Can we eliminate nutritional anaemia in the near future?

Das, Palash

doi:10.3329/seajph.v5i1.24844

Cited by 4 publications

(4 citation statements)

References 15 publications

(6 reference statements)

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“…This is may be due to the transition from feast to famine of iron store due to the rapid growth and expanding of blood volume during the first 2 years. As studies conducted in India [10], Nigeria [32] and Sub-Saharan Africa [4] showed, children within this age group require large amount of iron to maintain a near steady mean hemoglobin concentration within their body. Since the iron stores in their body has usually been depleted and exclusive breast feeding might not contain adequate iron, the initiation of complementary foods with high iron content is mandatory to satisfy their high iron demand.…”

Section: Discussionmentioning

confidence: 99%

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Under nutrition, maternal anemia and household food insecurity are risk factors of anemia among preschool aged children in Menz Gera Midir district, Eastern Amhara, Ethiopia: a community based cross-sectional study

et al. 2019

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Background In Ethiopian, the prevalence of anemia among preschool aged children widely varied across regions. Since anemia adversely affects the cognitive and physical development of the children, it is important to determine its burden for implementing appropriate measurements. Therefore, this study was aimed at determining the anemia prevalence and associated factors among preschool aged children. Method A community based cross-sectional study was conducted on a total of 432 preschool children in Menz Gera Midir district from January to May, 2017. A multi stage sampling procedure was applied to select the target groups. Hemocue analyzer for Haemoglobin determination; anthropometric measurements for assessment nutritional status, structured questionnaires for socio-demographic and economic variables were used for data collection. The morphological appearance of red blood cell was assessed microscopically to determine type of anemia. Descriptive statistics were employed to summarize the data and binary logistic regression was used for inferential statistics. A p value less than 0.05 was considered as statistically significant. Result The overall prevalence of anemia was 123 (28.5%); of which 38 (30.9%) and 85 (69.1%) were moderate and mild, respectively. Morphologically about 50.4, 37.4 and 12.2% were microcytic hypochromic, normocytic normochromic and macrocytic anemias, respectively. Child age 6-11 months (COR: 5.67, 95% CI: 2.2, 14.86), child age 12–23 months (COR: 5.8, 95% CI: 2.3, 14.7), wasting (COR: 3.5, 95% CI: 1.2, 9.8), stunting (COR: 3.8, 95% CI: 1.92, 7.77), underweight (COR: 2.12, 95% CI: 1.07, 4.38), MUAC measurement below 13 cm (COR: 5.6, 95% CI: 2.83, 11.15), household headed by female (COR: 3.24, 95% CI: 1.1, 9.63), maternal anemia (COR: 4, 95% CI: 2.2, 7.23) and household food insecurity (COR: 2.12, 95% CI: 1.09, 4.12) were significantly associated with anemia. Conclusion The prevalence of anemia among the children was found to be high and associated with child age group, child nutritional status, house hold headed by female, maternal anemia and household food insecurity. Further studies on nutritional anemia, community based nutritional education, iron supplementation to children at risk should be promoted.

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Section: Discussionmentioning

confidence: 99%

“…It affects children both physically and mentally. As a result, working capacity and educational performance of children will be decreased [2, 4, 10, 11].…”

Section: Introductionmentioning

confidence: 99%

Under nutrition, maternal anemia and household food insecurity are risk factors of anemia among preschool aged children in Menz Gera Midir district, Eastern Amhara, Ethiopia: a community based cross-sectional study

et al. 2019

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“…It adversely affects the cognitive and physical development of children which in turn results in a significant impairment of work capacity and school educational performance ( 3 , 5-7 ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated risk factors of anemia among HIV infected children attending Gondar university hospital, Northwest Ethiopia: a cross sectional study

et al. 2015

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BackgroundAnemia is the most common hematological abnormalities in HIV patients and it is a wide spread public health problem. The World Health Organization estimates that over 2 billion people are anemic worldwide with more than 100 million of these anemic children living in Africa. In Ethiopia, there is limited information about the prevalence and factors associated with anemia among HIV positive children. Thus, this study aimed to determine the prevalence and associated factors of anemia among HIV infected children aged 6 months to 14 years in Gondar university Hospital antiretroviral treatment clinic.MethodsA cross-sectional study was conducted on 265 HIV infected children from February to June 2013 on HIV infected children attending Gondar university Hospital ART clinic. The study subjects were selected with systematic random sampling technique. Data of socio demographic characteristics and clinical conditions of the study subjects was collected using a structured pretested questionnaire. Hemoglobin value and CD4 counts were determined by cell Dyne 1800 and FACS count machine respectively. WHO Cut off value of hemoglobin was taken and adjusted to altitude to define anemia. Data was analyzed by using the SPSS version 20 statistical software and bivariate and multivariate logistic regression was used to identify predictors.ResultsAnemia was present in 16.2 % (43 /265) of children, 60.5 % of them had mild anemia, 37.2 % had moderate anemia and 2.3 % had severe anemia. About 46.5 % of anemic children had normocytic-normochromic anemia followed by macrocytic-normochromic anemia (39.5 %). In this study, anemia was associated with eating green leafy vegetables (OR = 0.43, 95 % CI (0.188–0.981) and being on cotrimoxazole treatment (OR = 2.169, 95 % CI (1.047–4.49). But there was no significant association with age, sex, WHO clinical stage, opportunistic infections, intestinal parasitic infection and CD4 count percentage.ConclusionsThe majority of HIV positive children in Northwest Ethiopia have a mild type of anemia and the increase in prevalence of anemia is due to being on cotrimoxazole and eating green leafy vegetables. Therefore, early diagnosis and treatment of anemia is essential in these patients.

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“…The possible reason for drop of prevalence anemia and/or improvement of hemoglobin level might be the about the consequences of anemia and the bene ts of iron on pregnant women and fetus health might have encouraged women to comply with the nutrition advices in reducing anemia. Iron-folic acid supplementation may have also contributed to the reduction the rate of anemia in the intervention group (33,34).…”

Section: Discussionmentioning

confidence: 99%

Effect of Nutrition Education and Iron-folic acid supplementation on anemia among Pregnant Women: A quasi-experimental study

Anato,

Reshid

2024

Preprint

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Background The aim of this study was to assess the effect of nutrition education and counseling using health belief health model constructs along with iron-folic acid supplementation on hemoglobin level and adherence to IFAs during pregnancy Methods The study was a three months quasi-experimental study design in Butajira town, Ethiopia. Community-based nutrition education and counseling sessions using Health belief model, and IFAS for six weeks were given to the pregnant women. Baseline data and hemoglobin levels were measured at the time of enrollment. Maternal adherence to iron-folic acid tablets (IFA) was assessed using pill count based on the number of remaining pills in the retained prescribed bottles or strips. End-line data were collected from 97 intervention and 96 control group of pregnant women after 6 weeks of nutrition education intervention. Analysis of effect of intervention was done using Difference-In-Difference and a Generalized Estimation Equation (GEE) approaches. Results At the end of the nutrition education intervention, there was a significant drop in the proportion of anemia in the intervention group compared to the control group. The prevalence of anemia among intervention group declined from 27.8% at the baseline to 7.2% after intervention. The change in the knowledge score regarding IFAS and maternal adherence to IFAS were significantly higher in the intervention group as compared to the control group (p < 0.001). In this study, the odds of adherence to IFA supplementation were 2.26 (95% CI 1.55 to 3.29) times higher among those who received nutrition education intervention as compared to control group. Conclusion Implementation of community-based nutrition education and counseling along with IFAS improved the hemoglobin level and adherence to IFAS among pregnant women. Therefore, there is need to integrate community-based nutrition education approach by using HBM constructs with antenatal IFAS distribution to improve supplementation and hemoglobin level.

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Can we eliminate nutritional anaemia in the near future?

Abstract: not availableSouth East Asia Journal of Public Health Vol.5(1) 2015: 1-3

Cited by 4 publications

References 15 publications

Under nutrition, maternal anemia and household food insecurity are risk factors of anemia among preschool aged children in Menz Gera Midir district, Eastern Amhara, Ethiopia: a community based cross-sectional study

Under nutrition, maternal anemia and household food insecurity are risk factors of anemia among preschool aged children in Menz Gera Midir district, Eastern Amhara, Ethiopia: a community based cross-sectional study

Prevalence and associated risk factors of anemia among HIV infected children attending Gondar university hospital, Northwest Ethiopia: a cross sectional study

Effect of Nutrition Education and Iron-folic acid supplementation on anemia among Pregnant Women: A quasi-experimental study

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