Anaemia and associated factors among under-fives and their mothers in Bushenyi district, Western Uganda

Kikafunda, Joyce K.; Lukwago, Fred B.; Turyashemererwa, Florence

doi:10.1017/s1368980009005333

Cited by 41 publications

(58 citation statements)

References 30 publications

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“…Another study in Brazil also reported 36.6% prevalence of anaemia in children a rural area [17]. A study conducted in Western Uganda also showed a prevalence of 26.2% [10]. The increased prevalence in the current study could be due to geographical variations or the time the survey was carried out.…”

Section: Discussionsupporting

confidence: 49%

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Assessment of the Prevalence of Anaemia and Associated Risk Factors among Children Under Five Years in rural communities ofthe Hohoe Municipality, Ghana

Kweku¹

2017

IJND

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Background: Anemia in children continues to be a major public health challenge in most developing countries. This study determined the prevalence of anaemia and its associated risk factors among children under five in four rural communities in the Hohoe Municipality. Methods: A descriptive community-based cross-sectional study was carried in November 2015. Interviews with semi-structured questionnaires were used to obtain information from mothers of children on socio-demographic characteristics, dietary and feeding practices of the children. Axillary temperature and anthropometric indices were measured using standard methods. Finger-prick blood samples were collected for Haemoglobin concentration measurement and blood film for malaria parasites. Chi-squared test and logistic regression were used to determine theassociation between dependent and independent variables. Results: Of the 235 children surveyed, 113 (48.1%) were anaemic (Hb<11.0g/dl) and17 (7.2%) had low Haemoglobin (Hb< 8.0g/dl). Malaria prevalence by microscopy was 40 (17.0%)andlong-lastinginsecticide-treatednet (LLIN) usage was 173 (73.6%). Anaemia was significantly higher among children aged 6-23 months than those aged 24-59 months (χ 2 =4.91, p=0.027).Children of mothers aged between 40-49 years were 84% times less likely to have anaemia as compared to those aged less than 30 years (AOR=0.16, p=0.005). Children who tested negative for malaria were 75% times less likely to have anaemia (AOR=0.25, p<0.001).No significant difference was observed between males and females, LLIN usage and consumption of iron, vitamin B12, folate and anaemia. Conclusion: Anaemia prevalence in the rural Hohoe Municipality is relatively low compared the 74% reported bythe Ghana Demographic Health Survey in 2014 for rural Ghana. Age of mother and malaria parasitaemia were factors found to be contributing significantly to anaemia. Future interventions should include promotion of foods containing iron, Vitamin B12 and folate, continuous use of LLIN and intermittent preventive treatment of asymptomatic malaria.

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Section: Discussionsupporting

confidence: 49%

“…Another cross-sectional study done in a rural setting in Western Uganda revealed that the prevalence of anaemia was 26.2%. The place of birth, the age of the child, complementary foods, formal education and nutrition knowledge of the mother were factors that were significantly associated with anaemia among the children [10].…”

Section: Introductionmentioning

confidence: 95%

Assessment of the Prevalence of Anaemia and Associated Risk Factors among Children Under Five Years in rural communities ofthe Hohoe Municipality, Ghana

Kweku¹

2017

IJND

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“…Similarly, lower findings were observed among children 6–59 months old in other developing countries of Africa including Western Kenya and Uganda with a prevalence rate of 26.2 and 25%, respectively [15, 20]. Even as compared to other developing countries like South East Asia and Nepal (40%), anaemia was more prevalent in the study area [21].…”

Section: Discussionmentioning

confidence: 67%

Does Anaemia Have Major Public Health Importance in Children Aged 6–59 Months in the Duggina Fanigo District of Wolaita Zone, Southern Ethiopia?

et al. 2017

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Background: Globally, a large number of children aged 6–59 months are affected by anaemia. In Ethiopia, like other developing countries, more than 40% of children under 5 years are affected by anaemia. Anaemia during infancy and childhood period is associated with poor health and impaired cognitive development, leading to reduced academic achievement and earning potential in their adult life. The aim of this research was to assess whether anaemia remained a major public health problem among children aged 6–59 months or not in Duggina Fanigo District of Wolaita Zone, South Ethiopia in 2016. Methodology: A community-based cross-sectional study was conducted from February to March 2016, on 404 mothers with children aged 6–59 months who were selected through the systematic sampling method. Socio-demographic and other data on associated factors was collected using a pre-tested questionnaire. Capillary blood was taken from the fingertip of each child and hemoglobin was measured using Haemo-Cue digital photometer. All the necessary safety measures were taken during blood collection. Data analysis was made using SPSS version 21. Multivariable logistic regression analysis was used to assess the association of independent variables with outcome variables and to control the possible confounding factors. Result: The overall prevalence of anaemia was 51.4%. Anaemia was common among young children as compared to older children. After controlling the effect of confounding and adjusting for age, gender and altitude, explanatory variables like low dietary diversity (AOR = 3.24; 95% CI [1.68–6.23]), food insecurity (AOR = 3.63; 95% CI [2.18–6.04]), stunting (AOR = 2.60; 95% CI [1.56–4.35]), underweight (AOR = 2.46; 95% CI [1.29–4.67]) and fever within 2 weeks (AOR = 2.49; 95% CI [1.29–4.81]) prior to the survey were significantly associated with anaemia. In conclusion, the overall prevalence of anaemia among children aged 6–59 months has remained a major public health importance in the study area. Integrated efforts need to be prioritized to improve the health as well as the nutritional status of children aged 6–59 months through appropriate feeding practices in infants and children.

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“…The association between higher maternal education and lower prevalence of anaemia is related to the realization that maternal education enables mothers' empowerment regarding health information and care for their children (5,16) .…”

Section: Methodsmentioning

confidence: 99%

“…Very few studies make use of representative population samples and therefore can neither evolve in the analysis of anaemia risk determinants nor contribute to the planning of effective measures for their control (4)(5)(6) . The WHO has recommended that population-based studies be developed to investigate the health and nutritional status of populations and that, among the study objectives, investigation of the prevalence and determinants of anaemia be included as a way of evaluating and supporting new government actions (1) .…”

mentioning

confidence: 99%

Temporal trends and anaemia-associated factors in 6- to 59-month-old children in Northeast Brazil

Leal

Filho

Lira

et al. 2012

Public Health Nutr.

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Objective: To analyse the trends and factors associated with anaemia in 6-to 59-month-old children in Northeast Brazil. Design: Cross-sectional study assessed information from the second and third Pernambuco State Health and Nutrition Surveys carried out in 1997 and 2006. A multiple regression analysis was performed from a conceptual model addressing biological and socio-economic factors, housing and sanitation conditions, maternal factors, health care and nutrition, consumption, morbidity and nutritional status. Poisson's regression with robust variance was used. Setting: Pernambuco, Brazil. Subjects: A total of 777 and 993 children, respectively, in the second and third Pernambuco State Health and Nutrition Surveys. Results: The prevalence of anaemia (Hb , 11 g/dl) decreased by 19?3 % (40?9 % down to 33?0 %) between surveys. Maternal education level (less than 8 years in school), households ranked in the lowest environmental index tertile and children between 6 and 23 months of age were the variables common to the final models in the surveys of 1997 and 2006. Elements like living in rural areas, household income less than two minimum official wages and low birth weight were still present in the final model of the 1997 survey. Households ranked in the lowest economic index tertile were associated with anaemia in the model of the 2006 survey. Conclusions: The study results are quite encouraging from the perspective of reducing the prevalence of anaemia. Maternal education level, environmental conditions and child age were determinant factors in both surveys, and economic factors were determinant in 2006.

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Anaemia and associated factors among under-fives and their mothers in Bushenyi district, Western Uganda

Cited by 41 publications

References 30 publications

Assessment of the Prevalence of Anaemia and Associated Risk Factors among Children Under Five Years in rural communities ofthe Hohoe Municipality, Ghana

Assessment of the Prevalence of Anaemia and Associated Risk Factors among Children Under Five Years in rural communities ofthe Hohoe Municipality, Ghana

Does Anaemia Have Major Public Health Importance in Children Aged 6–59 Months in the Duggina Fanigo District of Wolaita Zone, Southern Ethiopia?

Temporal trends and anaemia-associated factors in 6- to 59-month-old children in Northeast Brazil

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