Prevalence and Factors Associated With Anemia Among Pregnant Women Attending AMDA Hospital of Eastern Nepal

Abstract BackgroundAnemia is a global public health problem, consisting 40% of pregnant women being anemic worldwide. Manifold factors directly or indirectly contribute to anemia during pregnancy and amplify the risk of maternal and fetal mortality and morbidity. However, factors associated with anemia among pregnant women are not broadly understood in sub-national level. Thus, this study has made an effort to ascertain the prevalence and associated factors of anemia among pregnant women in AMDA Hospital of Eastern Nepal. MethodsHealth-facility based cross-sectional study was conducted among pregnant women of age 18-49 years attending antenatal care (ANC) in AMDA Hospital. A total of 420 samples were recruited through systematic random sampling. Data was collected through a validated semi-structured questionnaire. Hemoglobin concentration was recorded from laboratory test report. Collected data were entered in EpiData and analyzed in SPSS Version 22 licensed by Chulalongkorn University. Chi-square test was used for bivariate analysis and later, significant variables at p-value<0.10 were processed on multivariate analysis. Finally, the adjusted odd ratio was reported considering significant at p-value <0.05 with 95% confidence interval. ResultsThe overall prevalence of anemia was 42.1% (37.4%–47.0%). Almost 46%, 41% and 14% of women were with mild, moderate and severe types respectively. Factors such as age less than 20 years (7.23, 2.50–20.87) and between 20- 24 years (2.80, 1.31–5.96), religious minorities (3.09, 1.35–7.06), vegetarian diet pattern (4.33, 1.49–12.59), inadequate frequency (DGLV: once a week, fruits: twice in a week) of eating DGLV (8.71, 2.26 – 33.63) and fruits (2.73, 1.41–2.29), inadequate dietary diversity (7.16, 3.15–16.27), as well as no intake of multivitamins during pregnancy (4.23, 1.49– 11.98) were statistically associated with anemia among pregnant women. ConclusionOverall, the prevalence of anemia was found to be high in the study area. The associated factors of anemia ranged from socio-economic, dietary and obstetric care, and included age, religion, diet pattern, and frequency of eating DGLV and fruits, dietary diversity, as well as intake of multivitamins during pregnancy. The study recommends enhancing community-based interventions considering the identified factors.

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Correlation between Agricultural Biodiversity, Dietary Diversity, Household Food Security and Associated Factors of Wasting among 6-59 Months old Children in Ambassel Woreda, North East Ethiopia

10.21203/rs.2.22888/v1 ◽

2020 ◽

Author(s):

Sisay Eshete Tadesse ◽

Tefera Chane Mekonnen ◽

Yitbarek Wasihun Feleke ◽

Metadel Adane Mesfine ◽

Nigus Cherie Bekele ◽

...

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Statistical Significance ◽

Public Health Problem ◽

Household Food Security ◽

P Value ◽

Agricultural Biodiversity ◽

Dietary Diversity Score ◽

Factors Associated ◽

Household Food

Abstract Background Worldwide there are up to 300,000 known plant species. But, only 2% are consumed by human. Under nutrition among under five children is still a public health problem. There is an information gap on the importance of agricultural biodiversity in relation to dietary intake and nutritional status. Objective to assess the correlation between agricultural bio-diversity, dietary diversity, household food insecurity and associated factors of wasting among 6-59 months old children. Method A community based cross-sectional study was employed among 367 systematically selected children aged 6-59 months from January to April 2018. The sample size was determined by Epi Info 7.2.5.1. Data were collected by open data kit. Height and weight were measured using height measuring board and SECA Germany. Data entry and analysis was done using Epi Data version 3.1 and STATA version 14. Descriptive statistics was computed and reported using frequency and percentage. Anthropometric measurements were analyzed using WHO Anthro 2005 software. Linear regression and correlation were done. A p-value of < 0.05 and 95% confidence intervals were used to see the statistical significance. Result The prevalence of wasting was 7.3%(95% C.I; 4.6, 10.0). Dietary diversity score is found to be correlated with height for weight Z score (r=-0.11, p-value=0.04) of children. Mother who are unable to read and write (B=-.126, 95% CI: -1.02, -.034) and dietary diversity score (B=.143, 95% CI: .14, 1.86) were factors associated with wasting. Conclusion and Recommendation Wasting is higher than the national target of Ethiopia. Educational status of mother and DDS were factors associated with wasting among children aged 6-59 months. Prevention of nutritional problem should include reducing illiteracy rate among mother/care-givers and promote diversified intake of diet among 6-59 months old.

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Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

10.21203/rs.3.rs-226920/v1 ◽

2021 ◽

Author(s):

Henry Sembatya ◽

Justine Namuli ◽

Judith Ajeani ◽

Sam Ononge

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Antenatal Care ◽

Pregnant Women ◽

Public Health Problem ◽

Antenatal Clinic ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

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Prevalence of Anaemia in Pregnancy and Related Factors among Women Attending Antenatal Care (ANC) in General Hospitalbunza, Kebbi State, Nigeria

Medical Science & Healthcare Practice ◽

10.22158/mshp.v3n2p47 ◽

2019 ◽

Vol 3 (2) ◽

pp. p47

Author(s):

Isah Balarabe Adamu ◽

Azeez Shareef Ayotunde ◽

Kehinde Joseph Awosan ◽

Edzu Usman Yunusa

Keyword(s):

Pregnant Women ◽

Cell Volume ◽

Packed Cell Volume ◽

Public Health Problem ◽

Sub Saharan Africa ◽

Factors Associated ◽

Anemia In Pregnancy ◽

Anaemia In Pregnancy ◽

Prevalence Of Anemia ◽

In Pregnancy

Background: Anaemia in pregnancy remains a major cause of maternal death in Sub-Saharan Africa, and it mostly results from a deficiency of iron and folate.Objectives: To determine the prevalence of anemia and the factors associated with it among pregnant women in Bunza, Nigeria. Materials and Method: A cross-sectional study conducted among 327 pregnant women attending ANC in General Hospital Bunza, Kebbi State, Nigeria. Data were collected using a pretested questionnaire. Estimation of packed cell volume and RDT were alsodone for the participants; datawereanalysedusing IBMSPSS version 20. Results: The mean packed cell volume of the respondents was 30.7, with a SD 3.7 and majority of the respondents were having anemia 240(75.7%). Level of education of the respondents and their spouses, age at first pregnancy, spouses’ occupation, and the trimester at which the respondents booked were found to be significant p ?0.05for anemic status. Conclusion: The prevalence of anemia in pregnancy is high among pregnant women in Bunza, Nigeria, with the factors associated with it being the levels of education of the woman and that of her spouse, spouse’s occupation, having the first pregnancy before the age of 19 years, and late booking. Recommendations: Anemia in Pregnancy should be considered a public health problem in the LGA and state in general and girl child education should be given priority as a long term measure.

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Effective Factors on Acute Malnutrition in Children Aged 6 to 59 Months in the Centre-West Region of Burkina Faso

Journal of Nutrition and Food Security ◽

10.18502/jnfs.v5i3.3800 ◽

2020 ◽

Author(s):

Jeanne d’Arc Kabre ◽

Sibiri Bougma ◽

Bassibila Zoungrana ◽

Yves Traoré ◽

Aly Savadogo

Keyword(s):

Burkina Faso ◽

Dietary Diversity ◽

Public Health Problem ◽

Dietary Factors ◽

Health District ◽

Acute Malnutrition ◽

P Value ◽

Significant Drop ◽

Cross Sectional ◽

Factors Associated

Background: In Burkina Faso, malnutrition is a public health problem. Despite the significant drop in the prevalence of malnutrition since 2009 according to the Directorate of Nutrition, malnutrition is still a major concern with regard to its consequences. The objective of this study was to determine the factors associated with acute malnutrition in children aged 6 to 59 months in the Sabou Health District, Burkina Faso. Methods: This was a descriptive, cross-sectional study conducted among 343 children aged 6 to 59 months in Sabou Health District, Burkina Faso from August 1st to 30th, 2016. Factors associated with acute malnutrition were dietary factors, family factors, environmental factors, and infectious factors determined using SPSS version 21.0 software. The difference was statistically significant for P-value of less than 0.05. Results: The prevalence of global acute malnutrition in the district was 9.0%, of which 2.6% was severe according to the Brachial Perimeter. Several factors were associated with acute malnutrition in children under 5 years of age in the Sabou health district. Indeed, morbidity was a factor associated with acute malnutrition in children with a P-value of 0.007. The low dietary diversity experienced by food-insecure households was also associated with acute malnutrition in children. Infant and young child feeding practices, i.e., inadequate introduction of complementary foods and low dietary diversity to children were among the factors associated with nutritional status (P = 0.007). Among mothers, 87.5% had heard of malnutrition, 66.5% did not recognize the signs of malnourished in their children, and 92.4% were unaware of the consequences of malnutrition. Conclusion: Based on the results, initiatives and programmes should be established for women, the bearers of life, to enhance their empowerment and educate them with regard to the integral growth of children, the builders of tomorrow.

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Factors Associated with Anemia among Pregnant Women of Underprivileged Ethnic Groups Attending Antenatal Care at Provincial Level Hospital of Province 2, Nepal

Anemia ◽

10.1155/2021/8847472 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Umesh Kumar Yadav ◽

Prabesh Ghimire ◽

Archana Amatya ◽

Ashish Lamichhane

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Ethnic Groups ◽

Dietary Diversity ◽

Secondary Level ◽

Factors Associated ◽

Lower Education ◽

Level Hospital ◽

Antenatal Visits ◽

Prevalence Of Anemia

Background. This study aims at determining the factors associated with anemia among pregnant women of underprivileged ethnic groups attending antenatal care at the provincial level hospital of Province 2. Methods. A hospital-based cross-sectional study was carried out in Janakpur Provincial Hospital of Province 2, Southern Nepal. 287 pregnant women from underprivileged ethnic groups attending antenatal care were selected and interviewed. Face-to-face interviews using a structured questionnaire were undertaken. Anemia status was assessed based on hemoglobin levels determined at the hospital’s laboratory. Bivariate and multiple logistic regression analyses were used to identify the factors associated with anemia. Analyses were performed using IBM SPSS version 23 software. Results. The overall anemia prevalence in the study population was 66.9% (95% CI, 61.1–72.3). The women from most underprivileged ethnic groups (Terai Dalit, Terai Janajati, and Muslims) were twice more likely to be anemic than Madhesi women. Similarly, women having education lower than secondary level were about 3 times more likely to be anemic compared to those with secondary level or higher education. Women who had not completed four antenatal visits were twice more likely to be anemic than those completing all four visits. The odds of anemia were three times higher among pregnant women who had not taken deworming medication compared to their counterparts. Furthermore, women with inadequate dietary diversity were four times more likely to be anemic compared to women having adequate dietary diversity. Conclusions. The prevalence of anemia is a severe public health problem among pregnant women of underprivileged ethnic groups in Province 2. Being Dalit, Janajati, and Muslim, having lower education, less frequent antenatal visits, not receiving deworming medication, and having inadequate dietary diversity are found to be the significant factors. The present study highlights the need of improving the frequency of antenatal visits and coverage of deworming program in ethnic populations. Furthermore, promoting a dietary diversity at the household level would help lower the prevalence of anemia. The study findings also imply that the nutrition interventions to control anemia must target and reach pregnant women from the most-marginalized ethnic groups and those with lower education.

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Anemia among Women Who Visit Bost Hospital for Delivery in Helmand Province, Afghanistan

Anemia ◽

10.1155/2021/9358464 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Zabihullah Anwary ◽

Muhammad Haroon Stanikzai ◽

Wali Mohammad Wyar ◽

Abdul Wahed Wasiq ◽

Khushhal Farooqi

Keyword(s):

Public Health ◽

Logistic Regression ◽

Pregnant Women ◽

Health Problem ◽

Public Health Problem ◽

Binary Logistic Regression ◽

Bivariate Analysis ◽

Global Public Health ◽

Factors Associated ◽

Prevalence Of Anemia

Background. Anemia is a global public health problem that affects a large number of pregnant women worldwide. In developed and developing countries, the number of pregnant women who become anemic ranges between 18% and 56%, respectively. The aim of this study was to determine the prevalence of anemia and factors associated with anemia among pregnant women who visit Bost Hospital for delivery in Helmand province, Afghanistan. Methods. This was a hospital-based cross-sectional study that included 787 pregnant women who visited Bost Hospital for delivery services from January to June 2019. Data was collected in a self-structured questionnaire, which included sociodemographic, obstetrics, and laboratory information. Data was analyzed using SPSS 21.00 Statistical software. The prevalence of anemia was presented as a percentage. Bivariate analysis and binary logistic regression were used to identify the predictors of anemia among pregnant women. Results. The overall prevalence of anemia in this study was 51% (95% CI = 48.7%–54.7%). The mean hemoglobin concentration among the study participants was 10.8 (±1.8) g/dL. On bivariate analysis, age group 30 years and above, rural residency and unemployment/housewives, multiparity, and no previous use of contraceptive were found to be associated with anemia. Binary logistic regression showed that multiparity (AOR = 3.09, 95% CI = 1.81–5.29) and no contraceptive use (AOR = 1.53, 95% CI = 1.08–2.16) were the independent predictors of increased anemia among pregnant women. Conclusion. Anemia was found to be a severe public health problem in the study area. Policymakers in Afghanistan must accelerate interventions to promote family planning. The need for prospective studies is also suggested to identify other factors associated with anemia among pregnant women.

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Long-Lasting Insecticidal Net Utilization and Associated Factors Among Pregnant Women in Asgede Tsimbla District, Northern Ethiopia, 2017

Environmental Health Insights ◽

10.1177/1178630220919393 ◽

2020 ◽

Vol 14 ◽

pp. 117863022091939

Author(s):

Teklit Angesom ◽

Hailay Gebreyesus ◽

Brhane Gebremariam

Keyword(s):

Pregnant Women ◽

Family Size ◽

Associated Factors ◽

Statistical Significance ◽

Cost Effective ◽

Cross Sectional Study ◽

P Value ◽

Northern Ethiopia ◽

Cross Sectional ◽

Factors Associated

Background: Malaria among pregnant women contributes to maternal anemia, low birth weight, spontaneous abortion, and infant deaths. In response to this serious health problem, regular use of the long-lasting insecticidal net is the most cost-effective method of preventing malaria. However, in most developing countries, including Ethiopia, long-lasting insecticidal net utilization by pregnant women is uncertain. Objectives: This study was conducted to measure the utilization of insecticidal net and to identify the associated factors with its utilization among pregnant women in Asgede Tsimbla district in 2017. Methods: A community-based cross-sectional study was employed and data were collected using interviewer-administered questionnaire. Systematic random sampling method was used to select 550 pregnant women. Data were entered into a computer using Epi Info (version 7) and exported to Statistical Package for the Social Sciences (version 21) for further analysis. Variables with P-value less than 0.05 were used to declare statistical significance between the dependent and the independent variables in multivariable logistic regression. Results: Among 550 pregnant women surveyed, 347 (63.1%) of the pregnant women slept under a long-lasting insecticidal net the night before the survey. Urban residence (OR [95% CI] = 1.9 [1.22-3.01]), family size of 3-5 and >5 (2.8 [1.53-5.22] and 2.4 [1.20-5.03], respectively), and history of malaria during their current pregnancy (3.0 [1.95-4.86]) were found to be the factors associated with pregnant women’s long-lasting insecticidal net utilization. Conclusion: Utilization of long-lasting insecticidal net was low, and place of residence, exposure status to malaria during their current pregnancy, and family size were the factors associated with long-lasting insecticidal net utilization.

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Nutritional status and associated factors among school adolescents in Finote Selam Town, Northwest Ethiopia

10.21203/rs.3.rs-27198/v1 ◽

2020 ◽

Author(s):

Damitie Kebede Mengesha ◽

Reddy P. C. J. Prasad ◽

Degnet Teferi Asres

Keyword(s):

Nutritional Status ◽

Associated Factors ◽

Dietary Diversity ◽

Northwest Ethiopia ◽

P Value ◽

Major Public Health Problem ◽

Monthly Income ◽

Factors Associated ◽

Adolescent Students ◽

Under Nutrition

Abstract Background: Increased nutritional needs of adolescents relate to adolescents gain up much of their adult weight, height and skeletal mass during this period. Under nutrition among adolescents is a major public health problem in developing nations including Ethiopia. This study aimed to assess the prevalence and associated factors of nutritional status among school adolescents in Finote Selam town, northwest Ethiopia, 2018. Methods: A school-based cross-sectional study among adolescent students aged 10-19 in public primary and secondary schools was carried out in Finote Selam town from February 05 to March 27, 2018. A total of 397school adolescents were included in this study. Stratified and simple random sampling techniques were employed to select study subjects. Pre tested structured questionnaires were used to collect the data. Data was entered using Epi info version 7 and analyzed using SPSS version 20 and WHO Anthro Plus software. A multivariable binary logistic regression analysis was employed to identify factors associated with malnutrition. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at a p-value less than 0.05. Result: The prevalence of stunting and thinness among school adolescents were 21.8% and 14.9, respectively. About 9.7% of school adolescents were both stunting and thinness. Being male (AOR= 2.27; 95% CI 1.32, 8.13), coming from rural area (AOR= 2.38; 95% CI 109, 5.18) and having less than four dietary diversity (AOR= 2.61; 95% CI 1.04, 6.50) were significantly associated with stunting at a P-value <0.05. Early Adolescent stage (AOR= 4.81; 95% CI: 1.23, 18.51), being Male adolescent students (AOR = 2.33; 95 % CI: 1.60, 3.40), having less than 1000 birr family monthly income (AOR= 6.54; 95% CI: 3:82, 14.89), having 1000-2000 birr family monthly income (AOR= 3.47; 95% CI: 1.15, 7.45) and using well water (AOR= 3.82; 95% CI: 1.46, 10.04) were significantly associated with thinness at a P-value <0.05.Conclusion: Under-nutrition was predominant problem in the study area. Sex, place of residence, dietary diversity and family monthly income were found to be important factors associated with stunting among the respondents. Strategies to improve the nutritional status of adolescent students should be given much attention.

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Prevalence and associated factors of stunting and thinness among adolescent students in Finote Selam Town, Northwest Ethiopia

Journal of Health Population and Nutrition ◽

10.1186/s41043-021-00269-4 ◽

2021 ◽

Vol 40 (1) ◽

Author(s):

Damitie Kebede ◽

Reddy P. C. J. Prasad ◽

Degnet Teferi Asres ◽

Hayat Aragaw ◽

Eyerusalem Worku

Keyword(s):

Public Schools ◽

Associated Factors ◽

Dietary Diversity ◽

Statistical Significance ◽

Public Health Problem ◽

Northwest Ethiopia ◽

Major Public Health Problem ◽

Monthly Income ◽

Factors Associated ◽

Adolescent Students

Abstract Background Undernutrition among adolescents is a major public health problem in developing nations including Ethiopia. Adolescents need to have good-quantity and good-quality nutrients to cope with this rapid growth and other health risks which increase nutritional demand. This study aimed to assess the prevalence and associated factors of stunting and thinness among school adolescents in Finote Selam Town, Northwest Ethiopia. Methods A school-based cross-sectional study among adolescent students aged 10–19 in public schools was carried out in Finote Selam Town from February 5 to March 27, 2018. A total of 397 school adolescents were included in this study. Stratified and simple random sampling techniques were employed to select study subjects. Pretested structured questionnaires were used to collect the data. Data were entered using Epi info version 7 and analyzed using SPSS version 20 and WHO AnthroPlus software. A multivariable logistic regression analysis was employed to identify factors associated with stunting and thinness. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association, and statistical significance was declared at a P value less than 0.05. Results The prevalence of stunting and thinness among school adolescents was 21.8% and 16.9%, respectively. About 9.7% of school adolescents experienced both stunting and thinness. Being male (P = 0.031), coming from rural area (P = 0.046), having a family monthly income of less than $28.37 (P = 0.044) and having less than four dietary diversity (P = 0.021) were significantly associated with stunting. Early adolescent stage (P = 0.034), being male adolescent students (P = 0.37), having a family monthly income of less than $28.37 (P = 0.016), having a family monthly income between $28.37 and $56.74 (P = 0.021) (35.25 Birr = 1 USD) and using well water (P = 0.045) were significantly associated with thinness. Conclusion Undernutrition was a predominant problem in the study area. Sex, age, place of residence, dietary diversity, sources of drinking water and family monthly income were important factors associated with stunting and thinness among the respondents. Strategies to improve the nutritional status of adolescent students should be given much attention.

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Prevalence and Associated Factors of Anemia among Muslim Students, Nakhon Si Thammarat, Thailand: A Cross-Sectional Study

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211013476 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110134

Author(s):

Chutima Rattanawan ◽

Suraiya Cheloh ◽

Asma Maimahad ◽

Malatee Tayeh

Keyword(s):

Public Health ◽

Associated Factors ◽

Public Health Problem ◽

Economic Factor ◽

Cross Sectional Study ◽

School Age ◽

Global Public Health ◽

Related Factors ◽

Cross Sectional ◽

Prevalence Of Anemia

Anemia is a global public health problem. The prevalence of anemia among different ages, genders or ethnic groups must be clarified in order to solve problems. This study proposed to determine the prevalence and factors related to anemia among the Muslim school-age population in Nakhon Si Thammarat, Thailand. Socio-demographic and anthropometric data were collected by a structured questionnaire. Blood samples were collected from 200 school-age subjects. The thalassemia screening was performed with KKU-OF and KKU-DCIP reagents. The prevalence of anemia in this study was 36.5%, divided into males and females, 33.3% and 39.1%, respectively. The means of Hb, Hct, MCV, MCH, and MCHC in the anemic group were significantly lower. The positive results for KKU-OF or KKU-DCIP or both were 15.0%, 2.5%, and 1.0%, respectively. The result of positive OF test was a significantly independent factor for anemia. The number of family members was 5 to 7 and more than 7 persons are related factors for anemia in this study. In summary, the contribution of thalassemia and socio-economic factor are associated factors to anemia in this population. These findings should be addressed in public health strategies for the control of anemia of school-aged Muslims in the region.

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