Anemia infantil: retos y oportunidades al 2021

Zavaleta, Nelly

doi:10.17843/rpmesp.2017.344.3281

Cited by 28 publications

(30 citation statements)

References 5 publications

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“…Strategies that do not address the presence of disease in children will continue to produce poor impact on the reduction of anemia. [24][25][26] We must look at ways to prevent diarrhea, infectious diseases, and helminth infections in order to reduce children's risk of anemia.…”

Section: Discussionmentioning

confidence: 99%

Nutrition Uptake and Disease of Children with Anemia in Peru, A Cross-Sectional Analysis

Westgard

Orrego-Ferreyros²,

Calderón³

et al. 2020

Preprint

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Abstract Anemia is a multicausal problem affecting 41.7% of children under 5 worldwide. The prevalence of anemia in Peru has decreased only 6.8% from 2009 to 2017, despite great efforts made to distribute free multi-micronutrient supplements and promote the consumption of iron rich foods. The current study investigates the nutritional uptake and incidence of disease in children with anemia in Peru to better understand what is driving the high rates of anemia. METHODS A cross-sectional analysis of secondary data was conducted. Data from two national surveys were linked to evaluate the predictors of anemia. The associations were tested with Chi-square analysis and logistic multivariate regression analysis. RESULTS The sample included 586 children under 3. The prevalence of anemia was 53.2%, while 51.9% of the children consumed sufficient micronutrients to meet the daily recommended level for their age. Of those with anemia, 45.1% consumed sufficient micronutrients to meet the recommended level (p<0.001). The children with anemia were more likely to have an infectious or parasitic disease in the last year and less likely to have access to safe drinking water (p=0.057, p=0.002, respectfully). The logistic analysis displayed that having an infectious or parasitic disease increased the odds of having anemia (OR=1.6, p=0.043), and having access to safe drinking waters decreased the odds of having anemia (OR=0.58, p=0.044), while controlling for micronutrient uptake. CONCLUSIONS Nearly half of the children with anemia in Peru already consume sufficient nutrients to meet their daily requirement. However, they continue to have anemia, likely due to infectious diseases and parasites.

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Section: Discussionmentioning

confidence: 99%

Nutrition Uptake and Disease of Children with Anemia in Peru, A Cross-Sectional Analysis

Westgard

Orrego-Ferreyros²,

Calderón³

et al. 2020

Preprint

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“…However, caregiver's knowledge of practices to maintain a healthy family are limited as they transition from traditional practices to modern medicine (25)(26)(27)(28). To improve health in the communities, the population must understand the causes, consequences, and treatments of poor nutrition and infection (24,(29)(30)(31).…”

Section: Study Settingmentioning

confidence: 99%

The Use of Implementation Science Tools to Design, Implement, and Monitor a Community-Based mHealth Intervention for Child Health in the Amazon

Westgard

Fleming

2020

Front. Public Health

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It is essential to analyze the local context and implementation components to effectively deliver evidence-based solutions to public health problems. Tools provided by the field of implementation science can guide practitioners through a comprehensive implementation process, making innovations more adaptable, efficient, and sustainable. It is equally important to report on the design and implementation process so others can analyze, replicate, and improve on the progress made from an intervention. The current study reports on the design and implementation of an mHealth intervention to improve child health in the Amazon of Peru. The study aims to provide insight into how an implementation science tool can be used to improve implementation and reporting of an evidence-based intervention in a global health setting. Methods: Implementation of a community-based mHealth intervention is analyzed and reported through the lens of the Active Implementation Frameworks (AIF). The AIF is used to analyze the design, implementation, adaptation, and monitoring of the intervention. The implementation process is categorized in the four stages of implementation. The results of the analysis and subsequent implementation activities are reported. Results: The exploration stage was used to learn about the local context in the Amazonian communities and identify an evidence-based solution to address poor child health. Several potential solutions were combined to create an innovative mHealth tool. During the installation stage, the stakeholders worked together to improve the intervention and plan for implementation through human-centered design. The providers in the field were trained and data was gathered to monitor implementation. During initial implementation stage, electronic tablets were distributed to community health agents and continuous quality improvement activities allowed for rapid improvements to be implemented. The intervention moved on to full implementation stage as acceptance and fidelity approached 100%. Conclusion: The AIF highlighted several potential barriers to implementation that may have been overlooked without the guidance of a science-based implementation tool. Reporting on the implementation process shows how implementation science tools can Westgard and Fleming Implementation Science Tools for mHealth be used to foresee and address potential threats to successful implementation. The results of this study provide insight into the components of implementation in Amazonian communities, as well as the process of using implementation science tools in any global health setting.

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“…Los programas de suplementación han sido eficaces en condiciones controladas sin embargo, existen barreras técnicas y prácticas: información limitada sobre la efectividad de las intervenciones de suplementación, los efectos secundarios, la baja adherencia y las limitaciones de oferta / distribución. En algunos países, la ubicación geográfica, las variaciones en el idioma y el tamaño de la población pueden hacer que el costo de los programas de intervención a través de programas de información, educación y comunicación sea muy (7) alto .Otro limitante es la baja priorización del problema de la anemia al ser una condición generalmente asintomática, donde los padres y las autoridades de salud no logran sensibilizarse sobre (8) el impacto y las consecuencias en los niños .…”

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Evaluación de anemia post intervención nutricional en niños de comunidades rurales de Caazapá, Paraguay

Echagüe

Funes

Díaz

et al. 2019

Pediatr (Asunción).

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Introducción: Se ha descrito la heterogeneidad del impacto de la anemia según el área geográfica; en el sector rural se ve agravado afectando a la población más vulnerable. Objetivo: evaluar el efecto del suplemento nutricional en niños anémicos menores de cinco años indígenas y no indígenas, en comunidades rurales del Departamento de Caazapá. Materiales y métodos: Estudio observacional transversal. Fueron estudiados una cohorte de 109 niños menores de cinco años indígenas y no indígenas cuyos padres brindaron su consentimiento informado, a quienes se les suministró sulfato ferroso según edad y peso. Resultados: Se encontró un aumento significativo de las medianas de hemoglobina, después de la intervención, de 5,0 g/L en el grupo anémico de indígenas y en los no indígenas de 6,0 g/L; el 31% de los niños indígenas y el 84% de los no indígenas dejaron de ser anémicos, post intervención. Conclusión: Ambas poblaciones de niños anémicos indígenas y no indígenas presentaron un aumento significativo de los niveles medios de hemoglobina post tratamiento con suplemento con hierro y una mayoría presentó una mejoría a un estado no anémico o del grado de la anemia. Correspondencia: Liliana Sosa. Correo: aclinicos@iics.una.py Conflicto de interés: Los autores declaran no poseer conflicto de interés Recibido: 6/03/2019 Aceptado: 22/07/2019

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Anemia infantil: retos y oportunidades al 2021

Cited by 28 publications

References 5 publications

Nutrition Uptake and Disease of Children with Anemia in Peru, A Cross-Sectional Analysis

Nutrition Uptake and Disease of Children with Anemia in Peru, A Cross-Sectional Analysis

The Use of Implementation Science Tools to Design, Implement, and Monitor a Community-Based mHealth Intervention for Child Health in the Amazon

Evaluación de anemia post intervención nutricional en niños de comunidades rurales de Caazapá, Paraguay

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