Using structural equation modelling to understand the contributors to anaemia among young Burkinabe children

Bliznashka, Lilia; Arsenault, Joanne; Becquey, Elodie; Ruel, Marie T.; Olney, Deanna K.

doi:10.1111/mcn.12881

Cited by 5 publications

(3 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Malaria contributes an added risk for anaemia and infection had been experienced by approximately 80% of children reaching 6 months of age. Comparable high iron deficiency and anaemia prevalence has been reported in the Eastern region of Burkina Faso in children 6–12 months of age (Bliznashka, Arsenault, Becquey, Ruel, & Olney, 2020).…”

Section: Discussionmentioning

confidence: 87%

Risk of malaria in young children after periconceptional iron supplementation

Gies

Roberts

Diallo

et al. 2020

Maternal & Child Nutrition

View full text Add to dashboard Cite

This study in Burkina Faso investigated whether offspring of young mothers who had received weekly periconceptional iron supplementation in a randomised controlled trial were at increased risk of malaria. A child safety survey was undertaken in the peak month of malaria transmission towards the end of the trial to assess child iron biomarkers, nutritional status, anaemia and malaria outcomes. Antenatal iron biomarkers, preterm birth, fetal growth restriction and placental pathology for malaria and chorioamnionitis were assessed. Data were available for 180 babies surviving to the time of the survey when their median age was 9 months. Prevalence of maternal iron deficiency in the last trimester based on low body iron stores was 16%. Prevalence of active placental malaria infection was 24.8%, past infection 59% and chorioamnionitis 55.6%. Babies of iron supplemented women had lower median gestational age. Four out of five children ≥ 6 months were iron deficient, and 98% were anaemic. At 4 months malaria prevalence was 45%. Child iron biomarkers, anaemia and malaria outcomes did not differ by trial arm. Factors associated with childhood parasitaemia were third trimester C-reactive protein level (OR 2.1; 95% CI 1.1-3.9), active placental malaria (OR 5.8; 1.0-32.5, P = 0.042) and child body iron stores (OR 1.13; 1.04-1.23, P = 0.002). Chorioamnionitis was associated with reduced risk of child parasitaemia (OR 0.4; 0.1-1.0, P = 0.038). Periconceptional iron supplementation of young women did not alter body iron stores of their children. Higher child body iron stores and placental malaria increased risk of childhood parasitaemia.

show abstract

Section: Discussionmentioning

confidence: 87%

Risk of malaria in young children after periconceptional iron supplementation

Gies

Roberts

Diallo

et al. 2020

Maternal & Child Nutrition

View full text Add to dashboard Cite

show abstract

“…This interesting finding is in line with the findings of other studies [ 26 ]. However, previous studies [ 44 ] found a high risk of childhood anaemia in a household with no bednets. Other studies did not find a significant association between household bednet ownership and the risk of childhood anaemia regardless of sex of the head [ 43 ].…”

Section: Discussionmentioning

confidence: 92%

Sex of household head and other household determinants of childhood anaemia among households in Ghana: regression analysis of the 2019 Malaria Indicator Survey

Klu

Agordoh

2022

J Health Popul Nutr

View full text Add to dashboard Cite

Background Childhood anaemia is still a major public health concern. Although the prevalence of anaemia among children under age five is reducing in Ghana, the severity level is still worsening. This study sought to examine and compare household factors affecting the anaemia status of children under age five living in male- and female-headed households in Ghana. Methods The study used a weighted sample of 5,799 household heads from the 2019 Ghana Malaria Indicator Survey (GMIS). A binary logistic regression analysis was used to examine the effect of sex of household heads and other household factors on the anaemia status of children under the age of five in male- and female-headed households in Ghana. All analyses were conducted at the 95% confidence level. Results The results showed that a higher proportion (83.0%) of children under age five are not anaemic in households in Ghana. However, the probability of a child being anaemic is higher in male-headed households (aOR = 1.28; C.I:1.08–1.51), in the poorest (aOR = 2.41; CI: 1.59–3.65), poorer (aOR = 2.04; C.I:1.41–2.94) and middle (aOR = 1.78; C.I:1.29–2.46) household wealth category. Higher likelihood of anaemia was found among children in households that used charcoal (aOR = 1.51; C.I:1.15–1.99) and fuelwood (aOR = 1.44; C.I:1.02–2.02) for cooking. Similarly, there is a high probability of childhood anaemia in households with 5–10 members (aOR = 4.49; C.I: 3.78–5.34), 11 or more members (aOR = 7.21; C.I: 4.60–11.31) and household residing in northern part of Ghana (aOR = 1.40; C.I:1.07–1.83). The lower odds of being anaemic were recorded among children whose household heads were aged 40 years and older, household using other cooking fuels (aOR = 0.49; C.I: 0.21–0.78) and household with no bednets (aOR = 0.57; C.I: 0.44–0.74). Conclusions The GMIS data suggest that anaemia and its severity are higher among children living in MHH than among those living in FHH. The results indicate that poverty, a higher number of household members, relatively younger male household heads and the type of cooking fuel used were factors accounting for the differences in childhood anaemia in MHH and FHH. Equal attention should be given to MHH and FHH in terms of programmes and interventions aimed towards preventing and reducing childhood anaemia in Ghana.

show abstract

“…Community members also mentioned the reach of malaria control programs, but we lacked data to test the association between the introduction and extension of malaria control programs and child linear growth, although we showed these programs gradually reached scale since introduced on the early 2000’. Anecdotal evidence in Burkina Faso showed that malaria in children was a large, direct determinant of child anemia (Bliznashka et al, 2020 ). Communities also acknowledged a positive experience with nutrition programs for which we had no quantitative data available, including the scale-up of community management of acute malnutrition, breastfeeding counselling, and access to fortified complementary foods.…”

Section: Discussionmentioning

confidence: 99%

Stories of change in nutrition in Burkina Faso 1992–2018: a micro-level perspective

et al. 2022

Self Cite

View full text Add to dashboard Cite

Looking back at what has effectively improved nutrition may inform policy makers on how to accelerate progress to end all forms of malnutrition by 2030. As under-five stunting declined substantially in Burkina Faso, we analyzed its nutrition story at the micro-level. We conducted a regression-decomposition analysis to identify demographic and health drivers associated with change in height-for-age using longitudinal, secondary, nationally-representative data. We triangulated results with findings from semi-structured community interviews (n = 91) in two “model communities” with a history of large stunting reduction. We found that improvement in immunization coverage, assets accumulation and reduction in open defecation were associated with 23%, 10% and 6.1% of the improvement in height-for-age, respectively. Associations were also found with other education, family planning, health and WASH indicators. Model communities acknowledged progress in the coverage and quality of nutrition-specific and nutrition-sensitive sectoral programs co-located at the community level, especially those delivered through the health and food security sectors, though delivery challenges remained in a context of systemic poverty and persistent food insecurity. Burkina Faso’s health sector’s success in improving coverage of nutrition and healthcare programs may have contributed to improvements in child nutrition alongside other programmatic improvements in the food security, WASH and education sectors. Burkina Faso should continue to operationalize sectoral nutrition-sensitive policies into higher-quality programs at scale, building on its success stories such as vaccination. Community leverage gaps and data gaps need to be filled urgently to pressure for and monitor high coverage, quality delivery, and nutrition impact of agriculture, education, and WASH interventions.

show abstract

Using structural equation modelling to understand the contributors to anaemia among young Burkinabe children

Cited by 5 publications

References 49 publications

Risk of malaria in young children after periconceptional iron supplementation

Risk of malaria in young children after periconceptional iron supplementation

Sex of household head and other household determinants of childhood anaemia among households in Ghana: regression analysis of the 2019 Malaria Indicator Survey

Stories of change in nutrition in Burkina Faso 1992–2018: a micro-level perspective

Contact Info

Product

Resources

About