigue was just a normal part of pregnancy. 31 32 …”

Section: Introductionmentioning

confidence: 99%

Is fatigue a cue to obtain iron supplements in Odisha, India? A mixed methods investigation

et al. 2020

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ObjectivesThis study aims to understand if fatigue, the main symptom of anaemia, is a health concern that cues women and their referent groups to obtain iron folic acid supplements.DesignThis is a mixed methods study that consisted of a cross-sectional perceptual mapping and card sorting activity along with 16 focus group discussions with women of reproductive age, mothers-in-law and men. Participants of the perceptual mapping and card sorting activity were asked to compare images of anaemia-related items and concepts. Participants in the focus group discussions were asked about their daily life, aspirations and concerns among women and perceptions of anaemia and iron supplementation in the community. The quantitative data were analysed through multidimensional scaling and analyses of variance in SPSS. The qualitative data were analysed through applied thematic analysis using NVivo.SettingBhubaneswar, Odisha, India.ParticipantsWomen of reproductive age (n=30), mothers-in-law (n=30) and married men (n=30) were randomly selected to participate in the perceptual mapping and card sorting exercise. A separate sample of each group was randomly selected for the focus group discussions (n=148).Primary and secondary outcome measuresWe collected perceptions of dissimilarity between anaemia-related items, including fatigue and medical items; the extent to which these items were perceived as important to health or likable; and qualitative information about gender norms.ResultsCognitive maps and card sorting revealed that fatigue was conceptualised distinctly from items related to medical treatment and that perceptions around fatigue’s importance to health were low. Women from the focus groups reported that fatigue is a regular part of their daily life.ConclusionOur results indicate that fatigue is currently not an adequate cue to seek treatment, perhaps due to the normalisation of fatigue as a part of women’s daily life.

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Anaemia in pregnancy still a major cause of morbidity and mortality: insights from Koppal district, Karnataka, India

Cited by 4 publications

References 2 publications

Solar-Powered Drip Irrigation Impacts on Crops Production Diversity and Dietary Diversity in Northern Benin

Solar-Powered Drip Irrigation Impacts on Crops Production Diversity and Dietary Diversity in Northern Benin

Adapting maternal health practice to co-morbidities and social inequality: A systematic approach

Is fatigue a cue to obtain iron supplements in Odisha, India? A mixed methods investigation

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