Magnitude of Anemia and Associated Factors Among Pregnant Women Visiting Public Health Institutions for Antenatal Care Services in Adama Town, Ethiopia
Central African Journal of Public Health
Volume 4, Issue 5, October 2018, Pages: 149-158
Received: Aug. 13, 2018;
Accepted: Oct. 10, 2018;
Published: Oct. 25, 2018
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Ebrahim Mohammed, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Ephrem Mannekulih, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Mayrema Abdo, Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia
Anemia is a global public health problem. It affects more than 2 billion people worldwide, both in developing and developed countries. It affects people of all age groups. However, it is more prominent in pregnant women. It is estimated that approximately 41.8% of pregnant women worldwide affected by anemia. Institution based cross sectional study design was employed. A total of 424 pregnant women visiting public Health Institutions in Adama Town for Antenatal Care service was randomly selected. Data was collected using semi structured questioner and participants were interviewed at the exit of the Antenatal Care unit. Blood and stool sample was collected to determine the level of anemia and Middle Upper Arm Circumference measurement was measured to determine nutritional status of the mother. Data was entered into EPI-Info version 7 and imported into Statistical Package and Service Solution (SPSS) version 21 for data processing and analysis. Descriptive statistics were used to explore the characteristics of women and the magnitude of anemia. The association between the outcome variable (Anemia) and explanatory variable was analyzed using binary logistic regression. The effect of explanatory variable on Anemia was estimated using adjusted odds ratio (AOR) and 95% confidence interval was used for tests of significance. A total of 424 respondents participated in the study. The magnitude of Anemia was found to be 28.1% (P=28.1; 95% CI: 23.6, 32.1). The highest level of anemia 79 (37.3%) and 14 (31.1%) was observed among women of age 25 – 34 years old and third trimester respectively. Birth interval of more than 2 years (AOR, 0.29; 95% CI: 0.13, 0.63), Nutritional status of MUAC < 23 cm (AOR, 8.91; 95% CI: 3.95, 20.11), taking tea (AOR, 5.49; 95% CI: 2.16, 13.96) and taking coca cola or chocolate (AOR, 6.81; 95% CI: 2.01, 23.12) and taking stimulant within 30 minutes after taking meal (AOR, 3.64; 96% CI: 1.47, 8.99) found to be significantly associated with the odds of having anemia during pregnancy. Magnitude of anemia is high (28.1%) among pregnant women in Adama Town. Respondents’ birth interval, nutritional status, type of stimulant and time of stimulant taking were found to be significantly associated to anemia in pregnant women. Health works should work on counseling of benefits of lengthening birth interval and delaying of taking stimulants after taking their meals.
Magnitude of Anemia and Associated Factors Among Pregnant Women Visiting Public Health Institutions for Antenatal Care Services in Adama Town, Ethiopia, Central African Journal of Public Health.
Vol. 4, No. 5,
2018, pp. 149-158.
World Health Organization and U. N. University/UNICEF:, Iron Deficiency Anemia, Assessment, Prevention and Control: AGuide for Programme Managers. 2001: Geneva.
Organisation, W. H., Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System., in Available fromURL:http://www.who.int/vmnis/indicators/haemoglobin.pdf. 2011: Geneva.
Balarajan Y, et al., Anemia in low-income and middle income countries. The Lancet, 2008. 378: p. 2123-2135.
Abbassi-Ghanavati M, Greer LG, and Cunningham FG, Pregnancy and laboratory studies: A reference table for clinicians. for clinicians. Obstet Gynaecol Vol. 114. 2009. 1326-31.
Mlean E, et al., World wide prevalence of anemia. WHO vitamins and mineral nutrition information system: 1993-2005:. Public health Nutrition 2008. 12(4): p. 444-454.
E. Mlean, et al., Worldwide prevalence of anaemia, WHO Vitaminand Mineral Nutrition Information System,. Public Health Nutrition, 2009. 12(4): p. 444-454.
Ma AG, et al., Anemia prevalence among pregnant womenand birth weight in five areas in China. Medical principle and practice, 2009. 18: p. 368-372.
Rasheed P, et al., Anemia in pregnancy: A study among attendees of primary health care centers. Ann Saudi Med. Ann SaudiMed 2008. 28: p. 449-452.
De Benoist B, et al., Worldwide prevalence of anemia: 1993-2005: WHO database on anemia. 2008, WHO: Geneva.
Ministry of health and R.o. Kenya., National Iron and Folic acid supplementation communication strategies,. 2013, Government of Kenya: Nirobi.
Suryanarayana R, et al., Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health, 2016. 5: p. 454458.
Reveiz L, Gyte GMI, and C. LG, Treatments for iron-deficiency anaemia in pregnancy. The Cochrane Database of Systematic reviews, 2007. 2.
TA., J., Anaemia. In:. Obstetrics and Gynaecology An evidence-based text for MRCOG, ed. B. P. Luesley DM, editors. 2010, London: Hodder Arnold.
Stoltzfus, R. J. and M. L. Dreyfuss, eds. Guidelines for the Use of Iron Supplements to Prevent and Treat Iron Deficiency Anemia. International Life Sciences Institute: 1126 Sixteenth Street, N. W. Washington, D. C. 20036-4810:ISBN 1-57881-020-5.
World Health Organization (2008), The Prevalence of Anaemia in Women: A Tabulation of Available Information 2008: Geneva.
Kim Lam Soh, et al., Anemia among Antenatal Mother in Urban Malaysia Journal of Biosciences and Medicines, 2015. 3: p. 6-11.
Okubatsion Tekeste Okube, et al., Prevalence and Factors Associated with Anaemia among Pregnant Women Attending Antenatal Clinic in the Second and Third Trimesters at Pumwani Maternity Hospital, Kenya Open Journal of Obstetrics and Gynecology, 2016. 6: p. 16-27.
Mesret Alem, et al., Prevalence of Anemia and associated factors among pregnant women attending ANC in Azezo health center gonder town, North west Ethiopia. J Interdiscipl Histpathol, 2013. 1(3): p. 137-144, ISSN:2146-8362.
Kefiyalew and et al, Anemia among pregnant women in Bisidimo, Southeast Ethiopia: prevalence, severity and associated risk factors. BMC research Notes,, 2014. 7: p. 771.
Wondu T and M Bijlsma, The hidden hunger”: Understanding the burden of Anaemia and its determinants among pregnantAnd non-pregnant women in Hawasa, Ethiopia. AJFAND, 2012. 12(7): p. 6913-6930, ISSN: 1684-5374.
Dereje Lelissa, et al., Prevalence of Anemia Among Women Receiving Antenatal Care at Boditii Health Center, Southern Ethiopia. Clinical Medicine Research, 2015. 4(3): p. 79-86, doi:10.11648/j.cmr.20150403.14.
Eyasu Ejeta, et al., Prevalence of Anaemia in Pregnant Womens and Associated Risk Factors in Nekemte Town, Western Ethiopia Food Science and Quality Management 2014. 31: p. 82-91, ISSN: 2224-6088 (Paper) ISSN 2225-0557 (Online).
Mihiretie H, et al., Magnitude of Anemia and Associated Factors among Pregnant Women Attending Antenatal Care in Nekemte Health Center, Nekemte, Ethiopia. J Med Microb Diagn, 2015. 4: p. 197. doi:10.4172/21610703.1000197.
Jufar AH, Z. T., Prevalence of Anemia among Pregnant Women Attending Antenatal Care at Tikur Anbessa Specialized Hospital, Addis Ababa Ethiopia. J Hematol Thromb Dis 2: 125 doi: 10.4172/2329-8790.1000125.
Vijaynath 1, et al., Prevalence of anemia in pregnancy. Indian Journal of Applied Basic Medical Sciences2010. 12: p. 23-35.
Vijaynath and et al., Prevalence of anemia in pregnancy. Indian Journal of Applied Basic Medical Sciences 2010. 12: p. 23-25.
Suryanarayana R, et al., Prevalence of anemia among pregnant women in rural population of Kolar district. Int J Med Sci Public Health 2016;5:454-458, 2016. 5: p. 454-458.
Alemayehu Bekele, Marelign Tilahun, and A. Mekuria, Prevalence of Anemia and Its Associated Factors among Pregnant Women Attending Antenatal Care in Health Institutions of Arba Minch Town, GamoGofa Zone, Ethiopia: A Cross-Sectional Study. Hindawi Publishing Corporation. Volume 2016, Article ID 1073192, 9 pages.
Samson Gebremedhin, Fikre Enqusilassie, and M. Umeta, Prevalence and Correlates of Materna Anemia in Rural Sidama, Southern Ethiopia. African Journal of Reproductive Health March 2014. 18(1): p. 44.
Lealem G and et al, Anemia and associated factors among pregnant women attending antenatal care clinic in Wolayita Sodo town, Southern Ethiopia EJHS, 2015. 25(2): p. 155-162.