The High Burden and Predictors of Anemia Among Infants Aged 6 to 12 Months in Dar es Salaam, Tanzania

2021 ◽  
pp. 037957212110070
Author(s):  
Omar Lweno ◽  
Ellen Hertzmark ◽  
Anne Marie Darling ◽  
Ramadhani Noor ◽  
Leguma Bakari ◽  
...  
Keyword(s):  
Maternal Education ◽  
Dietary Diversity ◽  
Perinatal Outcomes ◽  
Dar Es Salaam ◽  
Deficiency Anemia ◽  
Wealth Status ◽  
Optimal Care ◽  
Cross Sectional ◽  
Early Postpartum ◽  
Prevalence Of Anemia

Background: Despite several interventions, the prevalence of anemia and related complications remains high among infants in Tanzania. Objective: We sought to determine the predictors of iron-deficiency anemia (IDA) among infants of HIV-negative women in Dar es Salaam, Tanzania. Methods: Cross-sectional analysis of 2826 mother–infant pairs who participated in a trial of vitamins and perinatal outcomes in Dar es Salaam, Tanzania. Hemoglobin and mean corpuscular volume were used to determine the prevalence of anemia among infants at 6 and 12 months. Multiple logistic regression was used to determine the maternal and infant risk factors for anemia during infancy. Results: We found high prevalence of anemia (90%) and IDA (44.2%) among infants. Higher maternal education (odds ratio [OR] = 0.52), maternal normal hemoglobin at enrollment (OR = 0.68) and during the early postpartum period reduced the odds of IDA at 6 months (OR = 0.56). The odds of IDA at 6 months were higher among males (OR = 1.65), wealth score below median (OR = 1.35), low birth weight (LBW; OR = 1.75), and small for gestational age (SGA) infants below the third centile (OR = 1.95) or third to less than fifth centile (OR = 2.29). Higher maternal education lowered the odds of IDA at 12 months (OR = 0.25). Wealth score below median (OR = 1.44), preterm delivery (OR = 1.94), SGA (less than third centile; OR = 2.40), and LBW (OR = 2.89) increased the odds of IDA during infancy in the study population. Dietary diversity was low for infants and women in the study sample. Conclusion: Interventions to reduce the risk of infant IDA should address women’s education, improvement of wealth status, and optimal care for premature, SGA, and LBW infants.

scholarly journals Determinants of minimum acceptable diet among young children in an urban slum: a community-based study

2021 ◽  
Vol 8 (2) ◽  
pp. 638
Author(s):  
Kavita Kunhipurayil ◽  
Manissha Srivastav
Keyword(s):  
Maternal Education ◽  
Nuclear Family ◽  
Dietary Diversity ◽  
Urban Slum ◽  
P Value ◽  
Meal Frequency ◽  
Community Based ◽  
Chi Square ◽  
College Hospital ◽  
Cross Sectional

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.  

scholarly journals Prevalence of Iron Deficiency Anemia among Adolescent Girls in the City of Saravan -

2020 ◽  
Vol 10 (2) ◽  
pp. 68-73
Author(s):  
Omid Sabet Ghadam ◽  
Mohammad Fararouei ◽  
Mansour Shahraki   ◽  
Zahra Sohrabi
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Parental Education ◽  
Ferritin Level ◽  
Demographic Data ◽  
Good Practice ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Increased Risk ◽  
Prevalence Of Anemia

Background and Objective: Iron deficiency anemia (IDA) is the most common type of micronutrient deficiency in the world. Numerous reports indicated that adolescence is a period which has an increased risk of development of IDA. Given the importance of IDA and lack of studies in Saravan, a city of Iran, this study was performed to assess the prevalence of IDA among adolescent girls.Methods: In this cross-sectional study, 460 high-school girls were randomly selected. Demographic data was collected using a questionnaire. Knowledge, attitude and practice of participants with regard to iron deficiency anemia was measured at the beginning of the interview. Accordingly, five cc of blood sample was drawn from each student to determine the prevalence of anemia, which was defined by a hemoglobin level lower than 12 mg / dL. The level of ferritin was analyzed to confirm the IDA for students diagnosed with anemia. Ferritin level lower than 12 ?g / dl was considered as IDA. Data was analyzed using SPSS software version 22.Results: Prevalence of anemia and IDA was 24% (n = 111) and 12.6% (n = 58), respectively. Results showed that 37 % of students had good knowledge, 45. 5 % good attitude, and 6.7 % had good practice. Also, there was no significant association between IDA and socio-economic status including parental education, job, and household income (P>0.05).Conclusion: The findings of this study showed that the prevalence of IDA was moderate in Saravan city. Given the importance of IDA and its complications, further studies are needed, especially in high risk populations for IDA such as children.

A STUDY ON IRON DEFICIENCY ANEMIA IN ADOLESCENT GIRLS

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Sanju Bhati ◽  
Vijay Pal Verma
Keyword(s):  
Adolescent Girls ◽  
Cell Mass ◽  
Cross Sectional Study ◽  
The Body ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Nutritional Anemia ◽  
Health Significance ◽  
Oxygen Carrying Capacity ◽  
Prevalence Of Anemia

Background: Nutritional anemia is a global problem of immense health significance affecting persons of all age and economic group. Anemia is one of the most common hematological abnormalities found in children. It can be defined as the reduction in oxygen-carrying capacity or as a reduction in the red cell mass of the body Methods: This was cross-sectional study. All the adolescent girls studying in standards 9th - 12th class who were given consent to hemoglobin estimation were included in the study. Results: The mean age of adolescent girls were 12.09±2.15 years and mean Hb level was 10.05±2.1gm/dl. The association between SES and anemia was found statistically significant. The association between type of family and anemia was also found statistically significant. Conclusion: The prevalence of anemia among adolescent girls is alarmingly high in India. Keywords: Prevalence, Anemia, Adolescent.

scholarly journals Prevalence of Anemia and Associated Factors in Child Bearing Age Women in Riyadh, Saudi Arabia

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
AlJohara M. AlQuaiz ◽  
Ashry Gad Mohamed ◽  
Tawfik A. M. Khoja ◽  
Abdullah AlSharif ◽  
Shaffi Ahamed Shaikh ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Complete Blood Count ◽  
Deficiency Anemia ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cellular Analysis ◽  
Child Bearing ◽  
Increased Risk ◽  
Prevalence Of Anemia

Objective. To determine the prevalence and risk factors for anemia in child bearing age women in Riyadh, Saudi Arabia.Design. Cross-sectional survey was conducted using two-stage cluster sampling. 25 clusters (primary health care centers (PHCC)) were identified from all over Riyadh, and 45–50 households were randomly selected from each cluster. Eligible women were invited to PHCC for questionnaire filling, anthropometric measurements, and complete blood count. Blood hemoglobin was measured with Coulter Cellular Analysis System using light scatter method.Setting. PHCC.Subjects. 969 (68%) women out of 1429 women were included in the analysis.Results. Mean hemoglobin was 12.35 (±1.80) g/dL, 95% CI 12.24–12.46 with interquartile range of 1.9. Anemia (Hb <12 g/dL) was present in 40% (390) women. Mean (±SD) for MCH, MCV, MCHC, and RDW was 79.21 (±12.17) fL, 26.37 (±6.21) pg, 32.36 (±4.91) g/dL, and 14.84 (±4.65)%, respectively. Multivariate logistic regression revealed that having family history of iron deficiency anemia (OR 2.91, 95% CI 1.78–4.76) and infrequent intake of meat (OR 1.54, 95%CI 1.15–2.05) were associated with increased risk of anemia, whereas increasing body mass index (OR 0.95, 95% CI 0.92–0.97) was associated with reduced risk of anemia.Conclusion. Women should be educated about proper diet and reproductive issues in order to reduce the prevalence of anemia in Saudi Arabia.

scholarly journals Parents’ Knowledge and Practice of Iron Therapy for Anemic Infants in Primary Health Care in Bahrain

2017 ◽  
Vol 9 (8) ◽  
pp. 99
Author(s):  
Ahmed Al-Jamri ◽  
Fatema Al-Awainati ◽  
Marwa Ali ◽  
Masooma Jaafar ◽  
Mustafa Hussain ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Public Health Problem ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Primary Health ◽  
Knowledge And Practice ◽  
Prevalence Of Anemia

BACKGROUND: Anemia in children aged less than five years is a common medical problem worldwide. Iron deficiency anemia is the most prevalent anemia in infants and has been shown to be a public health problem. Many studies have been conducted on anemia among infants but the scope of the conducted studies was focused on the prevalence of anemia with less emphasis on the knowledge and parental practice of anemia and its treatment. Providing infants with iron supplements and simultaneously ensuring their compliance has shown an improvement in hemoglobin levels, along with a significant reduction in the prevalence of iron deficiency anemia (IDA).OBJECTIVE: To explore the level of parental knowledge and practice towards iron syrup.METHODS: A Cross- sectional study was carried out from 21st June to 2nd July, 2015 in ten Primary Health Care centers in Bahrain. During the study period, a phone survey was conducted using a self-constructed questionnaire. The response rate was 98%.RESULTS: In this study, the prevalence of anemia in infants is 45%. 58.4% of parents did not give the offered iron for their infants or stopped it within the first week of use. Overall, around 70% of parents correctly answered half or more of the knowledge questions regarding iron syrup side effects but only 32.5% of parents correctly answered half or more of the questions regarding IDA complications.CONCLUSION: Anemia is prevalent among 9 months old infants with considerable gaps in knowledge and practices of parents.

scholarly journals Anemia among children and adolescents in a rural area

2014 ◽  
Vol 54 (2) ◽  
pp. 88 ◽  
Author(s):  
Ivan Riyanto Widjaja ◽  
Felix Firyanto Widjaja ◽  
Lucyana Alim Santoso ◽  
Erick Wonggokusuma ◽  
Oktaviati Oktaviati
Keyword(s):  
Children And Adolescents ◽  
Rural Area ◽  
Public Hospital ◽  
Complete Blood Count ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Deficiency Anemia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Background Anemia in children and adolescents affects growthand development. It is a preventable disease, but unfortunately isoften ignored until the symptoms occur. There have been limitedreports on the prevalence of anemia in children and adolescentsin Indonesia, especially from rural areas.Objective To describe the prevalence of anemia in children andadolescents in district ofMalinau, a rural area in East KalimantanProvince.Methods This cross-sectional study was done in June 20 10 usinglaboratory records between July 2009 to January 20 10. Laboratoryrecords of patients aged between 6 months and 18 years whichinvestigated were complete blood count (CBC) from ambulatory,inpatient, and emergency care ofMalinau Public Hospital in EastKalimantan. Mentzer and England & Fraser indices were used todifferentiate iron deficiency anemia (IDA) and thalassemia amongmicrocytic hypochromic anemic patients.Results This study involved 709 laboratory records. Prevalenceof anemia was 53 .9% (95% CI 50.2% to 57 .5%) . The prevalenceof IDA among age groups were as follows: 29.4% (95% CI 24.3to 34.5%) in 6- 59 months group, 16% (95% CI 11 to 21 %) in5- 11.9 years, and 15.2% (95% CI 10.2 to 20.2%) in 12- 18 years.Children aged 6- 59 months tended to have more anemia th anthose aged 5- 11.9 years (OR 2. 184, 95% CI 1.398 to 3.413) oraged 12- 18 years (OR 2.3 19, 95% CI 1.464 to 3.674).Conclusion T he prevalence of an emia in children andadolescents of the Malinau Regency is 53 .9% (95% CI 50.2 to57.5%), quite similar to that of other developing countries . Agovernment program to overcome anemia is recommended, n otonly for pregnant women, but also for children and adolescents.

scholarly journals Risk of infant anemia in 3-6 months old babies and its association with maternal anemia

2018 ◽  
Vol 5 (3) ◽  
pp. 938
Author(s):  
J. Hemachitra ◽  
A. Monisha
Keyword(s):  
Weight Gain ◽  
Haemoglobin Concentration ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Maternal Anemia ◽  
Low Weight ◽  
Appropriate For Gestational Age ◽  
History Of ◽  
Prevalence Of Anemia ◽  
Weight For Age

Background: Anemia is a significant health problem in developing countries. Maternal anemia reduces fetal iron stores prior to birth and hence babies born to anemic mothers tend to develop iron deficiency anemia before 6 months which has adverse psychomotor consequences. Objective of this study was to estimate the prevalence of anemia and weight gain pattern in 3 - 6 months old term exclusively breast-fed infants and its association with maternal anemia.Methods: This is a cross - sectional analytical study including 120 babies who are born as term appropriate for gestational age. Preterm and babies with history of bleed or jaundice were excluded from the study. The haemoglobin estimation and weights of these babies was measured after informed consent from parents. Maternal haemoglobin concentration during last trimester was obtained from the maternal records.Results: Seventy-nine (65.8%) out of 120 babies had haemoglobin concentration <11gm/dl, which was significantly associated with maternal anemia (p <0.004, OR 5.9). Thirty-seven (30.8%) babies had low weight for age and were born to anemic mothers and 28% of this variation in weight was contributed by maternal anemia (p = 0.001).Conclusions: Low haemoglobin and poor weight gain in term 3-6 months old babies are significantly associated with maternal anemia in last trimester.

scholarly journals Stunting and Associated Factors Among Children Aged 6-59 Months From Households in Productive Safety Net Program and Non-productive Safety Net Program in Meta District, East Hararghe Zone, Eastern Ethiopia: a Comparative Cross – Sectional Study.

2021 ◽  
Author(s):  
Aklilu Tesfaye ◽  
Gudina Egata
Keyword(s):  
Maternal Education ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
Safety Net ◽  
Cross Sectional Study ◽  
World Health ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia

Abstract Background: Undernutrition is one of the major public health problems affecting children in developing settings. Despite impressive interventions such as productive safety net program (PSNP) in Ethiopia, there is paucity of information on the prevalence of stunting and its predictors among children aged 6-59 months born to beneficiaries and non-beneficiaries of the program in Ethiopia. Methods: Community based comparative cross sectional study design was used among randomly selected 1555 children aged 6 to 59 months from households using and not using PSNP respectively in Meta distinct from 5th-20th of March, 2017. Data were collected using pre-tested structured questionnaire. Measuring board was used to measure the length/height of the children. Length/height for age z-score was generated using world Health Organization (WHO) Anthros version 3.2.2. Descriptive statistics was used to describe all relevant data. Bivariable and Multivariable logistic regression analyses were used to predictors of the outcome variable. Odds ratio along with 95% confidence interval were estimated to measure the strength of the association. Level of statistical significance was declared at p-value less than 0.05. Result: The prevalence of stunting was 47.7%, 95% CI: (44.1%, 51.5%) among children from PSNP beneficiary households and 33.5%, 95% CI: (29.9%, 36.9%) from non-PSNP households respectively. Lack of maternal education [AOR = 3.39; 95% CI: (1.12, 5.11)], lack of women’s empowerment [AOR= 3.48; 95% CI: (2.36, 5.12)], non-attendance of antenatal care fourth visit [AOR= 4.2, 95% CI (2.5, 6.8)], practicing hand washing [AOR= 0.46; 95% CI: (0.28, 0.76)], childhood illness [AOR= 8.41; 95%CI: (4.58, 12.76)], non-exclusive breastfeeding [AOR= 3.6; 95% CI: (2.30, 4.80)], low dietary diversity score [AOR= 4.7; 95% CI (3.0, 7.40)] , and child ‘s age between 24 to 59 months [AOR = 3.2; 95% CI (1.6, 6.3)] were predictors of stunting. Conclusions: The prevalence of stunting was high among children from PSNP households in the study area. Stunting was significantly associated with maternal socio-demographic and obstetric and child related factors. Therefore, empowering women on household’s issues and improving infant and young child feeding practices could reduce the magnitude of stunting and its impacts on child health.

scholarly journals Comparison of Two Different Cut-Off Values of Scoring System for Diagnosis of Hirschsprung-Associated Enterocolitis After Transanal Endorectal Pull-Through

2021 ◽  
Vol 9 ◽  
Author(s):  
Gunadi ◽  
Raedi Ardlo Luzman ◽  
Sagita Mega Sekar Kencana ◽  
Bhagas Dwi Arthana ◽  
Fauzan Ahmad ◽  
...  
Keyword(s):  
Scoring System ◽  
Maternal Education ◽  
Hirschsprung Disease ◽  
Final Analysis ◽  
Hemoglobin Level ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Definitive Therapy ◽  
Significant Difference ◽  
Pull Through

Background: Hirschsprung-associated enterocolitis (HAEC) is a major contributor in the mortality of Hirschsprung disease (HSCR) patients that can occur both preoperatively and post-operatively. Several cut-off values of HAEC score have been used, i.e., ≥10 and ≥4. Here, we compared the HAEC frequency after transanal endorectal pull-through (TEPT) using two cut-offs of scoring system and associated them with the risk factors.Methods: Cross-sectional analysis was conducted using medical records of HSCR patients who were aged ≤18 years old and underwent TEPT at our institution, Indonesia between 2009 and 2016. HAEC was determined using the scoring system with cut-off values of ≥10 and ≥4.Results: Seventy subjects were used in the final analysis, consisting of 44 males and 26 females. There was a significant difference in one HAEC finding between the ≥10 and ≥4 cut-off groups; diarrhea with explosive stools (p = 0.002). The HAEC frequency was 5/70 (7.1%) and 49/70 (70%) patients using cut-off values of ≥10 and ≥4 (p &lt; 0.0001), respectively. We found that patients with anemia (i.e., iron deficiency anemia) had a higher risk of HAEC after TEPT than patients with normal hemoglobin level with OR of 3.77 (95% CI = 1.28–11.1; p = 0.027), while no associations were found between other variables, including sex, age at diagnosis, age at definitive therapy, albumin level, and nutritional status and HAEC following TEPT (p = 0.87, 0.15, 0.33, 0.26, and 0.60, respectively). Also, no associations were observed between maternal education level, mother's age at pregnancy and gestational age and HAEC after definitive surgery (p = 0.10, 0.46, and 0.86, respectively).Conclusions: This report is the first study comparing two different cut-off values of scoring system to evaluate the HAEC frequency after TEPT and results suggest further using cut-off of ≥4 to expand the diagnosis of HAEC. Moreover, we also show for the first time that hemoglobin level is a strong risk factor for the HAEC development after TEPT.

scholarly journals Relation of complementary foods and anemia in urban underprivileged children in Surakarta

2007 ◽  
Vol 47 (5) ◽  
pp. 196
Author(s):  
Endang Dewi Lestari ◽  
Annang Giri Moelya ◽  
Elief Rohana ◽  
Budiyanti Wiboworini
Keyword(s):  
Cross Sectional Study ◽  
Deficiency Anemia ◽  
Healthy Children ◽  
Sectional Study ◽  
Complementary Foods ◽  
Cross Sectional ◽  
Factors Associated ◽  
Enhancing Factor ◽  
Main Meal ◽  
Prevalence Of Anemia

Background Iron deficiency anemia (IDA) is still prevalent inIndonesian children. Attempt to treat patients with IDA withiron supplementation has been difficult because of lowcompliance.Objective To determine the complementary foods that contributesin the prevalence of anemia in children.Methods A cross sectional study was conducted in three urbanunderprivileged villages. Healthy children aged 6-23 months atthe time of interview were selected. The questionnaire wasspecially developed for determining the risks of IDA. We tookblood sampling to measure the hemoglobin concentration.Results A total of 86 children participated in the study; but only dataof 78 children were available for analysis. The prevalence of anemiaamong those children was 35%. Most children (90%) consumedanimal protein inadequately. Rice-based diet was the main meal ofmost children (97%). Analysis of possible factors associated with theanemia showed that inadequate plant or animal protein consumption,wasted children, less than 2 orange consumption, not consumingiron fortified formula/cereal had OR 1.2 (95%CI 0.40; 3.61), 4.13(95%CI 0.48;35.45), 4.67 (95%CI 1.04;20.04), 6.25 (95% CI1.32;29.55) and 3.15 (95%CI 1.18;8.41), respectively. Logistic analysisrevealed that the factors associated with anemia were wasted children(OR 9.10, 95%CI 1.38;60.18), low or no orange consumption (OR7.86, 95%CI 1.36;45.40) and not consuming iron fortified formula/cereal (OR 3.01, 95%CI 1.02;8.90).Conclusion In children with rice-based diet as main meal,consuming orange as an enhancing factor should also be addressedin order to prevent anemia.

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