Prevalence of Anemia and Its Associated Factors among Pregnant Women Attending Antenatal Care in Health Institutions of Arba Minch Town, Gamo Gofa Zone, Ethiopia: A Cross-Sectional Study (original) (raw)
Related papers
SSRG international journal of medical science, 2019
Background: Anemia is a significant public health problem in developing countries, particularly in pregnant women. It refers to a condition in which the hemoglobin content of the blood is lower than normal. In developing countries, the cause of anemia during pregnancy is multi-factorial and includes nutritional deficiencies. It is associated with an increased risk of maternal and prenatal morbidity and mortality. In order to design an intervention for prevention of anemia in pregnancy, determination of its magnitude and identifying associated risk factors for anemia are paramount importance. Objectives: To determine the magnitude and factors associated with anemia during pregnancy among mothers attending antenatal care at Chiro Referral Hospital antenatal care clinic from September 2017 to January 2019. Methods: Cross sectional study design was used .The study participants were selected using systematic sampling technique from their sequence of antenatal care visit in the period of study, and associated risk factors data were collected using structured questionnaire by trained antenatal care service providers. Level of haemoglobin was determined. Descriptive and analytical statistics were computed using SPSS version 20. Chi-square-the analytical statistics was used to identify predictor variables associated with the dependent variable-anemia. Result: The overall prevalence of anemia in this study population was 57.1%. Two hundred twenty two cases (57.2%) showed mild type of anemia followed by moderate anemia 156 (40.2%) and the remaining 10 (2.6%) were having severe anemia. Iron supplementation [p-value <2.2e-16], trimester[ pvalue 0.002], abortion p-value 0.053], birth interval[ p-value0.008], history of any illness [p-value 9.991e-09], contraception[ p-value 3.654e-07], presence of pica [p-value <2.2e-16], food aversion [p-value <2.2e-16], residence[ p-value 0.04], fruit vegetable consumption[ p-value 4.518e-13] and meat/poultry consumption [p-value 3.068e-08] had statistically significant association with anemia in pregnant women. Parity and bleeding during index pregnancy were not significantly associated with anemia. Conclusion: The prevalence of anemia was found to be 57.1%. Iron supplementation during pregnancy and presence of pica were significantly associated with anemia in the study population. Therefore, long term and short term strategies helpful in alleviating these predisposing factors need to be developed so as to reduce the number of mothers affected by anemia.
Background. Anemia affects the lives of more than 2 billion people globally, accounting for over 30% of the world's population. Anemia is a global public health problem occurring at all stages of the life cycle but the burden of the problem is higher in pregnant women particularly in developing countries. The aim of this study was to determine the prevalence of anemia and associated factors among pregnant women attending antenatal clinics in north western zone of Tigray, northern Ethiopia. Methods. A facility based cross-sectional study was employed. A systematic random sampling procedure was employed to select 714 pregnant women who were attending antenatal clinics in health facilities found in the study area from April to May 2014. The data was entered and analyzed using Epi-info version 3.5.1 and SPSS version 20.0 statistical software, respectively. Logistic regression analysis was used to identify factors associated with anemia among the study participants. All tests were two-sided and p value < 0.05 was considered statistically significant. Results. The overall prevalence of anemia (hemoglobin < 11 g/dL) among the pregnant women was 36.1% (95% CI = 32.7%-39.7%) of which 58.5% were mildly, 35.7% moderately, and 5.8% severely anemic. In pregnant women, rural residence (AOR = 1.75, 95% CI = 1.01-3.04), no education/being illiterate (AOR = 1.56, 95% CI = 1.03-2.37), absence of iron supplementation during pregnancy (AOR = 2.76, 95% CI = 1.92-5.37), and meal frequency of less than two times per day (AOR = 2.28, 95% CI = 1.06-4.91) were the independent predictors for increased anemia among the pregnant women. Conclusions. Anemia was found to be moderate public health problem in the study area. Residence, educational status, iron supplementation during pregnancy, and meal frequency per day were statistically associated with anemia among the pregnant women. Awareness creation and nutrition education on the importance of taking iron supplementation and nutritional counseling on consumption of extra meal and iron-rich foods during pregnancy are recommended to prevent anemia in the pregnant women.
Prevalence of Anemia and Associated Factors among Pregnant Women in Ethiopia
Food Science and Nutrition Research, 2018
Background: Anemia is a global public health problem that has adverse pregnancy outcomes such as increased rates of maternal and prenatal mortality, premature delivery, low birth weight, fetal physical growth, mental impairment and infant deaths. Despite the wider scope of the problem, little research data has been explored on the prevalence and associated factors of anemia during antenatal care in the study area. Methods: Institutional based cross-sectional survey study design was conducted from April to July 2018 among 409 pregnant mothers attending antenatal clinic. Hemoglobin (Hgb) was measured using the Sahli-Hellinge method of Hgb determination and Hgb adjustment was done to altitude. Data were collected using a standardized and structured questionnaire; consecutive sampling technique was employed to select pregnant women who had visited FelegeHiwot Referral hospital and administered via a face to face interview. Data were entered in SPSS and descriptive statistics and logistics regression analyzed. Results: The overall prevalence of anemia in this study is 20.8 % with 13.9% classified as mild, 5.13% moderate and 1.95% severe anemia. Undernutrition as seen in mid upper arm circumference (MUAC) being less than 23cm (AOR=10.58; 95%CI; 5.79-19.3)) and food consumption score being poor (AOR=2.63; 95%CI; 1.29-5.35) and borderline category (AOR= 2.76; 95%CI; 1.44-5.32), are factors independently associated with anemia. Conclusion: The study shows that anemia is a moderate public health problem in the study area. Moving forward, health care providers should carefully monitor the nutritional status of pregnant mothers and work on creating awareness through strengthening health education on nutritional counseling during ANC follow up as part of efforts to reduce the prevalence of anemia among pregnant mothers.
Journal of Multidisciplinary Healthcare, 2020
Background: Anemia is accountable for 20% of maternal death globally, and it is associated with premature birth, low birth weight, and infant death. According to the WHO report of 2008, 57.1% of pregnant women were anemic in Africa. In Ethiopia, anemia among pregnant women is 62.7%. There were no data in the study area that identified the determinants of anemia. Objective: To identify the determinants of anemia among pregnant mothers attending ANC clinic in public health facilities in Kacha Birra District, Southern Ethiopia. Methods: An institutional-based unmatched case-control study was conducted among pregnant women attending antenatal care clinics in public health facilities in Kacha Birra District, Southern Ethiopia, from February 1/2019-May 30/2019. An aggregate of 117 cases and 227 controls were involved in the study. Data were collected using interviewer-administered questionnaires. Controls were pregnant ladies whose blood hemoglobin level was 11 g/dl and above at their first antenatal care clinic, and cases were pregnant ladies whose hemoglobin level less than 11 g/dl. Both bivariate and multivariable logistic regression models were used to isolate independent predictors of anemia. Results: An overall of 344 respondents (117 cases and 227controls) were included in this study with a response rate of 100%. On multivariable logistic regression models, significant predictors of anemia were: rural residence [AOR= 2.9,95% CI:1.18-5.84], previous history of heavy menstrual blood flow [AOR=2.75, 95% CI: 2.66-28.53], age of mother [AOR=4.013, 95% CI: 1.08-14.90], parasitic infection [AOR=6.39, 95% CI: 1.226-33.362], food taboo (aversion) [AOR= 3.92, CI: 95% 2.08-7.35], drinking tea/coffee instantly after meal [AOR=18.49, 95% CI:6.89-40.64]. Conclusion: Residence, previous heavy menstrual flow, age, parasitic infection, food taboo, and tea/coffee consumption immediately after meals were significant predictors of anemia among pregnant women. So, anemia prevention and control policy should include the promotion of counseling on the consumption of diversified and iron-enriched foods during pregnancy, prevention of parasitic infection as well as mass deworming, awareness creation on cultural norms that makes food aversion during pregnancy.
Journal of Gynecology and Obstetrics, 2018
Background: Anemia is a significant public health problem in developing countries, particularly in pregnant women. It refers to a condition in which the hemoglobin content of the blood is lower than normal. In developing countries, the cause of anemia during pregnancy is multifactorial and includes nutritional deficiencies. It is associated with an increased risk of maternal and perinatal morbidity and mortality. In order to design an intervention for prevention of anemia in pregnancy, determination of its magnitude and identifying associated risk factors for anemia are paramount importance. Objectives: To determine the magnitude and factors associated with anemia during pregnancy among mothers attending antenatal care at Adama Hospital Medical College antenatal care clinic from November to December 2017. Methods: Institution based cross sectional study design was used in Adama Hospital Medical College from November to December 2017. The study participants were selected using systematic sampling technique from their sequence of antenatal care visit in the period of study, and associated risk factors data were collected using structured questionnaire by trained antenatal care service providers. Level of haemoglobin was determined. Descriptive and analytical statistics were computed using SPSS version 20. Odds Ratios, P-values and 95% CIs-the analytical statistics from bivariate and multi variate logstic regression were used to identify predictor variables associated with the dependent variable-anaemia. Result: A total of 329 participants completed the study making the response rate of 97.0%. The mean age of the participants was (26.5 ± 4.03). The prevalence of anaemia was found to be 14.9%. Pregnant women who had pica during pregnancy had 33.6(13.92-81.48) times more likely to be anemic compared with those had no history of pica. Pregnant women who didn't take iron supplementation during their pregnancy were 0.196(.085-.445) times more likely to be affected by anemia when they compared with those who took iron supplementation. Conclusion: The prevalence of anaemia was found to be 14.9%. Iron supplementation during pregnancy and presence of pica were significantly associated with anaemia in the study population. Therefore, long term and short term strategies helpful in alleviating these predisposing factors need to be developed so as to reduce the number of mothers affected by anaemia.
Frontiers in Public Health, 2022
Background: Anemia is a significant public health issue, accounting for 20-40% of maternal deaths. Despite the government's commitment and the interventions of various stakeholders, the magnitude and major risk factors of anemia remain unabated. Though there are few documented studies on anemia among pregnant women in eastern Ethiopia in general, in the study area in particular, some of the variables such as helminthics and history of caesarian section in relation to anemia need to be studied. As a result, the purpose of this study was to determine the magnitude of anemia and associated factors among pregnant women attending antenatal care in University Hospital in eastern Ethiopia. Methods: A facility-based cross-sectional study was conducted on a sample of 456 clients who were attending antenatal care in Hiwot Fana specialized university hospital from 01 to 30 June 2021. Systematic sampling was used to select the study participants. A pretested and structured interviewer-administered questionnaire and sample collection were used to collect the data. The data were coded, double-entered to Epi data version 3.1, cleaned, and exported to SPSS version 20 for analysis. Descriptive statistics were used to present frequency distributions. Variables with p-value < 0.25 during bivariate analysis were entered into the multivariate logistic regression models to control for all possible confounders to identify the factors associated with a magnitude of anemia. Odds ratio along with 95% CI were estimated to measure the strength of the association. The level of statistical significance was declared at a p-value of < 0.05. Result: A total of 456 participants were interviewed, with a response rate of 96.9%. The magnitude of anemia among pregnant women was 112 [(25.3%) 95%CI: (21.5-29.2%)], of which, 27 (6.10%), 36 (8.13%), and 49 (11.08%) had mild, moderate, and severe anemia, respectively. Birth interval < 2 years [AOR: 3.
Journal of Hematology & Thromboembolic Diseases, 2013
Background: Anemia impairs cognitive development, reduces physical work capacity and in severe cases increases risk of mortality particularly during prenatal period. There are no previous studies done on anemia in pregnancy in the study area. Objective: To assess the prevalence and determinant factors of anemia among pregnant women attending antenatal care follow up at Tikur Anbessa specialized hospital. Methods: Health institutional based cross-sectional study design was conducted from November 23, 2013-March8, 2013 among 395 pregnant mothers who had been attending antenatal care. Blood sample was taken to determine the hemoglobin concentration and haematocrit value. Interviewer administered structured questionnaire was used to assess different socio-demographic characteristics, obstetrics and dietary factors related to anaemia. Simple random sampling technique was used to select study subjects. Data were entered with EPI info version 3.5.1 Cleaning and analysis was done using SPSS version 17 and statistical tests were performed at the level of significance of 5%. Result: The overall prevalence of anemia in this study using a cut off level of hemoglobin <11 g/dl (<33% haematocrit) was 21.3% (84/395). Out of 84 anemic pregnant mothers, 80.95% (68/84) were mildly anemic, 17.86% (15/84) were moderately anemic and 1.19% (1/84) were severely anemic. The following variables were significantly associated with anemia: Age (39-45 yrs (AOR=1.21)), education status (illiterate (AOR=2.12)), family size (greater than four (AOR=2.04), gestational age (third trimester (AOR=2.04)), birth intervals (less than two years (AOR=1.21)), history of blood loss (AOR=1.67)), antenatal care (no ANC (AOR=1.11)), contraception (no contraception (AOR=2.31)), gravidity (multigravid (AOR=1.22)), parity (multiparous (AOR=2.19)). Conclusion: The present study showed high prevalence of anemia and the majority of them were of the mild type
A Third of Pregnant Women are Affected by Anemia in Eastern Ethiopia: A Facility-Based Study
Journal of Blood Medicine
Background: Although it is a public health problem of pregnant women in low, middle and high-income countries, the highest prevalence rate of anemia is found among pregnant women of low-income countries, particularly in Africa. Therefore, this study has aimed to determine the magnitude of the anemia and its associated factors among pregnant women admitted to labor wards of public hospitals in eastern Ethiopia. Methods and Materials: A health facility-based cross-sectional study was conducted among 405 pregnant women admitted to labor wards in four public hospitals of Harar town and Dire Dawa City Administration. A systematic random sampling technique was used to select the study participants. Data were collected through an interview using a structured questionnaire. The hemoglobin level was measured for each study participant. Binary and multivariable logistic regression models were fitted and statistical significance was declared at P<0.05. Results: The magnitude of anemia was 33.1% (95% CI: 28.4%, 37.8%). Being from rural areas (AOR: 3.8; 95% CI: 1.81, 7.94), no antenatal care (ANC) follow-up (AOR: 3.4; 95% CI: 1.34, 8.79), a habit of drinking milk with tea after meals (AOR: 2.8; 95% CI: 1.48, 5.61), taking a meal only 1-2 times per day (AOR: 3.9; 95% CI: 1.69, 8.97), experiencing no blood loss in the current pregnancy (AOR: 0.25; 95% CI: 0.06, 0.96) and a habit of eating leafy vegetables (AOR: 0.12; 95% CI: 0.06, 0.24) were significantly associated with anemia. Conclusion: About one in three pregnant women were anemic and anemia was a moderate public health problem in the study settings. Interventions targeting reducing or preventing anemia should focus on pregnant women in rural areas, promoting the benefits of ANC follow-up, reducing the habit of drinking milk with tea after meals, enhancing the consumption of leafy vegetables and increasing meal frequency per day to minimize or prevent anemia and its consequences during pregnancy.
Pan African Medical Journal, 2019
Introduction: worldwide the average prevalence of anemia among pregnant women is 38.2% and in Ethiopia, the average prevalence of anemia among pregnant women is 22%. The aim of this research was to identify risk factors of anemia among pregnant women in Eastern Zone of Tigray, Ethiopia. Methods: a case-control study was conducted among 600 (150 cases and 450 controls) pregnant women in 2017/18. Pregnant women with a hemoglobin level below 11 g/dl were cases (anemic) and those with hemoglobin >11 g/dl were controls (non-anemic). Data were collected using structured questionnaire and SPSS version 20 was used for analysis. Bivariate and multivariate logistic regression model was used to identify the risk factors for anemia among pregnant women. P-value <0.05 and adjusted odds ratio with a 95% confidence interval were used to assess the association. Results: intestinal parasites (adjusted odds ratio (AOR)=3.4; 95% confidence interval (CI): 1.2, 17.9), farmer occupation (AOR=3, 95% CI: 1.4, 10.8), unprotected sources of drinking water (AOR=3; 95% CI: 1.7, 16.9), drinking coffee/tea with or immediately after meal daily (AOR=1.9; 95%CI: 1.04, 8.7) and diet diversity score (DDS) of less than 3 (AOR=3; 95% CI: 1.5, 5.5) were statistically significant for anemia among pregnant women. Conclusion: in this study, the risk factors for anemia among pregnant women were intestinal parasites, mother farmer occupation, unprotected source of drinking water, drinking coffee or tea with a meal or immediately after meal and low diet diversificati on score. Therefore, nutritional intervention should consider the above-identified risk factors.
Clinical Medicine Research, 2015
Background: Anemia is regarded as a major risk factor for unfavorable outcome of pregnancy both for the mother and the fetus. Methodology: A heath center based cross-sectional study was conducted in Boditii Health Centers from April 12 to June 23, 2012. Data was collected using pretested questionnaire, which contains socioeconomic, demographic and clinical characteristics of pregnant women shown to have association with anemia. A total of 125 pregnant women were enrolled in this study. HGB was measured using the Sahli-Hellinge method of HGB determination. Data was entered and statistical analysis was performed using SPSS version 16, software. Association between variables was done using chi square, and statistical significance was considered at P value < 0.05. Result: The prevalence of anemia obtained in this study was 77/125 (61.6%), based on the WHO criterion for the diagnosis of anemia in pregnancy, i.e. hemoglobin <11.0 g/dl (PCV <33%). In terms of severity, mild anemia was present in 41(53.2%) of women, moderate anemia was present in 36 (46.8%), and there were no cases of severe anemia. The prevalence of anemia in this study was 58.4% and 41.5% for primigravida and multigravida, respectively (P<0.05). Anemia was also found to increase as the gestational age increases, showing the highest prevalence in the third trimester (46.7%) than second (45.4%) and first trimester (7.8%), (P<0.001). Conclusion and Recommendation: From our results, we can conclude that anemia in pregnant women was highly prevalent in Boditti town. Our study revealed that the prevalence of anemia is higher in primigravidea than multigravidea. Anemia also increased as the gestational age increases. Intervention including health education about causes of anemia and its risk factors and antenatal care (ANC) follow up should be improved.