Prevalence and Factors Associated to Persistent Anemia among Pregnant Women in the Buea Health District, Cameroon
International Blood Research & Reviews,
Introduction: Anemia in pregnancy represents a life-threatening but preventable reason for maternal and childhood morbidity and mortality. Although intervention measures are practiced in most affected countries like Cameroon, the impact of anemia on pregnant women is still apparent in most local communities. The relative contribution of sociodemographic related to anemia throughout gestation varies greatly and warrants investigation in urban and rural communities in developing countries, where the condition is most apparent.
Methods: A cross-sectional study design was carried out from February to July 2019 at six sites, Regional Hospital Buea, Bokwango Integrated Health Center (IHC), Buea - Road IHC, Buea town IHC, Molyko IHC, and Great Soppo IHC. A total of 408 pregnant women were enrolled in the study. The sociodemographic characteristics identified through questionnaires filled by the participants included age, marital status, educational status, occupation, gravida status, alcohol intake, iron folate intake, knowledge on anemia and crave for non-food substance. The clinical factors of participants gathered included previous records of diarrhea within the last 6 months, diagnosis for worm infection for the last 6 months, diagnosis for Malaria for the last 6 months. A blood sample was collected and analyzed with a haemoglobinometer ( HemoCue 201+ system, Sweden). SPSS version 22 statistical package software was used to perform the data analysis. Factors related to anemia among participants unadjusted and adjusted odds ratios with their 95%CI were calculated using logistic regression models.
Results: The prevalence of anemia was 50 %. Among the anemic study participants 0.74 %, 11.76 %, and 37.50 % recorded severe, moderate, and mild levels of anemia respectively. The majority of the anemic participants 195 (95.6%) and 126 (61.8) had recently been diagnosed for Malaria and worm infections respectively. Craving for non-food substances (Calabar clay) and poor adherence to iron folate intake had a prevalence of 120 (58.8%) and 117 (57.4%) respectively. Multinomial logistic regression analysis showed that, irregular adherence to iron folate intake and reduce intake of iron folate frequency 2-3 times/week was statistically significantly associated with anemia (p=0.0001 and p= 0.0001 respectively). We equally observed a statistically significant association of alcohol drink consumption and craving for non-food substances (Calabar clay) with anemia (p=0.004 and p=0.0001 respectively). Cases of worm infection for the last 6 months were statistically significantly related to anemia (p = 0.004).
Conclusion: Anemia is high among pregnant women in the Buea health district. Factors associated with persistent anemia despite intervention measures in the community hospitals include malaria; no intake or reduced intake of iron folate; alcohol drinks consumption; craving for non-food substances (Calabar clay) and previously diagnosed worm infection within the last 6 months.
- Calabar clay
How to Cite
WHO/CDC. Worldwide Prevalence of Anemia 1993–2005: WHO Global Database on Anemia. Geneva, Switzerland: WHO Press; 2008.
WHO. The global prevalence of anemia in 2011.World Health Organization Geneva; 2015.
Menendez C, Fleming AF, Alonso PL. Malaria-related anemia. Parasitology Today. 2000;16(11):469–76.
Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle income countries. Lancet. 2013;382(98): 427–451.
Mbule MA, Byaruhanga YB, Kabahenda M, Lubowa A. Determinants of anemia among pregnant women in rural Uganda., Rural and Remote Health. 2013;13(2): 2259.
Stevens GA, Finucane MM, De-Regil LM et al. Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anemia in children and pregnant and non-pregnantwomen for 1995–2011: a systematic analysis of population-representative data. The Lancet Global Health. 2013;1(1):E16–E25.
Msuya SE, Hussein TH, Uriyo J, Sam NE, Stray-Pedersen B. Anemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes. Tanzania Journal of Health Research. 2011;13(1): 33–39.
Stephen G, Mgongo M, Hashim TH, Katanga J, Babill Stray-Pedersen B, Msuya SE. Anemia in pregnancy: Prevalence, risk factors, and adverse perinatal outcomes in Northern Tanzania. Anemia. 2018;9, Article ID 1846280.
Guyatt HL, Snow RW. Impact of malaria during pregnancy on low birth weight in sub-Saharan Africa. Clinical Microbiology Reviews. 2004;17(4):760–769.
Chandra S, Tripathi AK, Mishra S, Amzarul M, Vaish AK. Physiological changes in hematological parameters during pregnancy. Indian Journal of Hematology and Blood Transfusion. 2012;28(3):144–146.
Pavord S, Hunt B. The Obstetric Hematology Manual. Cambridge University Press, New York, NY, USA; 2018.
WHO. Haemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and Mineral Nutrition Information System: Geneva, World Health Organization; 2011.
Toteja GS, Singh P, Dhillon BS, et al. Prevalence of anemia among pregnant women and adolescent girls in 16 districts of India. Food Nutrition Bulletin. 2006; 27(4):311–315.
Wojtyła C, Biliński P, Paprzycki P, Warzocha K. Haematological parameters in postpartum women and their babies in Poland—comparison of urban and rural areas. Ann Agric Environ Med. 2011;18(2): 380–5.
Fikir A. Prevalence of anemia and its associated factors among pregnant women receiving antenatal care at Aymiba Health Center, northwest Ethiopia. Journal of Blood Medicine. 2017;18
World Health Organization.Global Health Observatory Data Repository/World Health Statistics; 2016.
Anchang‑Kimbi JK, Nkweti VN, Ntonifor HN, Apinjoh TO, Chi HF, Tata RB, Achidi EA. Profile of red blood cell morphologies and causes of anemia among pregnant women at first clinic visit in the mount Cameroon area: A prospective cross sectional study. BMC Research Notes. 2017;10:645.
Tchente CN, Tsakeu END, Nguea AG, Njamen TN, Ekane GH, Priso EB.Prevalence and factors associated with anemia in pregnant women attending the General Hospital Douala. The Pan African Medical Journal. 2016;25:133.
Achidi EA, Kuoh AJ, Minang JT, Ngum B, Achimbom BM, Motaze SC, Ahmadou MJ, Troye-Blomberg M. Malaria infection in pregnancy and its effects on haemoglobin levels in women from a malaria endemic area of Fako Division, South West Region, Cameroon. Journal of Obstetrics and Gynaecology. 2005:25(3): 235-240.
Miliretie H, Fufa M, Mitiku A, Bacha C, Getahun D, Kejela M, Sileshi G, Wakshuma B. Magnitude of anemia and associated factors among pregnant women attending antenatal care in Nekemte Health Center, Nekemte, Ethiopia. Journal of Medical Microbiology and Diagnosis. 2015;4:197.
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