Magnitude of Anemia and its Associated Factors Among Pregnant Women in Jowhar District, Somalia

Authors

  • Sharmarke Burhan Taste Department of Nutrition and Dietetics, Jimma University, Ethiopia
  • Nurezeman Gali Department of Nutrition and Dietetics, Jimma University, Ethiopia
  • Dessalegn Tamiru Department of Nutrition and Dietetics, Jimma University, Ethiopia

DOI:

https://doi.org/10.54536/ajec.v1i3.832

Keywords:

Maternal Anemia, Pregnant Health, Jowhar District, South Somalia

Abstract

Globally, anemia affected 1.62 billion people; of these, 56 million anemia cases were found in pregnant women. Anemia is a global public health problem that affects both developing and industrialized countries with major consequences of social and economic burdens. This study set out to determine the prevalence of anemia and its associated factors among pregnant women attending Antenatal Care at public hospitals in Jowhar district, South Somalia. A total of 376 study respondents were included in the study. Structured questionnaires and laboratory investigation was used to collect data. Data were analyzed using binary and multivariable logistic regression. The significance of the association was declared at a p-value < 0.05. The overall prevalence of anemia was 53.1%. Most of the participants were mild anemic (36.53%). The mean hemoglobin concentration of pregnant women was 10.7 ± 2.0 g/dl. In second trimester of pregnancy (AOR=0.32, 95%CI=0.12-0.83), taking meal less than two times per day (AOR=4.80, 95%CI=1.41-16.36), rare meat (AOR= 43.07, 95%CI=2.56-73.50) and fruit (AOR= 6.01, 95%CI= 1.05-34.33) consumption and lack of iron folic supplementation (AOR= 10.06, 95%CI= 1.51-67.05) were significantly associated with anemia among pregnant women. Findings indicated that more than half (53.1%) of the pregnant women were anemic, which is a severe public health problem according to WHO classifications. Therefore, the Federal Ministry of Health and its counterpart in Hir-Shabelle State should work together to tackle anemia through nutrition education and folic iron supplementation.

Downloads

Download data is not yet available.

References

Alemayehu, A., Gedefaw, L., Yemane, T., Asres, Y. (2016). Prevalence, severity, and determinant factors of Anemia among pregnant women in south Sudanese refugees, Pugnido, Western Ethiopia. Anemia, 12, 2016.

Addis Alene, K., & Mohamed Dohe, A. (2014). Prevalence of anemia and associated factors among pregnant women in an urban area of Eastern Ethiopia. Anemia, 2014.

Adam, I., Khamis, A. H., & Elbashir, M. I. (2005). Prevalence and risk factors for anaemia in pregnant women of eastern Sudan. Transactions of the Royal Society of Tropical Medicine and Hygiene, 99(10), 739-743.

Aikawa R, Khan NC, Sasaki S, Binns CW. (2006). Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam. Public Health Nutr, 9(4), 443–8.

Antelman, G., Msamanga, G. I., Spiegelman, D., Urassa, E. J., Narh, R., Hunter, D. J., & Fawzi, W. W. (2000). Nutritional factors and infectious disease contribute to anemia among pregnant women with human immunodeficiency virus in Tanzania. The Journal of nutrition, 130(8), 1950-1957.

Breda, J., Castro, L. S. N., Whiting, S., Williams, J., Jewell, J., Engesveen, K., & Wickramasinghe, K. (2020). Towards better nutrition in Europe: Evaluating progress and defining future directions. Food Policy, 96, 101887.

Baig-Ansari, N., Badruddin, S. H., Karmaliani, R., Harris, H., Jehan, I., Pasha, O., ... & Goldenberg, R. L. (2008). Anemia prevalence and risk factors in pregnant women in an urban area of Pakistan. Food and nutrition bulletin, 29(2), 132-139.

Banerjee, B., Pandey, G. K., Dutt, D., Sengupta, B., Mondal, M., & Deb, S. (2009). Teenage pregnancy: a socially inflicted health hazard. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine, 34(3), 227.

Bekele, A., Tilahun, M., & Mekuria, A. (2016). Prevalence of anemia and its associated factors among pregnant women attending antenatal care in health institutions of Arba Minch Town, Gamo Gofa Zone, Ethiopia: a cross-sectional study. Anemia, 2016.

Cheesbrough, Monica. (2005). District laboratory practice in tropical countries, part 2. Cambridge university press.

Coutinho, G. G. P. L., Goloni-Bertollo, E. M., & Bertelli, É. C. P. (2005). Iron deficiency anemia in children: a challenge for public health and for society. Sao Paulo Medical Journal, 123, 88-92.

De Benoist, B., Cogswell, M., Egli, I., & McLean, E. (2008). Worldwide prevalence of anaemia 1993-2005; WHO global database of anaemia.

Fidler Mis, N., Braegger, C., Bronsky, J., Campoy, C., Domellöf, M., Embleton, N. D., ... & Fewtrell, M. (2017). Sugar in infants, children and adolescents: a position paper of the European society for paediatric gastroenterology, hepatology and nutrition committee on nutrition. Journal of pediatric gastroenterology and nutrition, 65(6), 681-696.

Fan, F. S. (2016). Iron deficiency anemia due to excessive green tea drinking. Clinical case reports, 4(11), 1053.

Ghose, B., Tang, S., Yaya, S., & Feng, Z. (2016). Association between food insecurity and anemia among women of reproductive age. PeerJ, 4, 1945.

Gebremedhin, S., & Enquselassie, F. (2011). Correlates of anemia among women of reproductive age in Ethiopia: evidence from Ethiopian DHS 2005. Ethiopian Journal of Health Development, 25(1), 22-30.

Gebre A, Mulugeta A. (2015). Prevalence of anemia and associated factors among pregnant women in North Western zone of Tigray, Northern Ethiopia: a cross-sectional study. J Nutr Metab. 2015.

Haidar, J. A., & Pobocik, R. S. (2009). Iron deficiency anemia is not a rare problem among women of reproductive ages in Ethiopia: a community based cross sectional study. BMC Hematology, 9(1), 1-8.

Isa, A., Kemebradikumo, P., & Dennis, A. (2012). The burden of anemia among pregnant women at booking in Niger Delta of Nigeria. Online Journal of Medicine and Medical Science Research, 1(5), 91-95.

Jufar, A. H., & Zewde, T. (2014). Prevalence of anemia among pregnant women attending antenatal care at tikur anbessa specialized hospital, Addis Ababa Ethiopia. J Hematol Thromb Dis, 2(125), 2.

Karaoglu, L., Pehlivan, E., Egri, M., Deprem, C., Gunes, G., Genc, M. F., & Temel, I. (2010). The prevalence of nutritional anemia in pregnancy in an east Anatolian province, Turkey. BMC public health, 10(1), 1-12.

Klemm R, Sommerfelt A, Boyo A, Barba C, Kotecha P, Steffen M, Franklin N. Are we making progress on reducing anemia in women? Cross‐country comparison of anemia prevalence, reach, and use of antenatal care and anemia reduction interventions. A2Z: The USAID Micronutrient and Child Blindness Project. 2011.

Kefiyalew, F., Zemene, E., Asres, Y., & Gedefaw, L. (2014). Anemia among pregnant women in Southeast Ethiopia: prevalence, severity and associated risk factors. BMC research notes, 7(1), 1-8.

Makhoul, Z., Taren, D., Duncan, B., Pandey, P., Thomson, C., Winzerling, J., ... & Shrestha, R. (2012). Risk factors associated with anemia, iron deficiency and iron deficiency anemia in rural Nepali pregnant women. Southeast Asian Journal of Tropical Medicineand Public Health, 43(3), 735.

Moinolmolki, N. (2019). Bhutanese refugee adolescents’ school adjustment: The role of acculturation and familial social capital. Intercultural Education, 30(2), 141-158.

Melku, M., Addis, Z., Alem, M., & Enawgaw, B. (2014). Prevalence and predictors of maternal anemia during pregnancy in Gondar, Northwest Ethiopia: an institutional based cross-sectional study. Anemia, 2014.

Mihiretie, H., Fufa, M., Mitiku, A., Bacha, C., Getahun, D., Kejela, M., Sileshi, G., & Wakshuma, B. (2015). Magnitude of anemia and associated factors among pregnant women attending antenatal care in Nekemte health center, Nekemte, Ethiopia. Journal of Medical Microbiology & Diagnosis, 14(3), 1.

Malako, B. G., Teshome, M. S., & Belachew, T. (2018). Anemia and associated factors among children aged 6–23 months in Damot Sore District, Wolaita Zone, South Ethiopia. BMC hematology, 18(1), 1-9.

McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B. (2009). Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public health nutrition, 12(4), 444-454.

Mockenhaupt, F. P., Rong, B., Günther, M., Beck, S., Till, H., Kohne, E., ... & Bienzle, U. (2000). Anaemia in pregnant Ghanaian women: importance of malaria, iron deficiency, and haemoglobinopathies. Transactions of the Royal Society of Tropical Medicine and Hygiene, 94(5), 477-483.

Nkrumah, B., Nguah, S. B., Sarpong, N., Dekker, D., Idriss, A., May, J., & Adu-Sarkodie, Y. (2011). Hemoglobin estimation by the HemoCue® portable hemoglobin photometer in a resource poor setting. BMC clinical pathology, 11(1), 1-6.

Nwizu, E. N., Iliyasu, Z., Ibrahim, S. A., & Galadanci, H. S. (2011). Socio-demographic and maternal factors in anaemia in pregnancy at booking in Kano, northern Nigeria. African journal of reproductive health, 15(4), 33-41.

Ndegwa, S. K. (2019). Anemia & its associated factors among pregnant women attending antenatal clinic at Mbagathi county hospital, Nairobi county, Kenya. African Journal of Health Sciences, 32(1), 59-73.

Obse, N., Mossie, A., & Gobena, T. (2013). Magnitude of anemia and associated risk factors among pregnant women attending antenatal care in Shalla Woreda, West Arsi Zone, Oromia Region, Ethiopia. Ethiopian journal of health sciences, 23(2), 165-173.

Ononge, S., Campbell, O., & Mirembe, F. (2014). Haemoglobin status and predictors of anaemia among pregnant women in Mpigi, Uganda. BMC research notes, 7(1), 1-8.

Trivedi, N. D., Trivedi, U. N., Bhandari, A., Patel, M. M., & Upadhyay, N. (2010). Case report and clinical databased research study on malaria. Journal of Advanced Pharmaceutical Technology & Research, 1(1), 18.

Viveki, R. G., Halappanavar, A. B., Viveki, P. R., Halki, S. B., Maled, V. S., & Deshpande, P. S. (2012). Prevalence of anaemia and its epidemiological determinants in pregnant women. Al Ameen J Med Sci, 5(3), 216-23.

World Health Organization. Don’t pollute my future! The impact of the environment on children’s health. No. WHO/FWC/IHE/17.01. World Health Organization, 2017.

World Bank (1997). Health, Nutrition and Population Sector Strategy. The World Bank

World Bank Group (2016). The World Bank Group A to Z 2016. World Bank Publications.

World Health Organization. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. No. WHO/NMH/NHD/MNM/11.1.

Downloads

Published

2022-12-26

How to Cite

Burhan Taste, S., Gali, N., & Tamiru, D. (2022). Magnitude of Anemia and its Associated Factors Among Pregnant Women in Jowhar District, Somalia. American Journal of Environment and Climate, 1(3), 30–36. https://doi.org/10.54536/ajec.v1i3.832