Articles Information
Public Health and Preventive Medicine, Vol.1, No.1, Apr. 2015, Pub. Date: Apr. 2, 2015
Prevalence of Anaemia and Associated Factors Among Preschool Children (6-59 Months) in Western Province, Kenya
Pages: 28-32 Views: 4881 Downloads: 1560
Authors
[01]
Isaac Kisiangani, Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of agriculture and Technology, Nairobi, Kenya.
[02]
Charles Mbakaya, Kenya Medical Research Institute, Nairobi, Kenya.
[03]
Anzelimo Makokha, Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of agriculture and Technology, Nairobi, Kenya.
Abstract
Background: Anaemia is the most prevalent nutritional deficiency globally and of major public health concern in preschool children and pregnant women in developing world. In Kenya current anaemia rates are about 69 % among preschool aged children. Anaemia has adverse health consequences in the children. Objectives: To evaluated the prevalence, severity and risk factors of anaemia in preschool children in an area with intense malaria transmission. Design: Cross-sectional study. Setting: Clusters in an area with intense malaria transmission in western Kenya. Subjects: A total of 125 preschoolers were enrolled aged between 6-59 months. Results: The prevalence of anaemia (Hb<11.0 g/dl) was 25%. It was further divided into moderate (14.2%) and mild (10.8%).Higher risk of presenting anaemia was documented for boys, lower household socioeconomic status, malaria infection and anthropometric deficits. Conclusion: The findings show occurrence of anaemia among preschool children. In addition to malaria, low socioeconomic status, anthropometric deficits, sex are important contributors to the pathogenesis of anaemia in Western province. Improving the case management of malaria is likely to reduce the burden of anaemia. Also to implement effective public health interventions to prevent anaemia in this group, an integrated approach that addresses poverty, nutrition and malaria infection is a must.
Keywords
Anaemia, Preschool Children, Malaria, Nutritional Status
References
[01]
Milman N. Anemia – still a major health problem in many parts of the world! Ann Hematol 2011, 90:369–377.
[02]
McCann JC and Ames BN. An overview of evidence for a causal relation between iron deficiency during development and deficits in cognitive or behavioral function. Am J Clin Nutr 2007, 85:931–945.
[03]
Sachdev H, Gera T, Nestel P, et al. Effect of iron supplementation on mental and motor development in children: systematic review of randomized controlled trials. Public Health Nutr 2005, 8:117–132.
[04]
WHO. Worldwide Prevalence of Anaemia 1993–2005: WHO Global Database on Anaemia. Geneva: WHO; 2008.
[05]
CDC (2007). Baseline data from the Nyando integrated child health and education project-Kenya 2007.MMWR. Morbidity & Mortality weekly report 56, 1109-1113.
[06]
Benoist B, McLean E, Egli I, Cogswell M, et al. Worldwide prevalence of anaemia 1993–2005: WHO global database on anaemia. Geneva: World Health Organization publication; 2008.
[07]
Philips RE & Pasvol G. Anaemia of Plasmodium malaria. Baillieres Clin Physiol 1992: 269 (5 pt 1): C1245-9.
[08]
Ndyomugyenyi R, Kabatereine N, Olsen A, Magnussen P, et al. Malaria and hookworm infections in relation to haemoglobin and serum ferritin levels in pregnancy in Masindi district, West Uganda. Trans R soc Trop Med Hyg. 2008; 102(2): 130-36.
[09]
Keikhaei B, Zandian K, Ghasemi A, Tabibi R, et al. Iron deficiency anemia among children in southwest Iran. Food Nutr Bull 2007, 28:406-411.
[10]
Ag Bendech M, Chauliac M, D Malvy, et al. Variability of home dietary habits of families living in Bamako (Mali) according to their socioeconomic status. Sante. 1996; 6(5):285-297.
[11]
Assis AM, Barreto ML, Gomes GSS, Prado MS, Santos NS, Santos LMP, Sampaio LR, Ribeiro RC, Oliveria LPM, Oliveira VA: childhood anaemia: Prevalence and associated factors in Salvador , Bahia, Brazil. Cad Saude Publica 2004, 20:1633-1641.
[12]
Ngnie-Teta I, Receveur O, Kuate-Defo B. et al. Risk factors for moderate to severe anaemia among children in Benin and Mali: Insights from several multilevel analysis: Food Nutr Bull 2007, 28:76-89.
[13]
Agho KE, Dibley MJ, D’Este C,Gibberd R, et al. Factors associated with haemoglobin concentration among Timor-Leste children aged 6-59 months. J Health Popul Nutr 2008, 26:200-2009.
[14]
Pasricha SR, Black J, Muthayya S, Shet A, Bhat V, Nagaraj S, Prashanth NS, Sudarshan H, Biggs BA, Shet AS, et al. Determinants of anaemia among young children in rural India. Pediatrics 2010, 26:e140-e149.
[15]
Siegel EH, Stoltzfus RJ, Khatry SK, LeClerq S, Katz J, Tielsch JM, et al. Epidemiology of anaemia among 4 to 17 months children living in south central Nepal. Eur J Clin Nutr 2006, 60:228-235.