Anaemia in pregnant adolescent girls with malaria and practicing pica

Intiful, Freda Dzifa; Wiredu, Edwin K.; Asare, George Awuku; Asante, Matilda; Adjei, David Nana

doi:10.11604/pamj.2016.24.96.9282

Cited by 12 publications

(13 citation statements)

References 19 publications

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“…This study aimed to highlight the degree of malaria-induced and non-malaria-induced anemia in different age groups, different trimesters and in varying gravidity among pregnant women living in communities along the Lagoon coast in Lagos Nigeria. It should be appreciated with great concern that majority of the approximate 500,000 women who die annually in pregnancy occur most in the developing world 27,28 that are mostly malaria-endemic. Malaria and anemia in any stage of pregnancy are almost always devastating to the fetus, the mother, the family and the community.…”

Section: Discussionmentioning

confidence: 99%

Malaria and anemia among pregnant women living in communities along the coast of Lagos Lagoon, South-west Nigeria

Olukosi¹,

Afolabi²

2018

IPCB

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Background: Malaria parasitemia during pregnancy is a most important public health problem to governments and to individuals in malaria endemic regions of the world. Moderate or severe anemia during pregnancy may be associated with heavy parasitic infestation. However, malaria may not be the only cause of anemia in pregnant women in developing countries. Objective: To determine the prevalence of malaria and anemia in different trimester, gravida and age group Study design: A cross-sectional study that recruited 113 pregnant women who were screened for the malaria parasites and anemia. Setting: The study was conducted in the antenatal clinic of two general hospitals in Ikorodu Local Government Area (LGA) in Lagos, Southwest Nigeria. Participants: The pregnant women recruited for this study were living in communities on the coasts of the Lagos Lagoon. Measurements: Socio-demographic profile, obstetrics and gynecologic history and other relevant data of the pregnant women were collected using a semi-structured questionnaire instrument in an interview. Blood samples were analyzed for Packed Cell Volume (PCV) level and malaria parasites Results: Malaria prevalence was 19.5% and the prevalence of anemia was 81.4%. The highest prevalence of malaria (27.5%) occurred in the 3rd trimester and among primigravida. The highest prevalence of anemia was in the 2nd trimester and among the multigravida. Those with severe anemia were approximately five times more likely to have malaria parasitemia (χ²=8.16, P-value=0.004, OR=4.84, 95% CI: 1.53, 15.35) compared to all other pregnant women. Women in the third trimester were 1.25 as likely to develop severe anemia than those in first or second trimester (χ²=0.18, P-value=0.69, OR=1.25, 95% CI=0.41, 3.82). Secundigravida were 1.60 times more likely to develop moderate anemia (χ²=1.20, P-value=0.27, OR=1.60, 95% CI=0.69, 3.76) and multipara were 1.35 times more likely to develop mild anemia (χ²=024, P-value=0.62, OR=1.35, 95% CI=0.41, 4.47). Regardless of whether the pregnant woman was parasitized or not, the mean PCV of those who consumed herbal tea (28.2±5.2) was significantly lower (t=-2.24, P-value=0.01) than those who did not consume herbal tea (30.8±6.5) in pregnancy. Conclusion: The prevalence of anemia in pregnancy was very high while the prevalence of malaria was very low. Anemia was commoner in the 2nd trimester and among multigravida while malaria was more prevalent in the 3rd trimester and among primigravida. Consumption of herbal tea was associated with low Packed Cell Volume.

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Section: Discussionmentioning

confidence: 99%

Malaria and anemia among pregnant women living in communities along the coast of Lagos Lagoon, South-west Nigeria

Olukosi¹,

Afolabi²

2018

IPCB

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“…The prevalence also varies from country to country and from region to region within same countries. Studies have shown that the prevalence of AIP is as high as 99% among women in tertiary facility in India, [20] 90.5% in urban Pakistan,9 76% among pregnant adolescents in Ghana [21], 39.9% in south Ethiopia, [8] 47.4% in northern Tanzania [4] to as low as 2.2% among pregnant women with early pregnancy in New Zealand. [22] In Nigeria, the overall prevalence of anaemia among pregnant women is put at 57.8% [1] while studies have documented regional prevalence of 54.5% in Uyo South South Nigeria, [3] 56% in Abakiliki in south east Nigeria, [5] 39.2% in Sokoto north western Nigeria, [7] 76.5% in Abeokuta, south western Nigeria, [12] 71.3% in Azara in north east Nigeria, [23] and 60.4% in a tertiary facility in Ilorin, north central Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Anaemia in Pregnancy at Booking: Prevalence and Risk Factors among Antenatal Attendees in a Southern Nigeria General Hospital

Iyanam

Idung

Jombo

et al. 2019

AJMAH

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Background: Despite the fact that anaemia is a preventable morbidity in most cases, its prevalence among pregnant women is still unacceptably high especially in rural and sub-urban settings. This is worrisome considering the enormous contribution of anaemia to maternal and infant morbidity and mortality. Objective: This study aimed at determining the prevalence of anaemia at booking, identifying and describing its risk factors among pregnant women who attended the antenatal clinic of General Hospital, Etinan, a sub-urban area in Akwa Ibom State, South-South Nigeria. Methodology: This was a cross-sectional descriptive study involving 375 pregnant women seen at the antenatal (booking) clinic of General Hospital, Etinan, between April and October 2018, recruited through non-probability consecutive sampling technique. A pretested semi-structured interviewer-administered questionnaire was used to obtain data on socio-demographic, family and nutritional characteristics and obstetric and medical history of the respondents. Blood sample of each respondent was obtained from the median cubital vein, analysed with haemoglobinometer and their haemogloin (Hb) level determined and classified. Results: The age of the respondents ranged from 15-49 years with mean and standard deviation of 26.62 + 6.29 years. Results obtained show that out of 375 pregnant women, 265 had Hb <11g/dl giving 70.67% of anaemia among them. While 18.49% had mild anaemia (Hb:10.0-10.9g/dl), 4.15% had severe anaemia(Hb:<7.0g/dl). Anaemia was statistically associated with rural residence (p=0.024), low educational status (p=0.02), low family income (p=0.003), being married (p=0.016), lower parity (p=0.000), late booking (p=0.001), non-use of family planning (p=0.000), non-use of insecticide-treated nets (p=0.000), febrile illness in index pregnancy (p=0.000) and poor nutrition (p=0.000). Conclusion: The prevalence of anaemia among pregnant women in the study is high. This has far-reaching negative implications on the health status of the women during pregnancy, delivery and puerperum and that of the fetus. The need for preconception counseling and screening, health and nutrition education, early booking, contraception, treatment and prevention of causes of febrile illness, priority to girl child education and overall poverty eradication measures and recommended.

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“…Yet there was a marginal increase in coverage in the Volta Region from 30% to 31% and no change in per cent coverage in the Northern Region (at 14%) in the 6-year period (GSS, GHS, & ICF International, 2015;GSS, GHS, & ICF Macro, 2009). Many of the studies on anaemia in Ghana have been limited to assessing prevalence and determining risk factors among pregnant women (Engmann et al, 2008;Glover-Amengor et al, 2005;Intiful et al, 2016;Mockenhaupt et al, 2000;Stephens et al, 2014). There is a paucity of evidence on perceptions of anaemia in Ghanaian communities and hence a limited understanding of gaps in local knowledge and how this could potentially drive the burden of anaemia as well as efforts to reduce its prevalence.…”

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confidence: 99%

Perceptions and beliefs about anaemia: A qualitative study in three agroecological regions of Ghana

Awuah

Colecraft

Wilson

et al. 2021

Maternal & Child Nutrition

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Little evidence exists concerning perceptions of anaemia in Ghanaian communities, which limits understanding of how to potentially improve health in settings with high anaemia prevalence. We explored lay perceptions of anaemia to understand local knowledge and beliefs and to provide an opportunity to inform interventions. A cross-sectional, qualitative study was conducted in selected communities in three regions of Ghana with high prevalence of anaemia. Forty-eight focus group discussions (FGDs) were conducted with adolescent girls, adult women of reproductive age and adult men (16 FGDs for each demographic group). Participants across the three demographic groups generally described anaemia as inadequate blood in the body and reported that poor diet, heat, alcohol intake, physiological factors and diseases such as malaria were the main causes of anaemia. Consequences of anaemia mentioned in the FGDs included dizziness, weight loss, loss of appetite and weakness.Prevention of anaemia was perceived to result from improved diet, avoidance of exposure to heat and improved sanitation to avoid diseases. The findings suggest that despite areas of convergence between lay and biomedical knowledge on the causes, consequences and prevention of anaemia, the burden of anaemia remains high in the study regions. This highlights a disconnect between local knowledge of anaemia and the health and nutrition behaviours needed to reduce its incidence.Effective interventions can be developed with and for communities that build upon existing knowledge while filling remaining knowledge gaps or misconceptions. K E Y W O R D S adolescent girls, anaemia, community, knowledge, qualitative methods, women of childbearing age 1 | INTRODUCTION With a global prevalence of approximately 33%, anaemia is a ubiquitous public health problem-with adolescent girls and women of reproductive age (WRA) having the highest burden (Global Nutrition Report, 2020; World Health Organization [WHO], 2015). The majority of high-risk populations are found in low-and middle-income countries (Kassebaum et al., 2014).

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Anaemia in pregnant adolescent girls with malaria and practicing pica

Cited by 12 publications

References 19 publications

Malaria and anemia among pregnant women living in communities along the coast of Lagos Lagoon, South-west Nigeria

Malaria and anemia among pregnant women living in communities along the coast of Lagos Lagoon, South-west Nigeria

Anaemia in Pregnancy at Booking: Prevalence and Risk Factors among Antenatal Attendees in a Southern Nigeria General Hospital

Perceptions and beliefs about anaemia: A qualitative study in three agroecological regions of Ghana

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