Factors associated with maternal anaemia among pregnant women in Dhaka city

Chowdhury, Hasina Akhter; Ahmed, Kazi Rumana; Jebunessa, Fatema; Akter, Jesmin; Hossain, Sharmin; Shahjahan, Md.

doi:10.1186/s12905-015-0234-x

Cited by 80 publications

(89 citation statements)

References 7 publications

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“…However, evidence in favor of literacy rate (significance level) is a bit weak. This result is consistent with findings of Bisoi et al, (2011), Chowdhury et al, (2015, Balasubramanian et al, (2016), Mangla & Singla, (2016).…”

Section: Discussionsupporting

confidence: 93%

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Dutta¹,

Sengupta²

2017

International Conference on Public Health

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This study examines socio-economic determinants associated with maternal mortality at disaggregated level in Assam, the state with highest maternal mortality ratio in India. An extensive door-to-door household survey was carried out during 2014-15 using multistage sampling to select villages in districts with high number of reported maternal deaths. The samples consist of currently pregnant women, mother with children 0-24 months and members of families who have experienced of maternal death. The study reveals that prevailing incidences of maternal mortality and maternal complications are the result of maternal anemia. Maternal complications are more likely to be associated with lower concentration of hemoglobin level, which is a proxy for maternal anemia. In addition, concentration of hemoglobin level is positively related to socioeconomic factors-literacy, land ownershipand habitat/occupation of the sample population. As a policy prescription, such findings should encourage the policymakers to identify context specific determinants of maternal anemia for appropriate interventions, instead of 'one-size-fits-all' type of approach.

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Section: Discussionsupporting

confidence: 93%

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Dutta¹,

Sengupta²

2017

International Conference on Public Health

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“…Supporting evidence for wasting can be found in Vollmer et al (2017), Harding et al (2018), Martorell and Young (2012), Black et al (2018), IFPRI (2014), Frongillo et al (1997) and Fernandez et al (2002). Similar results for maternal anemia can be found in Dutta and Sengupta (2017), Mangla (2016), Gogoi et al (2016), Chowdhury et al (2015), Mithra et al (2014), Arlappa et al (2014), Singh and Chaudhary (2015), and Tayade et al (2018).…”

Section: Model Specificationsupporting

confidence: 77%

Accounting for Regional Differences in Mother and Child Health: Bangladesh, West Bengal, Bihar, and Jharkhand

Dasgupta¹,

Wheeler²

2019

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The Policy Research Working Paper Series disseminates the findings of work in progress to encourage the exchange of ideas about development issues. An objective of the series is to get the findings out quickly, even if the presentations are less than fully polished. The papers carry the names of the authors and should be cited accordingly. The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors. They do not necessarily represent the views of the International Bank for Reconstruction and Development/World Bank and its affiliated organizations, or those of the Executive Directors of the World Bank or the governments they represent. Policy Research Working Paper 8798Using recent Demographic Health Survey data for Bangladesh and the neighboring Indian states of Bihar, Jharkhand, and West Bengal, this paper reexamines the determinants of child wasting and maternal anemia. The findings bear out the importance of commonly cited factors, such as mother's education and age, household wealth, and child birth order. However, the findings also highlight significant and large regional differences between Indian states and Bangladeshi provinces. For example, the results for Jharkhand state in India and Barisal province in Bangladesh indicate that controlling for those commonly cited determinants, the poorest, least-educated mothers and their children in Barisal have better health outcomes than the wealthiest, best-educated counterparts in Jharkhand. Mapping analysis of the spatial variations in child wasting and maternal anemia shows clear patterns of clustering over large areas that frequently overlap state/province and national boundaries. Possible sources of these striking differences include spatially differentiated prices and availability of critical nutrients; dietary preferences related to religion and ethnicity; nutrition education; and administration of public health and nutrition policy.

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“…Other studies of pregnant women indicated anemia prevalences of 70.0% in northern Ghana, 62.6% in Southern Ghana and 51.9%-to-59.6% in Africa 3,7,20,21,22 . Not surprisingly, anemia prevalence among pregnant women varies by geographical area, culture, seasonality and countries 23 such as 75% in the current study, compared with 18% and 57% in Ethiopia 24,25 . The high prevalence that we observed might be due to increased physiological demands for nutrients during the second and third trimesters of pregnancy 26 .…”

Section: Discussionmentioning

confidence: 51%

Determinants of anemia among pregnant women in northern Ghana

Adokiya

Aryeetey

Yost

et al. 2019

Preprint

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Anemia is a global public health issue affecting half of all pregnant women in developing countries. In 2014, 42% of Ghanaian pregnant women aged 15-49 years were anemic (<11.0g/dl) but information on the determinants of anemia, particularly dietary diversity during the critical third trimester of pregnancy is limited. We assessed the association between determinants and anemia among pregnant women in northern Ghana.We employed a cross-sectional design involving 624 pregnant women (≥20 weeks of gestation) attending four antenatal care (ANC) health facilities ~25 kilometres north of Tamale, Ghana between July and August 2017. Hemoglobin concentration (measured using Hemocue HB 301) was classified as severe, moderate, or mild. Other data included socio-demographic characteristics, malaria prevention, deworming, and iron/folate tablet use. The FAO Minimum Dietary Diversity (MDD-W) metric was used to categorize women into “inadequate” (MDD-W <5 food groups) and “adequate” (MDD-W ≥5). Logistic regression models were used to determine the association between moderate/severe anemia (Hb<9.0g/dl) and mild anemia (9.0-10.9g/dl), or with ‘no anemia’ (≥11.0g/dl) using STATA 14 software.Of 624 women sampled, hemoglobin data were available for 601. The mean age was 27.81±0.25 years, gestational age was 31.93±0.13 weeks, ANC attendance was 3.89±0.07; Hb concentration was 9.73g/dl±0.07, and MDD-W index for ten food groups was 5.33±0.04. Anemia (Hb<11.0g/dl) was observed in 74.8% of women (moderate/severe anemia=33.4% and mild anemia=41.4%). Using adjusted logistic regression, women who received deworming medication had lesser odds of being moderate/severe anemic (aOR=0.51, P=0.021). While women who were engaged in other occupation (herdsmen) and no previous parity had higher odds of being moderate/severe anemic (aOR=2.90, P=0.042) and (aOR=2.13, P=0.004) respectively. Moderate/severe anemia was not statistically associated with MDD-W, nor with socioeconomic status/wealth index. Conclusion, anemia in pregnancy was nearly twice that of Ghana as a whole. Deworming medication was found to be protective intervention for anemia during pregnancy.

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Factors associated with maternal anaemia among pregnant women in Dhaka city

Cited by 80 publications

References 7 publications

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Socioeconomic Determinants of Maternal Anemia: A Disaggregated Level Analysis From Assam, India

Accounting for Regional Differences in Mother and Child Health: Bangladesh, West Bengal, Bihar, and Jharkhand

Determinants of anemia among pregnant women in northern Ghana

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