Determinants of Anemia Among Children Aged 6 to 59 Months in Dilla Town, Southern Ethiopia: A Facility Based Case Control Study

Jembere, Muluken; Kabthymer, Robel Hussen; Deribew, Amare

doi:10.1177/2333794x20974232

Cited by 10 publications

(10 citation statements)

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“…Stunted children were more likely to be anaemic compared with children who were not stunted. This is in agreement with a study conducted in Damot Sore district, Southern Ethiopia (17) , Dilla Town, Southern Ethiopia (50) , two agro-ecological zones of rural Ethiopia (36) and Angola (51) . This could be because stunting is a consequence of malnutrition and it is a significant risk factor for anaemia.…”

Section: Discussionsupporting

confidence: 93%

Anaemia and associated factors among children aged 6–23 months in agrarian community of Bale zone: a cross-sectional study

2022

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Anaemia remains among the most prevalent nutritional problems among children in developing countries. In Ethiopia, more than half of children <5 years of age are anaemic. In the early stages of life, it leads to poor cognitive performance, delay psychomotor development and decreases working capacity in later life. The present study aimed to assess the prevalence and associated factors of anaemia among children aged 6–23 months in the Bale zone. A community-based cross-sectional study was conducted from 1 to 30 June 2021. Multistage stratified sampling and simple random sampling techniques were employed to select 770 samples. An interviewer-administered questionnaire was used to collect data on socio-demographic, child health and feeding practices. Haemoglobin levels were estimated using a portable Hemosmart machine. Children with haemoglobin values below 11 g/dl were considered anaemic. Binary logistic regression analysis was performed to identify factors associated with anaemia. Statistical significance was set at P < 0⋅05. The prevalence of anaemia was 47⋅9 % (95 % CI (44⋅4, 51⋅5)). The multivariate analysis showed that child age (6–11 months) (AOR 1⋅47; 95 % CI (1⋅06, 2⋅03)), household food insecurity (AOR 1⋅44; 95 % CI (1⋅01, 2⋅04)), having diarrhoea and cough in the past 2 weeks (AOR 1⋅70; 95 % CI (1⋅18, 2⋅44)) and (AOR 1⋅97; 95 % CI (1⋅28, 3⋅04), respectively), not consuming the recommended dietary diversity (AOR 2⋅72; 95 % CI (1⋅96, 3⋅77)) and stunting (AOR 1⋅88; 95 % CI (1⋅31, 2⋅70)) were significantly associated with anaemia. Anaemia in children aged 6–23 months was a severe public health problem in the study area. Integrated nutritional interventions combined with iron fortification and supplementation is recommended.

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Section: Discussionsupporting

confidence: 93%

Anaemia and associated factors among children aged 6–23 months in agrarian community of Bale zone: a cross-sectional study

2022

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“…Anemic preschool children were significantly higher in households experiencing food insecurity. This finding is in line with previous reports from various regions of Ethiopia, such as Della town, 18 Menz Gera, 29 and Damot Sore district. 17 This may be due to climate change; in Ethiopia, there is not enough yield and agricultural productivity produced during the winter season for at least 7 months.…”

Section: Discussionsupporting

confidence: 93%

“…Furthermore, children's nutritional status was significantly and positively related to their anemia status. Thus, stunting increased the likelihood of anemic children, which is consistent with preceding reports from several parts of Ethiopia, for instance, Dilla, 18 and Gonder 33 . Undernourished children are frequently anemic, which could be explained by low hemoglobin levels compromising linear expansion and coexistence with another lack of micronutrients.…”

Section: Discussionsupporting

confidence: 88%

“…It is also crucial to look into the unique causes and prevalence of anemia in a certain environment and community to reduce or cure anemia. According to preliminary findings from a study of the incidence of anemia and its risk factors in preschoolers in some parts of Ethiopia, 9,16,18,19 those findings should be supplemented with additional research in previously unexplored areas. There has been no research on the prevalence (rate) of anemia and the factors that contribute to it among preschool children in Atinago, Limu Seka district.…”

Section: Introductionmentioning

confidence: 99%

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Magnitude and predictors of anemia among preschool children (36–59 months) in Atingo town, Jimma, Ethiopia

Sodde,

Liga,

Jabir

et al. 2023

Health Science Reports

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Introduction: Anemia is a serious public health concern that affects more than 25% of the world's population. It is still widespread and at its most severe in Ethiopia. This study pointed to identify the magnitude and predictors of anemia in preschool children in Atinago.Method: A structured interview and anthropometric metrics had been used in a cross-sectional study to collect data from 309 preschool children using a systematic sampling strategy from May 10 to June 25, 2022. Frequencies, percentages, means, and a bar chart were created as descriptive statistics. Factors that were significant at the 25% level in univariate analysis were run through multiple logistic models. Odds ratios with respective 95% confidence intervals were developed to determine the relevant predictors. Result:The majority (51.7%) of preschool children in Atinago town had anemia. The finding reveals that poor dietary diversity (adjusted odds ratio [AOR] = 1.77, 95% confidence interval [CI] = 1.02-3.07), children from families with food insecurity (AOR = 2.28, 95% CI = 1.31-3.9), child-mothers used iron folate for less than 3 months during pregnancy (AOR = 1.93, 95% CI = 1.07-3.48), households with more than five children (AOR = 1.880, 95% CI = 1.12-3.18), and stunted children (AOR = 1.78, 95% CI = 1.05-3.01) were highly susceptible to anemia. Conclusion:The findings indicate that anemia was a serious issue among preschool children in Atinago. Therefore, stakeholders should provide community-based nutrition training on consuming diverse diets, dietary improvements in the home, consuming iron-rich meals, and the like; encourage mothers to participate in early ANC follow-up; and strengthen activities aimed at identifying households with food insecurity status.

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“…Mothers who belong to the Pentecostal/charismatic faith have a lower likelihood of their children becoming severely anaemic compared to those with no religious affiliations. Previous studies conducted in Ghana [ 14 ], Tanzania [ 16 ], Ethiopia [ 15 , 17 , 18 , 41 ] and Nigeria [ 26 , 42 ] also found mothers’ religious affiliation to be a significant predictor of anaemia levels among children. Religious beliefs in food restrictions often deny mothers and their children potential dietary nutrients that have the potential to prevent anaemia.…”

Section: Discussionmentioning

confidence: 95%

Multinomial logistic regression analysis of the determinants of anaemia severity among children aged 6–59 months in Ghana: new evidence from the 2019 Malaria Indicator Survey

2023

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Background Anaemia among children under age five is a major public health issue. Although anaemia prevalence is declining in Ghana, the severity among anaemic children is worsening. This study aims to investigate the determinants of anaemia severity among children aged 6 to 59 months in Ghana. Method The study utilized a weighted sample of 1,258 children with anaemia with data obtained from the 2019 Ghana Malaria Indicator Survey. The predictor variables included maternal, household child and health system characteristics. SPSS version. At the multivariate level, three different multinomial logistic models were run with selected predictor variables. All tests were conducted at the 95% confidence level. Results The overall anaemia prevalence among children under age five was 43.5%. Of these, 2.6% were severely anaemic, 48.5% were moderately anaemic, and 48.9% had mild anaemia. The multinomial analysis showed that maternal, household, child and health system factors significantly predicted anaemia levels among anaemic children. The results indicate that a lower likelihood of anaemia severity is likely to be found among children whose mothers belong to Pentecostal/Charismatic faith (AOR = 0.18-model I; AOR = 0.15-model III) and children who tested negative for malaria (AOR = 0.28-model II and III). Again, a higher probability of anaemia severity was found among anaemic children whose mothers were not aware of NHIS coverage of malaria (AOR = 2.41-model II, AOR = 2.60-model III). With regard to moderate anaemia level, children who belong to the poorest, poorer and middle household wealth index had a higher likelihood of being moderately anaemic compared to those in rich households. Similarly, anaemic children who were less than 12 months old (AOR = 2.21-model II, AOR = 2.29-model III) and those between the ages of 1–2 years (AOR = 1.84-model II, AOR = 1.83-model III) were more likely to have moderate anaemia levels. Conclusion The study findings show the importance of understanding the interrelation among different factors that influence anaemia severity among children under age five as critical in developing strategies and programmes aimed at addressing childhood anaemia.

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Determinants of Anemia Among Children Aged 6 to 59 Months in Dilla Town, Southern Ethiopia: A Facility Based Case Control Study

Cited by 10 publications

References 34 publications

Anaemia and associated factors among children aged 6–23 months in agrarian community of Bale zone: a cross-sectional study

Anaemia and associated factors among children aged 6–23 months in agrarian community of Bale zone: a cross-sectional study

Magnitude and predictors of anemia among preschool children (36–59 months) in Atingo town, Jimma, Ethiopia

Multinomial logistic regression analysis of the determinants of anaemia severity among children aged 6–59 months in Ghana: new evidence from the 2019 Malaria Indicator Survey

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