Prevalence of anaemia among adolescent girls (10–19 years) in India: A systematic review and meta-analysis

DANIEL, ROY AROKIAM; KALAIVANI, MANI; KANT, SHASHI; GUPTA, SANJEEV

doi:10.25259/nmji_637_21

Cited by 2 publications

References 34 publications

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Assessment of the implementation of iron and folic acid tablets supplementation to in-school girls in Nanumba South District of Northern Region, Ghana

Razak,

Kogi,

Ndayishimiye

et al. 2024

Preprint

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Iron deficiency is a leading cause of morbidity and mortality among adolescent girls 10–19 years of age globally. Despite the free weekly iron and folic acid supplementation, prevalence of anaemia among adolescent females still between 24% to 64.6%. This study sought to identify the factors affecting the implementation of iron and folic acid program to a school-based anaemia reduction in the Nanumba South District, Northern Region, Ghana. A cross-sectional analytical study was carried out. And a simple random sampling method was used to select the schools and the adolescent girls, while purposive sampling was used to select school health coordinators and health staff. The outcome variable was IFA compliance and exposures were knowledge on anaemia and IFAS program, as well as socio-demographic factors (Age, marital status, level of education, gestational age, parity, gestation age, and occupation). Adolescent girls who consumed at least five tablets of the expected dose in the previous 7 weeks (1 tablet per week) which is equivalent to consuming 70% of the expected dose before the day of the data collection were considered compliant. Respondents who were able to get “1” in all the four knowledge questions were considered to have good level of knowledge. Occupation level of parents was self-identified by the respondents. Multivariable logistic regression analysis was performed to identify the predictors of the outcome variable. Significance level was set at p<0.05. The level of knowledge about benefits of iron and folic acid supplementation was generally high in this study (88.0%). Overall, the majority (65.7%) of the respondents complied with iron and folic acid supplementation. Father’s occupational level was the only variable, which was significantly associated with adolescent girls’ IFA consumption compliance (p=0.002). The odds of compliance among respondents who were 17-25 years was significantly 56% times lower compared to those who were 10-16 years (AOR = 0.44 (95% CI: 0.21-0.96) p = 0.038). Adolescent girls of Kokomba ethnic group were also 83% less likely to comply with iron and folic acid consumption (AOR = 0.17 (95% CI: 0.03-0.89) p = 0.036). In conclusion, the study highlighted high compliance with the IFA among respondents, emphasizing the critical roles of teachers and health workers in counseling, monitoring, and supervision, while identifying age 17-25 years and Kokomba ethnic group being less significant factors influencing compliance. It is recommended that the role of teachers and health workers in the IFAS program should be strengthened, while addressing barriers to compliance among older adolescents and engaging families.

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Assessment of the implementation of iron and folic acid tablets supplementation to in-school girls in Nanumba South District of Northern Region, Ghana

Razak,

Kogi,

Ndayishimiye

et al. 2024

Preprint

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A Cross–Sectional Study on Validity of Digital Hemoglobinometer in Estimating the Haemoglobin Level among Government school Children in Virudhunagar City, Tamil Nadu

Selva Meena,

Sangumani

2024

Healthline

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Introduction: Anemia is a signiicant public health concern, particularly among adolescents. With more than half of all adolescents living in Asia and a substantial portion in India, where adolescents make up 21% of the population, addressing anemia in this age group is vital. Objectives: 1.To estimate the validity of screening tool digital hemoglobinometer against the gold standard method automated analyser, 2. To estimate the prevalence of anemia among the Government middle school children in Virudhunagar district using automated analyser. Method: This cross-sectional study was conducted over a three-month period from March to May 2023 and included 357 students from government schools in Virudhunagar. Cluster random sampling was employed to select representative schools, and a semi-structured questionnaire was used to collect demographic data and information on risk factors. Haemoglobin levels were measured using both the digital hemoglobinometer and the automated analyzer. Sensitivity, speciicity, positive predictive value, and negative predictive value were calculated to assess the validity of the digital hemoglobinometer. Results: The study revealed that the digital hemoglobinometer had a sensitivity of 75.64% and a speciicity of 76.70% when compared to the automated analyzer. While there was a statistically signiicant difference between the two methods, the digital hemoglobinometer demonstrated its effectiveness as a screening tool, particularly for identifying cases of moderate and severe anemia. The study suggests that in resource-limited settings, the digital hemoglobinometer could play a crucial role in early detection and intervention for anemia among school children. Conclusion: These indings underscore the potential of accessible digital hemoglobinometers in school health programs, where advanced laboratory equipment may not be readily available. The study also highlights the need for further research with larger sample sizes and diverse digital hemoglobinometer types to reine and expand the use of this technology in addressing anemia in school-aged children.

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Prevalence of anaemia among adolescent girls (10–19 years) in India: A systematic review and meta-analysis

Cited by 2 publications

References 34 publications

Assessment of the implementation of iron and folic acid tablets supplementation to in-school girls in Nanumba South District of Northern Region, Ghana

Assessment of the implementation of iron and folic acid tablets supplementation to in-school girls in Nanumba South District of Northern Region, Ghana

A Cross–Sectional Study on Validity of Digital Hemoglobinometer in Estimating the Haemoglobin Level among Government school Children in Virudhunagar City, Tamil Nadu

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