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A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Prevalence of Anemia and Its Associated Factors Among 6-59-Month-Old Children in Ayder Comprehensive Specialized
Tigist Haile Gebrehiwot1, Abadi Hailay Atsbaha1, Shewit Engdashet Berhe2
1Department of Public Health, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia, adu.edu.et.
Insights
Anemia affects over half of young children in Tigray, Ethiopia, highlighting a severe public health issue. Key factors include young age, stunting, underweight, and intestinal parasites, necessitating targeted interventions.
Area of Science:
- Pediatrics
- Public Health
- Hematology
Background:
- Anemia is a significant global health concern, particularly affecting children in sub-Saharan Africa.
- Preschool children in sub-Saharan Africa face a high burden of anemia, posing a severe public health challenge.
Purpose of the Study:
- To determine the prevalence of anemia in children aged 6-59 months.
- To identify factors associated with anemia in this pediatric population in Tigray, Ethiopia.
Main Methods:
- A hospital-based cross-sectional study involving 423 children aged 6-59 months.
- Venous blood samples analyzed for hemoglobin levels; anemia defined as <11 g/dL.
- Statistical analysis included bivariable and multivariable logistic regression.
Main Results:
- The prevalence of anemia was 57.1%, with mild, moderate, and severe forms affecting 27.1%, 20.9%, and 9.1% of children, respectively.
- Microcytic hypochromic anemia was the most common type.
- Factors significantly associated with anemia included younger age (6-23 months), stunting, underweight, and intestinal parasite infection.
Conclusions:
- Anemia represents a severe public health problem among children in the study area.
- Interventions such as nutrition counseling, deworming, and growth monitoring are crucial to address anemia and associated factors like stunting, underweight, and parasitic infections.
Introduction:
Anemia is one of the most widespread diseases, with one in four people affected by anemia worldwide. In sub-Saharan Africa, anemia in preschool children is considered a severe public health problem. This study aimed to assess the prevalence of anemia and its associated factors among 6-59-month-old children in Ayder Comprehensive Specialized Referral Hospital, Tigray, Northern Ethiopia.
Methods:
A hospital-based cross-sectional study was conducted among systematically selected 423 6-59-month-old children who were seeking service at Ayder Comprehensive Specialized Referral Hospital. Data were collected using a structured questionnaire. Four mL of venous blood from the finger was collected and analyzed using a Sysmex machine (model XP-300). Anemia in children was defined as a hemoglobin level below 11 g/dL. Data were entered and analyzed using SPSS Version 21. Variables with a p value of < 0.2 in the bivariable analysis were selected for multivariable logistic regression, and statistical significance was declared at p value < 0.05 and CI of 95%.
Results:
The prevalence of anemia among children aged 6-59 months was 57.1% (95% confidence interval: 52.2%-62.1%); of this magnitude, mild, moderate, and severe anemia was 27.1%, 20.9%, and 9.1%, respectively. Morphological, microcytic hypochromic anemia was the most common type of anemia. Children aged 6-23 months (adjusted odds ratio = 2.374; 95% confidence interval: 1.428-3.945), stunting (adjusted odds ratio = 2.543; 95% confidence interval: 1.503-4.302), underweight (adjusted odds ratio = 6.660; 95% confidence interval: 3.046-14.566), and intestinal parasite infection (adjusted odds ratio = 2.803; 95% confidence interval: 1.242-6.322) were factors associated with anemia.
Conclusion:
The prevalence of anemia shows that it is a severe public health problem. Our findings underscore the need for nutrition counseling, deworming, growth monitoring, and promotion to minimize stunting, underweight, and intestinal parasite infection among children.
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