Effect of Personalized Support at Home on the Prevalence of Anemia in Pregnancy in Burkina Faso: A Cluster Randomized Trial

2021 ◽  
Author(s):  
Bernard Ilboudo ◽  
Léon G. B. Savadogo ◽  
Isidore Traoré ◽  
Clément Z. Meda ◽  
Maurice Kinda ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Pregnant Women ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Antenatal Visit ◽  
Anemia In Pregnancy ◽  
Cluster Randomized ◽  
Prevalence Of Anemia ◽  
In Pregnancy ◽  
At Home

Burkina Faso has high prevalence of anemia in pregnancy (hemoglobin < 11 g/dL), despite the implementation of the WHO recommended guidelines. This study aimed to test the effects of personalized support for pregnant women at home on the trend of anemia prevalence in pregnancy. A cluster randomized trial was conducted from January 2015 to August 2016 at Sindou health district in Burkina Faso. Data were collected from 617 women in their first or second trimester of pregnancy, including 440 and 177 women in the intervention and control groups, respectively. The intervention consisted of a monthly home-based visit to the pregnant woman, focusing on nutritional counseling and pregnancy management, alongside an improvement antenatal visit quality. Compared with the prevalence of anemia in pregnancy in the control group [64.0% (95% confidence interval [CI]: 52.1–74.4%)], that of the intervention group was significantly lower from the fifth home visit onward [36.8% (95% CI: 32.1–41.8%)] (P < 0.001). The adjusted difference-in-differences in anemia prevalence between the two groups was –19.8% (95% CI: –30.2% to –9.4%) for women who received more than four home visits (P < 0.001). The corresponding difference in hemoglobin levels was 0.644 g/dL (95% CI: 0.309–0.167; P < 0.001). Personalized support for pregnant women at home, combined with appropriate antenatal care, can significantly reduce anemia prevalence during pregnancy in rural Burkina Faso.

scholarly journals Factors Associated with Anemia in Pregnancy in Cascades Region in Burkina Faso

2015 ◽  
pp. 663-664
Author(s):  
Ilboudo Bernard ◽  
Savadogo G. Léon Blaise ◽  
Kinda Maurice ◽  
Guiguemde T. Robert ◽  
Dramaix-wilmet Michèle ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Pregnant Women ◽  
Intermittent Preventive Treatment ◽  
Preventive Treatment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Anemia In Pregnancy ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Objectives: To analyze the factors associated with anemia in pregnancy in the Cascades region in Burkina Faso. Methods: A cross-sectional study was carried out in antenatal clinics of the Cascades region in Burkina Faso during one month from May to June 2012. We collected data on socio-demographics and health characteristics of pregnant women attending these clinics. Hemoglobin was measured to assess anemia. Factors associated with anemia were identified through a multivariate analysis. Results: A total of 1763 pregnant women, irrespectively of pregnancy stage, were enrolled. The mean (SD) hemoglobin level was 10.6 (1.4) g/dl. The prevalence of anemia in pregnancy was 58.9%, 3.2% of them being severe. Factors associated with anemia were the absence of intermittent preventive treatment of malaria with sulfadoxin-pyrimetamin (OR = 1.3, 95% CI: 1.0-1.7), number of pregnancies >6 (OR = 1.4, 95% CI: 1.1-1.9). Moderate consumption of local alcohol extracted from Palmyra was associated with a lower prevalence of anemia (OR = 0.7, 95% CI: 0.5-0.9). Surprisingly, anemia was not associated with supplementation with folic acid + iron (p = 0.60). Conclusions: Interventions which aim to reduce the prevalence of anemia in pregnancy in Burkina Faso should improve the coverage of the intermittent preventive treatment of malaria and support the limitation of births.

Improving mental health among ultra-poor children: Two-year outcomes of a cluster-randomized trial in Burkina Faso

2018 ◽  
Vol 208 ◽  
pp. 180-189 ◽  
Author(s):  
Leyla Ismayilova ◽  
Leyla Karimli ◽  
Jo Sanson ◽  
Eleni Gaveras ◽  
Rachel Nanema ◽  
...  
Keyword(s):  
Mental Health ◽  
Burkina Faso ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Cluster Randomized ◽  
Poor Children

scholarly journals What do You Need to Get Male Partners of Pregnant Women Tested for HIV in Resource Limited Settings? The Baby Shower Cluster Randomized Trial

2016 ◽  
Vol 21 (2) ◽  
pp. 587-596 ◽  
Author(s):  
Echezona E. Ezeanolue ◽  
Michael C. Obiefune ◽  
Wei Yang ◽  
Chinenye O. Ezeanolue ◽  
Jennifer Pharr ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Male Partners ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Cluster Randomized

scholarly journals Factors affecting the acceptability and consumption of Corn Soya Blend Plus as a prenatal dietary supplement among pregnant women in rural Cambodia

2015 ◽  
Vol 19 (10) ◽  
pp. 1842-1851 ◽  
Author(s):  
Amynah Janmohamed ◽  
Crystal D Karakochuk ◽  
Somchit Boungnasiri ◽  
Kyly C Whitfield ◽  
Gwen E Chapman ◽  
...  
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Dietary Supplement ◽  
Cluster Randomized Trial ◽  
Structured Interview ◽  
Peer Influences ◽  
Factors Affecting ◽  
Nutritional Needs ◽  
Cluster Randomized ◽  
In Pregnancy

AbstractObjectiveUndernutrition is prevalent among pregnant women in Cambodia. The provision of fortified dietary supplements is one strategy to help pregnant women meet their nutritional needs. Corn Soya Blend Plus (CSBP) is a widely used prenatal dietary supplement in areas with high rates of undernutrition and food insecurity. However, little is known about its acceptability during pregnancy. The present study aimed to identify factors that affected the acceptability and consumption of CSBP supplements among pregnant women.DesignWomen completed a structured interview designed to provide information on facilitators of and barriers to utilization. In addition, six focus groups were conducted with a subset of women (n 70) to further explore attitudes, perceptions and experiences related to CSBP use.SettingTwo districts in Kampong Chhnang Province, Cambodia.SubjectsPregnant women (n 288) participating in a cluster-randomized trial of CSBP.ResultsThe acceptability of CSBP was influenced by sensory attributes, family support, peer influences, and attitudes related to diet, nutritional status and weight gain in pregnancy. Attaining adequate nutrition was considered less important than other concerns during pregnancy, particularly anxiety related to the costs of delivery and postpartum care. Acceptance was lower among new mothers due to fears of weight gain. Health benefits were common reasons for continued use and minor side-effects, such as nausea, were not major barriers to consumption.ConclusionsCSBP was generally well accepted in this population. However, organoleptic factors and perceptions regarding nutrition and weight gain in pregnancy, particularly for first-time mothers, were barriers to increasing acceptance among Cambodian women.

scholarly journals Study of prevalence of anemia among pregnant women attending antenatal checkup in a rural teaching hospital in Telangana, India

2018 ◽  
Vol 7 (7) ◽  
pp. 2612 ◽  
Author(s):  
Shridevi .
Keyword(s):  
Pregnant Women ◽  
Teaching Hospital ◽  
Hypochromic Anemia ◽  
Severe Anaemia ◽  
Cross Sectional ◽  
Mild Anemia ◽  
Anemia In Pregnancy ◽  
Rural Teaching ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: Anemia during pregnancy is a major cause of morbidity and mortality in pregnant women in developing countries and has both maternal and fetal consequences. The objective of the present study was to evaluate the prevalence of anemia among pregnant women attending antenatal checkup in a rural teaching hospital in Telangana.Methods: It is a hospital based cross-sectional observational study conducted in the department of Obstetrics and Gynecology at Maheshwara Medical College and Hospital, Telangana for duration of two years from March 2016 to April 2018. A total of 600 cases were studied and screened. Prevalence of anemia was calculated. Anemia was classified morphologically based on peripheral smear findings and classified as microcytic hypochromic, macrocytic, dimorphic anemia, normocytic normochromic anemia and normocytic hypochromic anemia. Based on hemoglobin values anemia was classified into mild, moderate, and severe anemia.Results: Prevalence of anemia in pregnancy in rural Telangana was about 20%. Age-wise, majority (58.3%) of the patients were between 21 to 25 years. Gravida more than 2 were more 66.6% (400/600) when compared to lower parity. Among 600 cases, 140 pregnant women (23.3%) suffered with mild anemia, 340 cases (56.6%) with moderate anemia and 20% with severe anaemia. Morphologically, microcytic hypochromic type i.e., iron deficiency anaemia was the most common.Conclusions: Anemia in pregnancy in rural Telangana is quite high and was found to be 20% in routine antenatal outpatient cases. Multiple pregnancies and low level of education indirectly contribute to anemia of pregnancy. Education and awareness about anemia in pregnancy can lead to better fetal and maternal outcomes.

scholarly journals A study on prevalence of anemia in pregnancy in South India

2019 ◽  
Vol 9 (1) ◽  
pp. 34
Author(s):  
Sarala V. ◽  
Ushadevi Gopalan
Keyword(s):  
Pregnant Women ◽  
Economic Status ◽  
Tertiary Care ◽  
Structured Interview ◽  
Deficiency Anemia ◽  
Major Health Problem ◽  
Socio Economic Status ◽  
Anemia In Pregnancy ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: Anemia in pregnancy is a major health problem worldwide, especially in developing countries like India. Maternal and fetal outcomes are poor in pregnant patients with anemia. The most important cause of anemia is iron deficiency anemia which can be prevented by early oral iron supplementation.Methods: This cross-sectional study was conducted in the department of obstetrics and gynecology of our tertiary care teaching institution for a period of one year. 1290 pregnant women coming to the antenatal OPD were screened for anemia and 490 women. Patients who were not anemic were excluded. 800 patients were enrolled in the study. Each patient was interviewed using a structured interview schedule and the data obtained was analyzed.Results: The percentage of anemia in pregnant women was 62% in our study of which 40% were mildly anemic, 55% were moderately anemic and 5% were severely anemic. Maximum number of anemic women -mild, moderate and severe was seen in the age group 20-24 years. Mild and severe anemia was seen more in the secondary educated women. Maximum percentage of anemia was seen in the lower socio-economic status followed by middle and was lowest in the higher socio-economic status group. Prevalence of anemia was almost equal in primigravida and multigravidas (around 50%) but 80% of severely anemic patients were multigravida. Almost 68% took iron and folic acid tablets regularly.Conclusions: Treating anemia in pregnant women will go a long way in improving maternal and fetal outcome. Hence a future healthy younger generation can be produced. Iron tablets can be distributed at school to young girls to prevent anemia in future women.

scholarly journals An Augmented SMS Intervention to Improve Access to Antenatal CD4 Testing and ART Initiation in HIV-Infected Pregnant Women: A Cluster Randomized Trial

PLoS ONE ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. e0117181 ◽  
Author(s):  
Scott Dryden-Peterson ◽  
Kara Bennett ◽  
Michael D. Hughes ◽  
Adrian Veres ◽  
Oaitse John ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Art Initiation ◽  
Sms Intervention ◽  
Cluster Randomized ◽  
Improve Access ◽  
Cd4 Testing
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