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Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India

Received: 29 September 2014    Accepted: 10 November 2014    Published: 20 November 2014
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Abstract

Objective: Investigate impact of community based programs for creating nutrition and health awareness of women of child bearing age for prevention of anemia. Design: Intervention comprising of informal meetings, live demonstrations of iron rich recipes from green leafy vegetables and kitchen garden activity. Women with Hb<11 g/dl had to be given iron folic acid tablets and formed the supplemented group (SG) while those with Hb>11 g/dl formed non supplemented group (NSG). Settings: Three villages near Pune city, Maharashtra, India. Subjects: Rural non pregnant women (n= 317) of childbearing age (15-35 yr). Results: Prevalence of severe anemia (Hb<10 g/dl) reduced significantly from 19.2% to 7.1% and 11.0% in the first and second year respectively. At the end of first year, the proportion of women shifting into higher grade of Hb was significantly lower in NSG (38.2%) compared to SG (71.6%), but was exclusively due to interventions. Further, proportion of women showing such improvement in Hb was significantly (p = 0.003) higher (61.5%) among women with higher participation (>=50% meetings) compared to those with (29.8%) lower participation (<25% meetings). This was also true with regard to actual practice of repeating the demonstrated iron rich recipes at home. Impact after two years was reduced, however, the participation in interventional activities continued to show association with improvement in Hb (p = 0.06). Conclusion: Our observations highlight that developing action programs for improving nutritional awareness to enhance consumption of iron rich foods through dietary diversification has great potential for preventing anaemia in rural India.

Published in Journal of Food and Nutrition Sciences (Volume 2, Issue 6)
DOI 10.11648/j.jfns.20140206.15
Page(s) 270-276
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anemia, Community Based Intervention, Rural Indian Mothers

References
[1] Toteja GS & Singh P (2004) Micronutrient Profile of Indian Population. New Delhi: Indian Council of Medical Research.
[2] Rao BSN (1978) Studies on iron deficiency anaemia. Indian J Med Res Suppl. 68, 58–69.
[3] Sood SK, Ramachandran K, Mathur M et al. (1975) WHO sponsored collaborative studies on nutritional anaemia in India. 1. The effects of supplemental oral iron administration to pregnant women. Q J Med 44, 241–258.
[4] ICMR Task Force Study (1989) Evaluation of the National Nutritional Anaemia Prophhylaxis Programme. New Delhi: Indian Council of Medical Research.
[5] Ramachandran P (1989) Nutrition in pregnancy. In Women and Nutrition in India, pp. 153–193 [C Gopalan and S Kaur, editors]. New Delhi: Nutrition Foundation of India Special Publication Services.
[6] Bothwell TH (2000) Iron requirements in pregnancies and strategies to meet them. Am J Clin Nutr 72, 1 Suppl., 257S–264S.
[7] Vijayalaxmi P, Kuputhai U & Meenakshi Devi N (1988) Nutritional profile of selected expectant mothers and the cost of pregnancy. Indian J Nutr Diet 25, 247–253.
[8] Ratwani L & Varma M (1989) A study of nutritional status and food practices of the pregnant and lactating women residing in selected desert areas of Jodhpur. Indian J Nutr Diet 26, 304–310.
[9] Piers LS, Diggavi S, Thangam S et al. (1995) Changes in energy expenditure, anthropometry and energy intake during the course of pregnancy and lactation in well nourished Indian women. Am J Clin Nutr 61, 501–513.
[10] Hutter I (1996) Reduction of food intake during pregnancy in rural South India. Trop Med Int Health 1, 399–405.
[11] Shobha Rao, Chittaranjan S Yajnik, Asawari Kanade, Caroline HD Fall, Barrie M Margetts, Alan A Jackson, Rosaleen Shier, Sadhana Joshi, Sonali Rege, Himangi Lubree. Intake of micronutrient-rich foods in rural Indian mothers is associated with the and size of their babies at birth : Pune Maternal Nutrition Study1, Journal of Nutrition, 2001,131,1217-1224.
[12] Rao S, Joshi S, Bhide P, Puranik B, Kanade A. Social dimensions related to anaemia among women of childbearing age from rural India. Journal of Public Health Nutrition, 2011, 14(2), 365-72.
[13] Jones KM, Specio SE, Shrestha P et al. (2005) Nutrition knowledge and practices and consumption of vitamin A rich plants by rural Nepali participants and non participants in a kitchen garden program. Food Nutr Bull 26, 198–208.
[14] Seshadri S, Sharma K, Ra AE et al. (1994) Iron supplementation to control pregnancy anaemia. Proc Nutr Soc India 41, 131–140.
[15] ICMR Task Force Study (1992) Field Supplementation Trials in Pregnant Women with 60 mg, 120mg and 180 mg of Iron with 500 mcg of Folic Acid. New Delhi: Indian Council of Medical Research.
[16] Christian P, Abbi R, Gujral S et al. (1989) At risk status of pregnant women of Panchmahals (Gujarat) and Ghandrapur (Maharashtra). Arogya J Health Sci 15, 85–91.
[17] Agarwal DK, Agarwal KN & Tripathi AM (1987) Nutritional status in rural pregnant women of Bihar and Uttar Pradesh. Indian Pediatr 24, 119–125.
[18] Sarin AR (1995) Severe anaemia of pregnancy: recent experience. J Gynaecol Obstet 50, Suppl. 27, 545–549.
[19] ICMR Task Force Study (1989) Evaluation of the National Nutritional Anaemia Prophhylaxis Programme. New Delhi: Indian Council of Medical Research.
[20] Beard JL (2000) Effectiveness and strategies of iron supplementation during pregnancy. Am J Clin Nutr 71, 5 Suppl., 1288S–1294S.
[21] de Pee S, Bloem MW, Satoto, Satoto, Yip R, Sukaton A, Tjiong R, Shrimpton R, Muhilal, Kodyat B. Impact of a social marketing campaign promoting dark-green leafy vegetables and eggs in Central Java, Indonesia. Int J Vitam Nutr Res 1998; 68: 389–98.
[22] Ahmed F, Khan MR, Akhtaruzzaman M et al. (2005) Efficacy of twice weekly multiple micronutrient supplementation for improving the hemoglobin and micronutrient status of anemic adolescent school girls in Bangladesh. Am J Clin Nutr 82, 829–835.
[23] Amani R & Soflaei M (2006) Nutrition education alone improves dietary practices but not hematologic indices of adolescent girls in Iran. Food Nutr Bull 27, 260–264.
[24] Backstrand JR, Allen LH, Black AK et al. (2002) Diet and iron status of non pregnant women in rural Mexico. Am J Clin Nutr 76, 156–164.
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    Shobha Rao. (2014). Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India. Journal of Food and Nutrition Sciences, 2(6), 270-276. https://doi.org/10.11648/j.jfns.20140206.15

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    Shobha Rao. Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India. J. Food Nutr. Sci. 2014, 2(6), 270-276. doi: 10.11648/j.jfns.20140206.15

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    AMA Style

    Shobha Rao. Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India. J Food Nutr Sci. 2014;2(6):270-276. doi: 10.11648/j.jfns.20140206.15

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  • @article{10.11648/j.jfns.20140206.15,
      author = {Shobha Rao},
      title = {Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {2},
      number = {6},
      pages = {270-276},
      doi = {10.11648/j.jfns.20140206.15},
      url = {https://doi.org/10.11648/j.jfns.20140206.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20140206.15},
      abstract = {Objective: Investigate impact of community based programs for creating nutrition and health awareness of women of child bearing age for prevention of anemia. Design: Intervention comprising of informal meetings, live demonstrations of iron rich recipes from green leafy vegetables and kitchen garden activity. Women with Hb11 g/dl formed non supplemented group (NSG). Settings: Three villages near Pune city, Maharashtra, India. Subjects: Rural non pregnant women (n= 317) of childbearing age (15-35 yr). Results: Prevalence of severe anemia (Hb=50% meetings) compared to those with (29.8%) lower participation (<25% meetings). This was also true with regard to actual practice of repeating the demonstrated iron rich recipes at home. Impact after two years was reduced, however, the participation in interventional activities continued to show association with improvement in Hb (p = 0.06). Conclusion: Our observations highlight that developing action programs for improving nutritional awareness to enhance consumption of iron rich foods through dietary diversification has great potential for preventing anaemia in rural India.},
     year = {2014}
    }
    

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    T1  - Potential of Community Based Approach for Prevention of Anaemia among Women of Childbearing Age from Rural India
    AU  - Shobha Rao
    Y1  - 2014/11/20
    PY  - 2014
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    T2  - Journal of Food and Nutrition Sciences
    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
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    EP  - 276
    PB  - Science Publishing Group
    SN  - 2330-7293
    UR  - https://doi.org/10.11648/j.jfns.20140206.15
    AB  - Objective: Investigate impact of community based programs for creating nutrition and health awareness of women of child bearing age for prevention of anemia. Design: Intervention comprising of informal meetings, live demonstrations of iron rich recipes from green leafy vegetables and kitchen garden activity. Women with Hb11 g/dl formed non supplemented group (NSG). Settings: Three villages near Pune city, Maharashtra, India. Subjects: Rural non pregnant women (n= 317) of childbearing age (15-35 yr). Results: Prevalence of severe anemia (Hb=50% meetings) compared to those with (29.8%) lower participation (<25% meetings). This was also true with regard to actual practice of repeating the demonstrated iron rich recipes at home. Impact after two years was reduced, however, the participation in interventional activities continued to show association with improvement in Hb (p = 0.06). Conclusion: Our observations highlight that developing action programs for improving nutritional awareness to enhance consumption of iron rich foods through dietary diversification has great potential for preventing anaemia in rural India.
    VL  - 2
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Author Information
  • Biometry & Nutrition Group, Agharkar Research Institute, Pune 411 004, India

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