Comparison of screening methods for anaemia in pregnant women in Awassa, Ethiopia

Gies, Sabine; Brabin, Bernard; Yassin, Mohammed A.; Cuevas, Luís E.

doi:10.1046/j.1365-3156.2003.01037.x

Cited by 38 publications

(51 citation statements)

References 16 publications

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“…In malarious areas, the prevalence of anaemia (<8 g/dl) ranged from 3.4% (Ghana) 15 to 38.3% (PNG). 26 In the two studies from nonmalarious areas which used an Hb cutoff of <8 g/dl, 3.6% of primigravidae in Nepal, 36 but none in Ethiopia, 35 had anaemia at this level.…”

Section: Resultsmentioning

confidence: 96%

“…comm.) 27 PNG (coastal) Cyanomethaemoglobin Booking Mutabingwa et al 28 Tanzania Cyanomethaemoglobin Enrolment Matteelli et al 29 Tanzania NK Delivery Mnyika et al 30 Tanzania NK Booking 24 weeks Kasumba et al 31 Uganda PCV Delivery Jackson et al 32 Zaire Cyanomethaemoglobin Booking van Dongen and van't Hof 33 Zambia Colorimetric method Booking Nonmalarious areas Xiong et al 34 China NK Booking Gies et al 35 Ethiopia HemoCue Booking Bondevik et al 36 Nepal Haematocrit Booking Chaita (pers. comm.)…”

Section: Resultsmentioning

confidence: 99%

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Maternal anaemia as an indicator for monitoring malaria control in pregnancy in sub‐Saharan Africa

Savage

Msyamboza

Gies

et al. 2007

BJOG

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Design Malarial anaemia is a major problem in many developing countries and often occurs more frequently in first pregnancies, as primigravidae are more susceptible to Plasmodium falciparum malaria and are at excess risk of malarial anaemia.Objective and methods To analyse the excess risk of anaemia in primigravidae as a potential indicator of malaria control and exposure in pregnant women living in sub-Saharan Africa. The sensitivity, specificity and predictive values for anaemia in first compared with later pregnancies are calculated for 27 studies from malarious and 7 studies from nonmalarious areas.Setting Surveys of pregnancy anaemia reported for highly malarious and nonmalarious areas.Results In malarious areas, the weighted odds ratio for excess anaemia (haemoglobin [Hb] <11 g/dl) in primigravidae compared with multigravidae for all studies was 1.34 (95% CI 1.14-1.58). At an Hb cutoff below 8 g/dl, the weighted odds ratio was 1.79 (95% CI 1.52-2.10). In nonmalarious areas, there was no increased risk of anaemia in primigravidae with Hb below 11 g/dl (OR 0.80; 95% CI 0.63-1.90) or below 8 g/dl (OR 0.82, 95% CI 0.51-1.28).Conclusions In view of the consistency of results across highly malarious areas compared with nonmalarious areas, maternal anaemia has the potential to be used for surveillance of malaria control in pregnancy. Based on the analysis, an anaemia nomogram is developed for use as a surveillance indicator in malarious areas in sub-Saharan Africa.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Maternal anaemia as an indicator for monitoring malaria control in pregnancy in sub‐Saharan Africa

Savage

Msyamboza

Gies

et al. 2007

BJOG

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“…In settings where iron deficiency is not the only cause of anemia, approaches that combine iron interventions with other measures are needed. Strategies should include addressing other causes of anemia, and should be built into the primary health care system and existing programs 8,9 . It is estimated that approximately 1.3 billion individuals in the world suffer from anemia, making it one of the most important public health issues on the international agenda 10,11 .…”

Section: Figure 1: Graphical Representation Of Hematological Changes mentioning

confidence: 99%

“…The mean minimum acceptable hemoglobin level during pregnancy by WHO criteria is taken to be 11g/dl in the first half of pregnancy and 10.5 g/dl in the second half of pregnancy 21 . The World Health Organization further divide anemia in pregnancy into: mild anemia (hemoglobin 10-10.9g/dl), moderate anemia (Hb 7.0-9.9g/dl) and severe anemia (hemoglobin < 7g/dl) 22 . Due to lack of resources and lack of staff motivation, screening of anemia is often done solely by clinical examination of the conjunctivae or is not carried out at all.…”

Section: Anemia In Pregnancymentioning

confidence: 99%

Prevalence of Anemia Among Pregnant Women in Ethiopia and Its Management: A Review

Tsegaye¹,

Tesfaye²

2014

Int. Res. J. Pharm.

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Anemia is a major global health problem, especially in developing countries and is a common and serious problem in pregnancy. It has serious short-and long-term consequences during pregnancy and beyond. This fundamental health issue has not still been solved but continues to exist affecting the health, quality of life and working capacity in billions of people all over the world. The anemic condition is often worsened by the presence of other chronic diseases such as malaria, tuberculosis, HIV, and diabetes. Untreated anemia also leads to increased morbidity and mortality from these chronic conditions as well. Current knowledge indicates that iron deficiency anemia in pregnancy is a risk factor for preterm delivery and subsequent low birth weight, and possibly for inferior neonatal health. Even for women who enter pregnancy with reasonable iron stores, iron supplements improve iron status during pregnancy and for a considerable length of time postpartum, thus providing some protection against iron deficiency in the subsequent pregnancy. This literature review focuses on the prevalence and major causes of anemia seen on a global & Ethiopian scale. Most cases of anemia are due to iron deficiency, which often work in combination with folate deficiency and/or vitamin B12 deficiency as well as with infections. More efforts should be dedicated to tackle this massive problem-we have the tools and we know the ways. Iron fortification of appropriate food items combined with iron supplements in specific population groups has proved to be efficient. Initially, the efforts should be centered on the specific risk groups for iron deficiency anemia, i.e. pregnant women.

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“…Micronutrients deficiency and associated health risks are highly prevailing in Ethiopia, as various studies confirm [13]- [15]. It has been revealed that the bioavailability Zn and Fe in the dietary intake of more than 50% of women of childbearing age [16] is questionable.…”

Section: Prevalence Of Micronutrient Deficiency In Ethiopiamentioning

confidence: 99%

Linking Agriculture with Health through Genetic and Agronomic Biofortification

Melash¹,

Mengistu²,

Aberra³

2016

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Malnutrition and associated health problems are partly related to minerals and vitamins deficiencies where anemia and stunting are the major diseases affecting nearly half of pregnant women and about 20% children under age of five, respectively in developing countries. Despite the significant progress made in recent decades, prevalence of stunting in Ethiopia remains high (44%, among children) that necessitate the country yet to make significant investment in nutrition and health. Strategies designed to overcome the problem range from micronutrient rich foods supplement to complementing foods with vegetables and fruits. However, such strategies are expensive as well as not sustainable to reach the poor households of developing countries. The persistence of the problem calls for agriculture based alternative solutions such as agronomic biofortification and micronutrients biofortification through plant breeding. Utilization of crop wild relatives, local landraces and old cultivars are proved to contain sufficient grain micronutrients and their utilization in breeding programs can solve the deficiency of micronutrients such as zinc and iron. Similarly, agronomic biofortification could improve grain Zn and Fe contents in several folds. Application methods and crop developmental stages during which fortification applied significantly determine the efficiency of fortification. Foliar application at heading and milking stages could accumulate very high Zn and Fe in cereal grains. The synergistic effect of genetic and agronomic fortification could also be utilized to produce Zn and Fe rich food crops. Hence, linking agriculture with nutrition and health could offer equitable, effective, sustainable and cheap solutions to micronutrients malnutrition and their deficiency related health problems.

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Comparison of screening methods for anaemia in pregnant women in Awassa, Ethiopia

Cited by 38 publications

References 16 publications

Maternal anaemia as an indicator for monitoring malaria control in pregnancy in sub‐Saharan Africa

Maternal anaemia as an indicator for monitoring malaria control in pregnancy in sub‐Saharan Africa

Prevalence of Anemia Among Pregnant Women in Ethiopia and Its Management: A Review

Linking Agriculture with Health through Genetic and Agronomic Biofortification

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