Anemia and Its Determinants Among Apparently Healthy Women from Pastoralist Communities of Ethiopia: A Community Based Cross Sectional Study
Science Journal of Public Health
Volume 6, Issue 6, November 2018, Pages: 145-151
Received: Nov. 19, 2018;
Accepted: Dec. 20, 2018;
Published: Jan. 18, 2019
Views 434 Downloads 94
Sahardiid Ali, College of Medicine and Health Sciences, Unit of Nutrition, Jigjiga University, Jigjiga, Ethiopia
Jemal Haidar Ali, School of Public Health, College of Health Sciences, Addis Ababa Universities, Addis Ababa, Ethiopia
This study examined the magnitude of anemia and its determinants among 468 apparently healthy women randomly selected from the pastoralist communities of Somali region, Ethiopia. The overall prevalence of anemia was 39.98%, of which mild, moderate and severe anemia were 108(25.17%), 57(13.29%) and 6(1.40%), respectively. Most (65%) of the anemic women are from rural settings. The mean Hgb level (adjusted for altitude) was 12.01(±2.1SD) gm/dl and ranged from 7-16gm/dl. As expected, anemia was significantly lower among contraceptive users (p=0.005), got iron supplementation (p=0.104), had no malaria (p=0.901) and counseled on anemia (p=0.375). Low consumption of meat (p=0.001) and fruits (p=0.029) were the significant factors associated with Anemia. To improve anemia in the community, a concerted effort comprising of public health measures and nutrition counseling in addition to the ongoing weekly iron folic acid supplementation is recommended.
Jemal Haidar Ali,
Anemia and Its Determinants Among Apparently Healthy Women from Pastoralist Communities of Ethiopia: A Community Based Cross Sectional Study, Science Journal of Public Health.
Vol. 6, No. 6,
2018, pp. 145-151.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
World health organization (WHO). Worldwide prevalence of Anemia 1993-2005: WHO Global Database on Anemia. Geneva Switzerland: World Health Organization, 2008; 12:1-51.
Semedo MRL, Santos MMA1, Baião MR, Luiz RR and GV da Veiga. Anemia and associated factors among school-age children in cape verde, West Africa. Ajfnd 2014; 9513; 9511-9528.
Haidar J. Prevalence of Anemia, deficiencies of iron and folic acid and their determinants in Ethiopian women. Health popul nutr 2010; 359; 359-368.
World Health Organization (WHO). The prevalence of anemia in women: a tabulation of available information: 2nd ed. Geneva, Switzerland WHO; 1992.4; 1-99.
Gebremedhin S, Enquselassie F. Correlates of anemia among women of reproductive age in Ethiopia: evidence from Ethiopian DHS2005. Ethiop J Health Dev 2011; 1; 1-9.
Central Statistical Agency [Ethiopia]. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia: ICF International, Rockville, Maryland, USA ORC Macro 2016.
Haidar J, Pobocik R. Iron Deficiency Anemia is not a rare problem among women of reproductive ages in Ethiopia: A Community based cross-sectional study. BMC Blood Disorders 2009; 9 (7).
McLean E, Benoist B, Cogswell M, Egli I, Wojdyla D. Worldwide Prevalence of Anemia; WHO Vitamin And Mineral Nutrition Information System 1993– 2005. Public Health Nutr 2008; 8: 1-11.
Elzahaf R A, Omar M. Prevalence of anaemia among pregnant women in Derna city, Libya. Int J Community Med Public Health. 2016 Jul; 3 (7): 1915-1920.
Umeta M, Haidar J, Demissie T, Akalu G, AyanaG. Iron deficiency Anemia among women of reproductive age in nine administrative regions of Ethiopia. EthiopJHealth Dev 2008; 157: 153-258.
Alene KA, Dohe AM. Prevalence of anemia and associated factors among pregnant women in an urban area of Eastern Ethiopia. Hindawi 2014; 3: 1-7: http://dx.doi.org/10.1155/2014/561567.
Verma RK, Arora V. Prevalence of anemia in women of reproductive age group in rural block of northern India citation. Indian journal of community health2014; 361:359-364. https://www.researchgate.net/publication/275016780.
Chellavel Ganapathi K, Sathish Kumar K. A cross-sectional study of anemia among women of reproductive age group (15-49 years) in a rural population of Tamil Nadu. International Journal of Medical Science and Public Health 2017:6(3):524-529.
Patavegar B. Prevalence of anemia and its epidemiological correlates among women of reproductive age in rural setting IJSBAR; 2014:158:155-159.
Asres Y, Yemane T, Gedefaw L. Determinant factors of anemia among non-pregnant women of child bearing age in south west Ethiopia: a community based study. Hindawi 2014: 8.
Kefiyalew F, Zemene E, Asres Y and Gedefaw L. Anemia among pregnant women in southeast; Ethiopia: prevalence, severity and associated risk factor. BMCResearchNotes2014;4:1-8:http://www.biomedcentral.com/1756-0500/7/771.
Pasricha S, TienNT, CaruanaRS, Anemia, iron deficiency, meat consumption, and hookworm infection in women of reproductive age in northwest virtnam. Am J Trop Med Hyg 2008; 379: 375–381:https://www.researchgate.net/publication/5515652.
Péneau S, Dauchet L. Estaquio C. Relationship between iron status and dietary fruit and vegetables based on their vitamin C and their fiber content. Am J Clin Nutr 2008; 87:1298 –305.
Fischer N. C, Shamah-Levy T, Mundo-Rosas V, Mendez-Gomez-Humaran I, Perez-Escamilla R. Hous hold food insecure is associated with anemia in adult Mexican women of reproductive age. J Nutr 2014; 2070: 266–272.
Mawan M, Ali A S, Bano G, Ali A S. Iron deficiency anemia among women of reproductive age, an important public health problem: situation analysis. Reprod Syst Sex Disord 2016; 5 (3); 1-6.