Assessment of the Prevalence of Anemia and Its Associated Risk Factors among Pregnant Women in Chiro Referral Hospital, West Hararghe Zone: Ethiopia

International Journal of Medical Science
© 2019 by SSRG - IJMS Journal
Volume 6 Issue 3
Year of Publication : 2019
Authors : Abebe Getu Derso, Getachew Gashaw, Fuad Redi
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Abebe Getu Derso, Getachew Gashaw, Fuad Redi, "Assessment of the Prevalence of Anemia and Its Associated Risk Factors among Pregnant Women in Chiro Referral Hospital, West Hararghe Zone: Ethiopia," SSRG International Journal of Medical Science, vol. 6,  no. 3, pp. 1-7, 2019. Crossref, https://doi.org/10.14445/23939117/IJMS-V6I3P101

Abstract:

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[ p-value 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.

Keywords:

Anemia, Magnitude, Risk Factors, Pregnancy, Ethiopia

References:

[1] World Health Organization/United Nations University/UNICEF: Iron Deficiency Anemia, Assessment, Prevention and Control: A Guide for Programme Managers. Geneva: WHO; 2001.
[2] WHO: Reducing Risks, Promoting Healthy Life, and the World health report. Geneva, Switzerland; 2001.
[3] World Health Organization (WHO). The prevalence of Anemia in women: A tabulation of available information. Geneva, Switzerland: WHO; 1992. WHO/MCH/MSM/92.2
[4] Van den Broek NR, Rogerson SJ, Mhango CG, Kambala B, White SA, Molyneux ME:
[5] Anemia in pregnancy in southern Malawi: prevalence and risk factors. BJOG: An
[6] International Journal of Obstetrics &Gynecology 2000, 107:445-451.
[7] Benoist B, McLean E, Egli I, Cogswell M, World Health Organization, Centers for Disease Control and Prevention (Eds): Worldwide Prevalence of Anemia 1993–2005. Geneva: World Health Organization; 2008.
[8] WHO and UNICEF, Focusing on Anaemia: Towards an Integrated Approach for Effective Anaemia Control, WHO, Geneva, Switzerland, 2004.
[9] E. McLean, M. Cogswell, I. Egli, D. Wojdyla, and B. De Benoist, “Worldwide prevalence of anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993–2005,” Public Health Nutrition, vol. 12, no. 4, pp. 444–454, 2009. View at publisher View at Google Scholar View at Scopus
[10] Cyril C. Dim, MBBS (Nigeria), senior Registrar and Hyacinth E. Onah, MBBS (Nig), MPA, FMCOG, FWACS, FICS, senior lecturer/ consultant The prevalence of anemia among pregnant women at booking in Enugu, South eastern Nigeria
[11] Mulugeta Melku, Zelalem Addis, Meseret Alem and BamlakuEnawgaw Research Article Prevalence and Predictors of Maternal Anemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study Volume 2014 (2014), Article ID 108593, 9 pages http://dx.doi.org/10.1155/2014/108593
[12] Ethiopia Central Statistical Agency and ICF International: 2011 Ethiopia Demographic and Health Survey: Key Findings. Calverton, Maryland, USA: CSA and ICF International; 2012. Jufar AH, Zewde T: Prevalence of anemia among pregnant women attending antenatal care at tikuranbessa specialized hospital, Addis Ababa Ethiopia. J HematolThromb Dis 2014., 2 doi:10.4172/2329-8790.1000125
[13] Filagot Kefiyalew, Endalew Zemene, Yaregal Asres and Lealem Gedefaw BMC Research Notes 2014, 7:771 doi: 10.1186/1756-0500-7-771Rrisk factors for anemia among pregnant women attending antenatal clinic at jimma university hospital, southwest ethiopia. belachew t, legesse y. ethiop med j. 2006 jul;44(3):211-20.
[14] Desalegn S: Prevalence of anemia in pregnancy in jimma town, southwestern Ethiopia. Ethiop Med J 1993, 31:251-258. PubMed Abstract.
[15] F. W. Lone, R. N. Qureshi, and F. Emanuel, “Maternal anaemia and its impact on perinatal outcome,” Tropical Medicine and International Health, vol. 9, no. 4, pp. 486–490, 2004. View at Publisher View at Google Scholar View at Scopus.
[16] T. Kousar, Y. Memon, S. Sheikh, S. Memon, and R. Sehto, “Risk factors and causes of death in Neonates,” Rawal Medical Journal, vol. 35, no. 2, pp. 205–208, 2010. View at Google Scholar View at Scopus.
[17] Obse N, Mossie A, Gobena T (2013) Magnitude of anemia and associated risk factors among pregnant women attending ANC in Shalla woreda, West Arsi Zone, Oromia region, Ethiopia. Ethiop J Health Sci 23: 165-173
[18] Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van-Look PF (2006) WHO analysis of causes of maternal death: A systematic review. Lancet 367: 1066-1074.
[19] Getaneh D, Bayeh A, Belay B, Tsehaye T, Mekonnen Z (2018) Assessment of the Prevalence of Anemia and ItsAssociated Factors among Pregnant Women in Bahir Dar City Administration, North-West Ethiopia. J Preg Child Health 5: 367.
[20] Oboro VO, Tabowei TO, Jemikalajah J (2002) Prevalence and risk factors for anaemia in pregnancy in South Southern Nigeria. J Obstet Gynaecol 22: 610-613.
[21] Singh K, Fong YF, Arulkumaran S (1998) Anemia in pregnancy--a cross sectional study in Singapore. Eur J Clin Nutr 52: 65-70.
[22] Sukrat B, Suwathanapisate P, Siritawee S, Poungthong T, Phupongpanku K (2010) The prevalence of iron deficiency anemia in pregnant women in Nakhonsawan, Thailand. J Med Assoc Thai 93: 765-770.
[23] Zavaleta N, Berlanga R, Lonnerdal B, Brown H (1993) Prevalence and determinants of iron deficiency anaemia in a representative sample of pregnant women in Lima, Peru, Pan American Health Organization: 54-67.
[24] Peters WH (1984) Haematocrit and haemoglobin levels in adult males and in pregnant and non-pregnant females in northern Ethiopia. Ethiop Med J 22: 17-27.
[25] Xing Y, Yan H, Dang S, Zhuoma B, Zhou X, et al. (2009) Hemoglobin levels and anemia evaluation during pregnancy in the highlands of Tibet: a hospital-based study. BMC Public Health 9: 336
[26] Stone JE, Simmons WK, Jutsum PJ, Gurney JM (1984) An evaluation of methods of screening for anaemia. Bull World Health Organ 62: 115-120.
[27] Glover-Amengor M, Owusu WB, Akanmori B (2005) Determinants of anaemia in pregnancy in sekyere west district, ghana. Ghana Med J 39: 102-107.
[28] Bahaj A, Briek ASB (2006) Prevalence of and risk factors of anemia among pregnant women Mukalla Hadhramout in Yemen. Tikrit J Pharm Sci 2: 71-77.
[29] Ibrahim IA, Dennis K (2012) The Burden of anemia among pregnant women at booking in the Niger Delta of Nigeria. 1: 91-95.
[30] Abdelhafez AM, El-Soadaa SS (2012) Prevalence and risk factors of anemia among a sample of pregnant females attending primary health care centers in Makkah, Saudi Arabia. Pakistan J Nutr 11: 1113-1120.