Reduction of anaemia

Mason, John; Martorell, Reynaldo; Saldanha, Lisa; Shrimpton, Roger

doi:10.1016/s2214-109x(13)70009-3

Cited by 29 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is estimated that 38% of pregnant women (PW; ~32 million) globally are anaemic (World Health Organization [WHO], ), with the highest incidence and number of anaemia cases in South Asia (Stevens et al, ). Based on current global trends, it is estimated that it would take approximately 60 years before anaemia rates would drop to 15%, and in South Asia it would take more than a century (Mason, Martorell, Saldanha, & Shrimpton, ). There is a clear need for prioritization of maternal nutrition and improved implementation of existing programs.…”

Section: Introductionmentioning

confidence: 99%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

Despite strong policy and program commitment, essential maternal nutrition services are not reaching enough women in many countries. This paper examined multifactorial determinants (personal, family, community, and health services) associated with maternal nutrition practices in Uttar Pradesh, India. Data were from a household survey of pregnant (n = 667) and recently delivered women (n = 1,835). Multivariable regression analyses were conducted to examine the determinants of four outcomes: consumption of diverse diets, consumption of iron folic acid (IFA) and calcium tablets, and weight monitoring during pregnancy. Population attributable risk analysis was used to estimate how much the outcomes can be improved under optimal program implementation. During pregnancy, women consumed 28 IFA and 8 calcium tablets, 18% consumed diverse diet, and 17% were weighed ≥3 times. Nutrition knowledge was associated with consumption of diverse diet (odds ratio [OR] = 2.2 times), IFA (2.3 times), calcium (11.7 times), and weight monitoring (1.3 times). Beliefs and self‐efficacy were associated with IFA (OR = 2.0) and calcium consumption (OR = 4.6). Family support and adequate health services were also associated with better nutrition practices. Under optimal program implementation, we estimate that 51% of women would have adequate diet diversity, an average consumption of 98 IFA, and 106 calcium tablets, and women would be weighed 4.9 times during pregnancy. Strengthening existing program operations and increasing demand for services has the potential to result in large improvements in maternal nutrition practices from current baseline levels but may not be sufficient to meet World Health Organization‐recommended levels without creating an enabling environment including improvements in education and income levels to support behaviour change.

show abstract

Section: Introductionmentioning

confidence: 99%

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Nguyen

Kachwaha

Avula

et al. 2019

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“… 2 In 2010, anaemia affected one third of the world's population and 50% of those living in sub-Saharan Africa (SSA). 2 The intractability of the anaemia burden worldwide 3 is, in part, a result of its complex, geographic-specific, multifactorial aetiology, 4 requiring multiple integrated health interventions targeted at different age groups in each context.…”

Section: Introductionmentioning

confidence: 99%

Anaemia among Kenyan children: a call for improved monitoring and intervention in school-aged children

Okiro

Joseph

Gitonga

et al. 2020

Transactions of the Royal Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Background Anaemia has long been recognised as a major public health problem among young children in lower- and middle-income countries and is an indicator of both poor nutrition and health status. There has been little progress towards improvement of anaemia in part due to its complex aetiology. An added impediment to the progress is that the monitoring of anaemia does not routinely target the whole population, with school-aged children (SAC) largely overlooked. Methods We re-examined data on the prevalence of anaemia among children aged <15 y sampled from 2008–2015 in Kenya. Results Approximately one in four Kenyan children aged <15 y were described as anaemic, including 12% with WHO-defined moderate anaemia and 1% who were severely anaemic. Average haemoglobin concentrations increased with age and the risk of having anaemia decreased with age. However, one in five SAC in Kenya were suffering from anaemia; most were either mild (11.4%) or moderately (10.9%) anaemic. Conclusions The monitoring of anaemia in SAC continues to be a neglected area limiting a careful articulation of the need to target interventions in this age group.

show abstract

“…There is evidence that the global prevalence of anaemia in pregnancy is falling, as a study carried out to estimate the global mean haemoglobin concentration among women of reproductive age (15–49 years) has shown that anaemia prevalence decreased from 43% to 38% in pregnant women from 1995 to 2011 [ 35 ]. This study suggests that in countries where the prevalence of anaemia is low or falling, there may be a case for limiting antenatal prescription of iron to women who are anaemic and have low iron stores.…”

Section: Discussionmentioning

confidence: 99%

The effect of universal maternal antenatal iron supplementation on neurodevelopment in offspring: a systematic review and meta-analysis

et al. 2018

View full text Add to dashboard Cite

BackgroundAlthough antenatal iron supplementation is beneficial to mothers, its impact on the neurodevelopment of offspring is controversial. A systematic review and meta-analysis was undertaken to assess whether routine maternal antenatal iron supplementation confers later neurodevelopmental benefit to offspring.MethodsElectronic databases were searched using MESH terms or key words and identified papers were reviewed by two independent reviewers. The study quality was assessed using the Cochrane risk of bias assessment tool. The review was registered in the PROSPERO CRD data base.ResultsSeven publications were identified, based on four randomised trials published between 2006 and 2016. Three of the trials were in the Asian sub-continent. A range of tools were used to evaluate neurodevelopment. Meta-analysis of outcomes from the three RCTs meeting our inclusion criteria showed minimal effect of antenatal iron supplementation on the neurodevelopment of offspring, which was not statistically significant: weighted mean difference of 0.54 (95% CI: -0.67 to 1.75); test for overall effect Z = 0.87; p = 0.38; and heterogeneity 48%. Meta-analysis of outcomes of these RCTs at later stages of development produced similar results.ConclusionsThe benefit of routine antenatal iron supplementation on neurodevelopment in offspring was not statistically significant in this relatively limited set of trials, and some benefit cannot be excluded in areas with a high prevalence of maternal anaemia. A large randomized controlled trial showing significant benefit would be required to modify our conclusions.Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1118-7) contains supplementary material, which is available to authorized users.

show abstract

Reduction of anaemia

Cited by 29 publications

References 6 publications

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Maternal nutrition practices in Uttar Pradesh, India: Role of key influential demand and supply factors

Anaemia among Kenyan children: a call for improved monitoring and intervention in school-aged children

The effect of universal maternal antenatal iron supplementation on neurodevelopment in offspring: a systematic review and meta-analysis

Contact Info

Product

Resources

About