scholarly journals Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yeshimebet Gebereselassie ◽  
Mesganaw BirhanSelassie ◽  
Tadesse Menjetta ◽  
Jemal Alemu ◽  
Aster Tsegaye

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

2020 ◽  
Author(s):  
Getahun Megersa Alemu ◽  
Shimelis Teshome Ayalneh ◽  
Bekele Gutema Waye

Abstract Anemia is a decrease in the total amount of red blood cells (RBCs) or hemoglobin in the blood or both which results in a lowered ability of the blood to carry oxygen. According to a 2008 WHO report indicate that more than half of the world’s preschool-age children (56.3%) reside in countries where anemia is a severe public health problem. In sub-Saharan Africa, it is a severe public health problem among preschool-age children. In this region, much of the national prevalence is estimated to be above 40% among this age group. In Ethiopia, more than 44% of under-five children are anemic. Furthermore, a 2016 report national-level indicates even there was intervention the prevalence increased significantly to 72.3%. It means that the prevalence of anemia is still at the highest public health problem in Ethiopia. The Objectives of the study is to assess the prevalence of anemia and associated factors among under-five children attending the pediatrics outpatient department in Asella teaching and referral Hospital from June 2018 to October 30, 2018. An Institutional based cross-sectional study was conducted by non-probability convenience sampling technique; 338 children were selected. The results of the study showed that the overall prevalence of anemia among under-five children was 36.7%, around 21(6.2%) of them were found to be severely anemic, whereas 37 (10.9%) were moderately anemic. Factors like child’s age [AOR=2.36, 95%CI (1.18, 3.74)] and birth intervals [AOR=3.31, 95%CI (1.17, 3.6)], were associated with anemia. Anemia remains a common health problem in the study area among under-five children and further studies are needed to focus on etiologies and interventions.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1102
Author(s):  
Innocent B. Mboya ◽  
Redempta Mamseri ◽  
Beatrice J. Leyaro ◽  
Johnston George ◽  
Sia E. Msuya ◽  
...  

Background:  Anemia is a severe public health problem affecting more than half of children under five years of age in low-, middle- and high-income countries. We aimed to determine the prevalence and factors associated with anemia among children under five years of age in northern Tanzania. Methods: This was a community-based cross-sectional study conducted in Rombo district, Kilimanjaro region, northern Tanzania in April 2016. Multistage sampling technique was used to select a total of 602 consenting mothers and their children aged 6-59 months and interviewed using a questionnaire. Data were analyzed using Stata version 15.1. We used generalized linear models (binomial family and logit link function) with robust variance estimator to determine factors associated with anemia. Results: Prevalence of anemia was 37.9%, and it was significantly higher among children aged 6-23 months (48.3%) compared to those aged 24-59 months (28.5%). There were no significant differences in anemia prevalence by sex of the child. Adjusted for other factors, children aged 6-23 months had over two times higher odds of being anemic (OR=2.44, 95% CI 1.71, 3.49, p<0.001) compared to those aged 24-59 months. No significant association was found between maternal and nutritional characteristics with anemia among children in this study. Conclusion: Prevalence of anemia was lower than the national and regional prevalence but it still constitutes a significant public health problem, especially among children aged 6-23 months. Interventions such as iron supplementation, food fortification and dietary diversification and management of childhood illnesses in this setting should be targeted towards mothers and children less than two years.


2021 ◽  
Vol 3 (1) ◽  
pp. 041-048
Author(s):  
Sylivester W. Mkama

Background: Anemia in pregnancy is a worldwide public health problem affecting both developing and developed countries with significant impact on the health of mothers and fetus. Objective: This study aimed to determine the prevalence of anemia among pregnant women attending antenatal clinic at St. Francis Referral Hospital (SFRH), Ifakara, Tanzania. Methodology: This was a descriptive cross-sectional study conducted from January to March 2021. A total of 116 pregnant women were enrolled in this study. Interviews were conducted followed by determination of haemoglobin level. Results: The results revealed the prevalence of anemia among pregnant women attending antenatal clinic at SFRH to be 52.6%. In this study mild anemia was 34.5%, moderate anemia13.8% and severe anemia 4.3%. Conclusion: Anemia in pregnancy is a public health problem in study setting of St. Francis Referral Hospital, Ifakara, Tanzania.


2020 ◽  
Author(s):  
Kassahun Tassow Haile ◽  
Deneke Wolde ◽  
Girum Tesfaye ◽  
Tilahun Yemane ◽  
Abebe Timerga ◽  
...  

Abstract Background: Anemia is a worldwide public health problem and also associated with H. pylori infection. Determining the association of anemia with H. pylori infection is important to develop evidence-based decision and intervention strategies. Association between anemia and H. pylori infection is not well known in Ethiopia. Thus, this study aimed to determine the association between anemia and H. pylori infection among adult dyspeptic patients attending Wachemo University Nigist Eleni Mohammad Memorial Referral Hospital in southwest Ethiopia.Method: A cross-sectional study was conducted from January to April 2019 involving 362 consecutive adult dyspeptic patients who came to the hospital during the study period. Socio-demographic, clinical and other related data were collected by structured questionnaires. Four milliliters of the venous blood sample was collected for hematological parameters analysis and blood film preparation. A stool sample was collected to detect H. pylori antigen and intestinal parasites. Data were analyzed by SPSS version 21. Logistic regression analyses were performed and p-value <0.05 was considered as statistically significant.Results: The overall prevalence of anemia among dyspeptic patients was 24.3% (95%CI: 19.9- 28.7). Among H.pylori infected participants 29.2% were anemic, of which 69.2% had mild anemia and 63.5% had normocytic normochromic anemia. Rural residence (AOR: 1.9, 95%CI: 1.1-3.3), H. pylori infection (AOR: 1.77, 95%CI: 1.05-2.98) and intestinal parasitic infection (AOR: 2.14, 95%CI: 1.14-4.03) were significantly associated with anemia.Conclusion: The prevalence of anemia in this study indicated that it is a moderate public health problem. Rural residence, H. pylori and intestinal parasitic infection were significantly associated with anemia. The findings of this study should be taken into account for the prevention and control of anemia among dyspeptic adults.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Biruk Bogale ◽  
Befikadu Tariku Gutema ◽  
Yilma Chisha

Introduction. Child stunting, which is a chronic length or height growth deficit, has been a devastating public health problem in developing countries. In Ethiopia, stunting remains severe public health problem. The aim of the study was to assess the prevalence of stunting and its associated factors among children of 6–59 months. Methods. The community-based cross sectional study was conducted in the Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. The simple random sampling method was used to recruit 656 mother-child pairs. Height for age Z score was computed using WHO Anthro version 3.2.2 software. Multivariable logistic regression model was fitted, and adjusted odds ratio (AOR) at p value <0.05 was used to determine statistically significant association between predictors and outcome variable. Result. The prevalence of stunting among children of 6–59 months in the study area was 47.9% (95% CI; 44.0–51.7). The likelihood of stunting was significantly higher among children who live in households with medium (AOR 2.20, 95% CI: 1.43–3.37) and poor (AOR 2.87, 95% CI: 1.72–4.81) wealth status. In addition, children who were not exclusively breast fed (AOR 1.55, 95% CI: 1.07–2.24), whose mothers had not participated in decision of major household purchases (AOR 2.27, 95% CI: 1.21–4.26), and whose mothers lacked decision on freedom of mobility (AOR 1.96, 95% CI: 1.05–3.66) were significantly stunted compared with counterparts. Conclusion. Stunting is a severe public health problem in the area. Therefore, efforts should be taken to enhance maternal empowerment, household wealth, and infant and young child feeding practice for reducing stunting among children.


Author(s):  
Chutima Rattanawan ◽  
Suraiya Cheloh ◽  
Asma Maimahad ◽  
Malatee Tayeh

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.


Anemia ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Taddese Alemu ◽  
Melaku Umeta

Anemia is a major public health problem worldwide. In Ethiopia, a nationally representative and consistent evidence is lacking on the prevalence and determinants during pregnancy. We conducted an in-depth analysis of demographic and health survey for the year 2011 which is a representative data collected from all regions in Ethiopia. Considering maternal anemia as an outcome variable, predicting variables from sociodemographic, household, and reproductive/obstetric characteristics were identified for analyses. Logistic regression model was applied to identify predictors atP<0.05. The prevalence of anemia among pregnant women was 23%. Maternal age, region, pregnancy trimester, number of under five children, previous history of abortion (termination of pregnancy), breastfeeding practices, and number of antenatal care visits were key independent predictors of anemia during pregnancy. In conclusion, the level of anemia during pregnancy is a moderate public health problem in Ethiopia. Yet, special preventive measures should be undertaken for pregnant women who are older in age and having too many under five children and previous history of abortion. Further evidence is expected to be generated concerning why pregnant mothers from the eastern part of the country and those with better access to radio disproportionately develop anemia more than their counterparts.


Anemia ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-13 ◽  
Author(s):  
Kemal N. Kawo ◽  
Zeytu G. Asfaw ◽  
Negusse Yohannes

Background. Anemia is a widely spread public health problem and affects individuals at all levels. However, there is a considerable regional variation in its distribution. Objective. Thus, this study aimed to assess and model the determinants of prevalence of anemia among children aged 6–59 months in Ethiopia. Data. Cross-sectional data from Ethiopian Demographic and Health Survey was used for the analysis. It was implemented by the Central Statistical Agency from 27 December 2010 through June 2011 and the sampling technique employed was multistage. Method. The statistical models that suit the hierarchical data such as variance components model, random intercept model, and random coefficients model were used to analyze the data. Likelihood and Bayesian approaches were used to estimate both fixed effects and random effects in multilevel analysis. Result. This study revealed that the prevalence of anemia among children aged between 6 and 59 months in the country was around 42.8%. The multilevel binary logistic regression analysis was performed to investigate the variation of predictor variables of the prevalence of anemia among children aged between 6 and 59 months. Accordingly, it has been identified that the number of children under five in the household, wealth index, age of children, mothers’ current working status, education level, given iron pills, size of child at birth, and source of drinking water have a significant effect on prevalence of anemia. It is found that variances related to the random term were statistically significant implying that there is variation in prevalence of anemia across regions. From the methodological aspect, it was found that random intercept model is better compared to the other two models in fitting the data well. Bayesian analysis gave consistent estimates with the respective multilevel models and additional solutions as posterior distribution of the parameters. Conclusion. The current study confirmed that prevalence of anemia among children aged 6–59 months in Ethiopia was severe public health problem, where 42.8% of them are anemic. Thus, stakeholders should pay attention to all significant factors mentioned in the analysis of this study but wealth index/improving household income and availability of pure drinking water are the most influential factors that should be improved anyway.


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