Determinants of severity levels of anemia among children aged 6–59 months in Ethiopia: further analysis of the 2011 Ethiopian demographic and health survey

Muchie, Kindie Fentahun

doi:10.1186/s40795-016-0093-3

Cited by 39 publications

(69 citation statements)

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“…This prevalence is consistent with studies done in South-central Ethiopia [30], Timor-Leste [18], and Northeastern Brazil [31]. However, it is lower than studies conducted in another part of Ethiopia [32–34]. Tanzania [35], Benin and Mali [36], Haiti [37], Bangladesh [38], Indonesia [17], and Pernambuco, Northeastern Brazil [39].…”

Section: Discussionsupporting

confidence: 87%

Anemia severity among children aged 6–59 months in Gondar town, Ethiopia: a community-based cross-sectional study

et al. 2018

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BackgroundAnemia is a public health problem affecting both developed and developing countries. Childhood anemia is associated with serious consequences including growth retardation, impaired motor and cognitive development, and increased morbidity and mortality. Hence, this study aimed at assessing the prevalence and factors associated with severity of anemia among children aged 6–59 months in Gondar town, northwest Ethiopia.MethodA community-based cross-sectional study was conducted. A multi-stage sampling technique was employed to select study participants. Socio demographic and socioeconomic data were collected using a pre-tested structured questionnaire. Anthropometric measurements were taken as per WHO recommendation. Hemoglobin (Hb) concentration was measured using a portable HemoCue301 instrument (A Quest Diagnostic Company, Sweden). Mild anemia corresponds to a level of adjusted Hb of 10.0–10.9 g/dl; moderate anemia corresponds to a level of 7.0–9.9 g/dl, while severe anemia corresponds to a level less than 7.0 g/dl. Descriptive statistics were used to describe the study participants. Both bivariable and multivariable ordinal logistic regression were done, and proportional odds ratio (POR) with a 95% confidence interval (CI) was reported to show the strength of association. A p-value < 0.05 was considered statistically significant.ResultOut of the total of 707 children included in this study, more than half (53.5%) of them were male. The median age of children was 30 months. Two hundred two (28.6%) of children were anemic: 124(17.5%) were mildly anemic, 73(10.3%) were moderately anemic, and 5 (0.7%) were severely anemic. The young age of the child, low frequency of child complementary feeding per day, primary maternal educational status, unmarried maternal marital status, and home delivery were factors associated with severity of childhood anemia.ConclusionAnemia among children aged 6–59 months in Gondar Town was a moderate public health problem. Improving access to education, providing regular health education about childcare and child feeding practices, strengthening the socioeconomic support for single-parent families and conducting regular community-based screening are recommended to reduce childhood anemia.

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Section: Discussionsupporting

confidence: 87%

Anemia severity among children aged 6–59 months in Gondar town, Ethiopia: a community-based cross-sectional study

et al. 2018

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“…Higher age group tends to be less anemic than Lower age group in line with the findings done in Kenya and West Africa [15][16][17]. On the other hand, our findings show that children with lower age groups had a higher chance of severing anemic and the result is consistent with the previous study conducted in some countries like Nepal, rural India and Brazil [18][19][20][21].…”

Section: Discussionsupporting

confidence: 92%

Modeling Deficiency of Hemoglobin Severity Among Children in Ethiopia

Chernet¹

2019

JHMN

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Background: Anemia is a public health problem that affects populations worldwide. Anemia in children is a recognized public health problem that impacts adversely on child morbidity, mortality and impairs cognitive development. This study aimed to determine the prevalence of mild, moderate and severe anaemia, and the associated factors among children under-five years in EthiopiaMethod: The data was obtained from 2016 Ethiopia Demographic and Health Survey which is the fourth survey. The sample was selected using a stratified; two-stage cluster sampling design and the data was analyzed using Partial Proportional Odds model. Results: From 4684 sample of children half of the children (54%) have moderate anemic status while 39.4% and 6.6% of them have mild and severe anemic status respectively. The highest prevalence of anemia among children observed in Somali (17.8%) and the lowest percentage that was recorded in Addis Ababa (3.1%). Conclusion: The female children, rural children, children from poor family, and having low weight are related to the severity of anemia. BackgroundAnemia can be defined as a reduction in the hemoglobin, hematocrit, or red cells number. In physiologic terms, anemia is any disorder in which the patient suffers from tissue hypoxia due to decreased oxygen carrying capacity of the blood [1]. It is mainly caused by iron deficiency in all developing countries, including Africa, where consumption of iron is limited. This is because iron-rich or animal based foods are not affordable by most families. Children<2years and pregnant women are most at risk for anemia because their requirements for iron are higher than any other group [2].The World Health Organization (WHO) considers anemia prevalence over 40% as a major public health problem, between 20% and 40% as a medium level public health problem, and between 5% and 20% as a mild public health problem [3]. High prevalence of anemia and its consequences on children's health, especially for their growth and development, have made anemia an important public health problem, given the difficulty in implementing effective measures for controlling it. Severe anemia (hemoglobin<7g/dL) is a public health problem if prevalence exceeds 2% [4] According the 2004 WHO report, more than 2 billion people worldwide are anemic and about 47.4% of preschool children are affected by the problem. It affects most of countries in Africa and South Asia and some countries in East Asia and the Pacific. The highest prevalence of anemia is in Africa, but the greatest numbers of children affected are found in Asia [5] In developing countries, it is reported that an estimated 3.5 billion people are anemic. The 2008 WHO estimate of anemia prevalence in Africa was 64.6%, which is almost 50 percentage points higher than the prevalence in Europe (16.4%), and over 60 percentage points higher than in North America (3.4%). Anemia in children is of particular interest since it impairs their mental, physical and social development; it causes negative behavioral and cognitive effects...

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“…This study showed that children age between 12-59 months was less affected by anemia. This finding was consistent with majority of studies conducted a cross the world (8,9,11,12,(14)(15)(16)(17)(18)(19)(20)(21)(22). This might be because of a wide gap between high iron demand for fast growth (3) and low iron supply because of inappropriate initiation of complimentary feeding (11,24) and highest depletion of prenatal iron store starting at six months of age (25).…”

Section: Discussionsupporting

confidence: 85%

“…But the majority of studies were based on data collected in specific localized areas of the country where findings were not representative (7)(8)(9)(10)(11). Although a study done by using 2011 Ethiopian demographic and health survey (EDHS) data which was representative of the entire country, its analysis for determinants of childhood anemia does not account for clustering and hierarchical nature of the EDHS data (12). Furthermore, spatial distribution of childhood anemia was not studied previously.…”

Section: Introductionmentioning

confidence: 99%

Spatial Distribution and factors associated with childhood anemia in Ethiopia

Amsalu¹,

Ayele²

2020

Preprint

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Introduction The magnitude of childhood anemia has increased from 44% in 2011 to 56% in 2016. Thus, even if the Ethiopian government tried remarkable solutions, anemia among under-five children still continues as a serious health issue. So, exploring spatial distribution and identifying factors associated with childhood anemia helps to design appropriate strategies for control and prevention.Methods For this study data from the recent 2016 Ethiopian Demographic Health Survey were employed. The sample size was 8602 children aged 6–59 months. They were selected by stratified two-stage cluster sampling techniques. Sat Scan version 9.4 was also used to identify childhood anemia by geographic clusters and ArcGIS version10.1 was used to show anemia cases through Regions of Ethiopia. Thus to declare factors that are statistically related with anemia among under-five children a Mixed effect logistic regression model was utilized.Result This study showed there is spatial clustering of childhood anemia throughout Ethiopia (Moran’s I: 0.65, p<0.001). Statistically significant clusters were detected in Somali, Afar, Harari and southern part of Oromia regions (P<0.001). Age of child, wealth index, mother’s current working status, maternal anemic status, number of living children in the family, history of fever, and stunting were significant factors associated with anemia among under-five children.Conclusion In the country childhood anemia showed spatial clustering. Regions high risk of childhood anemia should be emphasized by allocating additional resources and providing appropriate interventions which have public health implications.

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Determinants of severity levels of anemia among children aged 6–59 months in Ethiopia: further analysis of the 2011 Ethiopian demographic and health survey

Cited by 39 publications

References 24 publications

Anemia severity among children aged 6–59 months in Gondar town, Ethiopia: a community-based cross-sectional study

Anemia severity among children aged 6–59 months in Gondar town, Ethiopia: a community-based cross-sectional study

Modeling Deficiency of Hemoglobin Severity Among Children in Ethiopia

Spatial Distribution and factors associated with childhood anemia in Ethiopia

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