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Updated: Jun 19, 2026

A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
[Causes of anaemia in African children aged 5 to 10 years]
Dora Mbanya1, Claude Tayou Tagny, Anastasie Akamba
1Centre hospitalier et universitaire de Yaoundé, BP 4806 Yaoundé, Université de Yaoundé I, BP : 1364 Cameroun. dmbanya1@yahoo.co.uk
Insights
Malaria and sickle cell disease are significant contributors to anemia in children aged 5-10 years in Yaoundé, Cameroon. This study highlights their prevalence and impact on pediatric anemia.
Area of Science:
- Pediatric Hematology
- Infectious Diseases
- Genetics
Context:
- Anemia is a significant public health concern in children globally, particularly in sub-Saharan Africa.
- Yaoundé, Cameroon, presents a unique demographic for studying co-existing genetic and infectious causes of anemia.
- Understanding the specific etiological factors is crucial for targeted interventions.
Purpose:
- To investigate the primary causes of anemia in children aged 5-10 years in Yaoundé, Cameroon.
- To differentiate the roles of infectious agents (malaria, intestinal parasites) and genetic conditions (sickle cell disease) in pediatric anemia.
- To assess the association of anemia with nutritional status and hemolysis.
Summary:
- This study analyzed 210 children (105 with anemia, 105 controls) aged 5-10 years in Yaoundé.
- Findings indicate malaria and homozygous sickle cell disease as major drivers of anemia, with malaria prevalent in 84.7% of anemic children.
- Anemia was predominantly normocytic, normochromic, and regenerative, often linked to hemolysis, while intestinal parasites and malnutrition played minor roles.
Impact:
- Provides critical data on the dual burden of malaria and sickle cell disease in pediatric anemia in Cameroon.
- Informs public health strategies for anemia prevention and management in high-burden regions.
- Highlights the need for integrated approaches addressing both infectious and genetic factors in pediatric care.
Abstract:
This study was conducted among two groups of 105 children in a hospital in Yaoundé, Cameroon, to determine the causes of anaemia in children aged 5- 10-years-old. The study group included children presenting clinical evidence of anaemia while the control group was made of children without anaemia. Both sets of children were matched for neighbourhoods within the city of Yaoundé. Each child had a complete physical examination, full blood count, haemoglobin electrophoresis, reticulocyte counts, and stool samples examined for parasites and hemoparasites. The mean haemoglobin level was 7.77 +/- 1.54 g/dL in the study group and 12.37 +/- 1.23 in the control group. The anaemia was mainly normocytic, normochromic and regenerative in the study group, usually associated with evidence of haemolysis. Patients with homozygous sickle cell disease were found only in the study group (n = 13; 12.3%). Malaria parasites were noted in 89 children (84.7%) in the study group, compared with 34 (32.4%) in the control group (p = 0.0004). Prevalence of intestinal parasites was similar in both groups (50.8%). Protein-calorie malnutrition was rare and was not associated with anemia. We conclude that both malaria and sickle cell anaemia play an important role in anaemia in children aged 5-10 years.
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