Related Experiment Video
Updated: Nov 25, 2025

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
Published on: January 19, 2024
Comorbid patterns of anaemia and diarrhoea among children aged under 5 years in Ghana: a multivariate complex sample
Henry Ofori Duah1, Charles Enyaah Amankwa2, Isaac Adomako3
1Research Department, FOCOS Orthopaedic Hospital, Accra, Ghana.
Insights
Comorbid anaemia and diarrhoea affect 9.28% of children under five in Ghana. Risk factors include young age and fever, while parental education and wealth offer protection.
Area of Science:
- Child Health
- Epidemiology
- Public Health
Background:
- Anaemia and diarrhoea are significant contributors to under-five morbidity and mortality.
- Investigating their co-occurrence is crucial for understanding child health challenges.
Purpose of the Study:
- To identify predictors of combined anaemia and diarrhoea in children under five.
- Utilizing data from the 2014 Ghana Demographic and Health Survey (GDHS).
Main Methods:
- Secondary data analysis of the 2014 GDHS.
- Multivariate complex sample logistic regression and spatial analysis were employed.
Main Results:
- The prevalence of comorbid anaemia and diarrhoea was 9.28%, with a higher burden in the Upper West region.
- Key risk factors identified: children aged 6-23 months, male gender, history of fever, and multiple young children per household.
- Protective factors included paternal secondary education, larger household size, and higher household wealth.
Conclusions:
- Independent predictors for comorbid anaemia and diarrhoea in Ghanaian children under five encompass age, gender, fever history, household composition, parental education, and wealth.
- Findings highlight specific regions and demographic groups for targeted, cost-effective public health interventions.
Background:
Anaemia and diarrhoea are known independent causes of under-five morbidity and mortality. This study sought to investigate predictors of comorbid patterns of anaemia and diarrhoea using the 2014 Ghana Demographic and Health Survey (GDHS).
Methods:
The study employed analysis of secondary data from the 2014 GDHS. We performed a multivariate complex sample logistic regression and spatial analysis.
Results:
The weighted prevalence of comorbid anaemia and diarrhoea was 9.28% with the highest burden (16.45%) found in the Upper West region. Independent predictors (risk factors) of comorbid patterns of anaemia and diarrhoea were children aged 6-23 mo (OR=2.17, 95% CI 1.42 to 3.33), male gender (OR=1.50, 95% C1 1.04 to 2.16), history of fever (OR=4.37, 95% CI 2.94 to 6.50) and living in a household with two children aged <5 y (OR=1.80, 95% CI 1.14 to 2.84). Protective factors were having a father with secondary or higher education (OR=0.57, 95% CI 0.33 to 0.97), living in a household with ≥6 members (OR=0.46, 95% CI 0.28 to 0.75) and living in a richer household (OR=0.38, 95% CI 0.16 to 0.89). Surface maps revealed inter-regional and subregional variations.
Conclusion:
The study shows that the independent predictors of comorbid patterns of anaemia and diarrhoea among children aged <5 y in Ghana are age, gender, history of fever, the number of children aged <5 y in the household, parental education, household size and household wealth. The study identified zones to be targeted for cost-effective policy interventions.
More Related Videos
10:57Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
04:57Comparative Analysis of Automatic Fecal Analyzer versus Direct Wet Smear Microscopy for Detecting Parasitic Infections in Stool Samples
Published on: April 25, 2025
Related Concept Videos
Assessment of the Gastrointestinal System II: Health Perception Pattern
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Disorders of Erythrocytes
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Principles of Disease Surveillance
Statistical Methods for Analyzing Epidemiological Data
Bias in Epidemiological Studies
Confounding in Epidemiological Studies