Rate and predictors of anemia among under-five children in rural Armenia

Demirchyan, Anahit; Petrosyan, Varduhi; Sargsyan, Viktoria; Hekimian, Kim

doi:10.1093/eurpub/ckv171.093

Cited by 2 publications

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“…In the mostly rural Talin region, the duration of any breastfeeding among children under the age of 2 was inversely related to undernutrition, and the duration of exclusive breastfeeding was inversely related to anemia (comprising 52.9%). Moreover, the use of cow milk in this age group was predictive for both anemia and undernutrition (Demirchyan, Harutyunyan, & Petrosyan, 2014). The aim of this study was to identify the main barriers to optimal breastfeeding practices in Armenia.…”

Section: Introductionmentioning

confidence: 99%

Main Barriers to Optimal Breastfeeding Practices in Armenia: A Qualitative Study

Demirchyan

Melkomian

2019

J Hum Lact

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Background In 2015, the median duration of exclusive breastfeeding was 2.2 months in Armenia, and only 15% of 4–5-month-old children were exclusively breastfed, indicating an issue with breastfeeding knowledge and practices. Research aim To identify the main barriers to optimal breastfeeding practices in Armenia. Methods We used qualitative research methods via focus group discussions and in-depth interviews with four groups of providers from different levels of care, and mothers of young children, from Yerevan city and two provinces, Lori and Shirak. Overall, eight in-depth interviews and 13 focus group discussions were conducted with a total of 99 participants. Qualitative content analysis was applied, with elements of both inductive and deductive approaches. Results We identified two main categories of barriers to optimal breastfeeding—systemic barriers and knowledge deficiencies. The main themes within systemic barriers were lack of skilled breastfeeding support services and low motivation of providers—mainly related to inadequate recognition of their role in breastfeeding counseling and low remuneration. The main knowledge-related barriers were insufficient counseling of mothers, lack of reliable information sources about infant feeding, and misconceptions among both mothers and providers. Conclusion Optimal breastfeeding is crucial for the best start to an infant’s life; however, there were a number of barriers to optimal breastfeeding practices in Armenia. Our findings and recommendations could help policymakers apply effective strategies for improving breastfeeding rates in Armenia. Considering the similar historical backgrounds of the post-Soviet countries, our findings could also be applicable to other Commonwealth of Independent States countries.

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Section: Introductionmentioning

confidence: 99%

Main Barriers to Optimal Breastfeeding Practices in Armenia: A Qualitative Study

Demirchyan

Melkomian

2019

J Hum Lact

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High-risk fertility behaviour and childhood anaemia in sub-Saharan Africa

et al. 2022

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ObjectiveThis study sought to examine the association between high-risk fertility behaviour and childhood anaemia in sub-Saharan Africa .DesignAn analytical study was conducted using cross-sectional data from mothers with children under age 5 (n=64 512) from 28 sub-Saharan African countries. Multilevel logistic regression models were fitted to examine the association between high-risk fertility behaviour and childhood anaemia. The results were presented using adjusted odds ratios (aORs) with 95% confidence interval (CI).SettingTwenty-eight sub-Saharan African countries.Outcome measureChildhood anaemia.ResultsThe percentage of children with anaemia in the 28 countries was 66.7%. We found that age more than 34 at delivery and short birth interval had significant associations with childhood anaemia. Children of mothers whose most recent delivery occurred after 34 years were less likely to be anaemic compared with those whose most recent delivery occurred before age 34 (aOR=0.89; 95% CI 0.83 to 0.95). We found that children born to mothers with short birth intervals were more likely to be anaemic, compared with those with long birth intervals (aOR=1.08; 95% CI 1.01 to 1.16).ConclusionsWe, therefore, draw the attention of policy makers and programme implementers to invest in policies and programmes aimed at combating childhood anaemia in sub-Saharan Africa to focus on the population at risk, that is, women whose most recent delivery occurred at younger ages and those with short birth intervals. Encouraging contraceptive use and creating awareness about the importance of birth spacing among reproductive-age women would be more helpful.

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Rate and predictors of anemia among under-five children in rural Armenia

Cited by 2 publications

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Main Barriers to Optimal Breastfeeding Practices in Armenia: A Qualitative Study

Main Barriers to Optimal Breastfeeding Practices in Armenia: A Qualitative Study

High-risk fertility behaviour and childhood anaemia in sub-Saharan Africa

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