1Adjira UMUKWIYE Masters, 2Sylvestre HAVUGIMANA Masters, 3Bernard Natukunda Phd, 4Elysee HITAYEZU Masters, 5Theoneste HAGENIMANA Masters
1Department of Medical Laboratory Sciences ; Faculty of Health Sciences, Mount Kigali University, P.O. Box 5826, Kigali -Rwanda.
2Department of Agricultural Engineering; Rwanda Polytechnic-Karongi College, P.O. Box 85 Kibuye-Rwanda
3Department of Medical Laboratory Sciences, Faculty of Medicine, Mbarara University of Science and Technology, P. O. Box 1410, Mbarara, Uganda.
4Kibogora Polytechnic, Faculty of Health Sciences and Biomedical Laboratory Sciences Department, Western Province Po.Box 50 Nyamasheke
5Student Affairs, Rwanda Polytechnic-Karongi College, P.O.Box 85 Kibuye- Rwanda
DOI : https://doi.org/10.47191/ijmra/v7-i11-21Google Scholar Download Pdf
ABSTRACT:
study sought to establish the prevalence, morphological classifications, and factors associated with severe anemia among children attending Itojo Hospital. A hospital-based cross-sectional study design was used in this study in which children aged less than 5 years who attended the pediatric ward at Itojo Hospital were involved. Patients were consecutively recruited until a sample size of 296 was obtained. Data were collected from patients’ caregivers with a structured questionnaire. Data analysis was done using SPSS Version 20.0. Descriptive statistics and bivariate and multivariate logistic regression were used during data analysis. Multiple logistic regression models were used to show the strength of the relationship and the likelihood that each of the factors would lead to severe anemia among children under 5 years. Of the 296 patients enrolled, the prevalence of severe anemia was 13.9%. The Majority of the patients (50.7%) had microcytic anemia, followed by 32.8% with normocytic anemia. Factors that were significantly associated with severe anemia were the age of the child (P=0.029), HIV/AIDS (P=0.000), leukemia (P=0.000), and sickle cell disease (P=0.000). The prevalence of severe anemia among children less than five years of age was found to be relatively high hence increasingly becoming a public health problem. There is a need for age-specific interventions that comprehensively address the issue of improved nutrition, prevention, and management of HIV infection as well as chronic and genetic disorders.
KEYWORDS:Anemia, Anemia classes, Prevalence, Children under 5 years.
REFERENCES1) Ademola, A. S., & Abiola, O. A. (2016). Morphologic Evaluation of Anemia-I. Biology and Medicine, 8(6), 1.
2) Anlaakuu, P., & Anto, F. (2017). Anemia in pregnancy and associated factors: a cross-sectional study of antenatal attendants at the Sunyani Municipal Hospital, Ghana. BMC research notes, 10(1), 402.
3) Avelyn, G. (2014). The relationship between prenatal self-care practices during pregnancy and birth outcomes among young mothers aged 16 to 24 years delivering at Gweru Maternity Hospital.
4) Blumenstock, J., Cadamuro, G., & On, R. (2015). Predicting poverty and wealth from mobile phone metadata. Science, 350(6264), 1073-1076.
5) Chattha, M. N., Mazhar, M. I., Hasan, T., Rai, M. E., & Waqas, K. (2018). SEVERE ANEMIA. The Professional Medical Journal, 25(05), 664-668.
6) Donahue Angel, M., Berti, P., Siekmans, K., Tugirimana, P. L., & Boy, E. (2017). Prevalence of iron deficiency and iron deficiency anemia in the northern and southern provinces of Rwanda. Food and Nutrition Bulletin, 38(4), 554-563.
7) Elsayid, M., Al-Qahtani, A. M., Alanazi, A., & Qureshi, S. (2015). Determination of the most common morphological patterns of anemia among Saudi anemic patients attending King Abdul-Aziz Medical City-Riyadh. International Journal of Medicine and Public Health, 5(4).
8) Gebreweld, A., Ali, N., Ali, R., & Fisha, T. (2019). Prevalence of anemia and its associated factors among children under five years of age attending at Guguftu health center, South Wollo, Northeast Ethiopia. PLoS One, 14(7).
9) Kozycki, C. T., Umulisa, N., Rulisa, S., Mwikarago, E. I., Musabyimana, J. P., Habimana, J. P., . . . Krogstad, D. J. (2017). False-negative malaria rapid diagnostic tests in Rwanda: impact of Plasmodium falciparum isolates lacking hrp2 and declining malaria transmission. Malaria journal, 16(1), 123.
10) Lopez, A., Cacoub, P., Macdougall, I. C., & Peyrin-Biroulet, L. (2016). Iron deficiency anemia. The Lancet, 387(10021), 907-916.
11) Mghanga, F. P., Genge, C. M., Yeyeye, L., Twalib, Z., Kibopile, W., Rutalemba, F. J., & Shengena, T. M. (2017). Magnitude, severity, and morphological types of anemia in hospitalized children under the age of five in Southern Tanzania. Cureus, 9(7).
12) Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., . . . El-Khatib, Z. (2019). Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health, 19(1), 175.
13) Rahmati, S., Delpisheh, A., Parizad, N., & Sayehmiri, K. (2016). Maternal anemia and pregnancy outcomes: A systematic review and meta-analysis. International Journal of Pediatrics, 4(8), 3323-3342.
14) Singh, S., & Parihar, S. (2019). Prevalence of anemia in under five-year-old children: a hospital-based study. International Journal of Contemporary Pediatrics, 6(2), 842.
15) Woldie, H., Kebede, Y., & Tariku, A. (2015). Factors associated with anemia among children aged 6–23 months attending growth monitoring at Tsitsika Health Center, Wag-Himra Zone, Northeast Ethiopia. Journal of nutrition and metabolism, 2015.
16) Tropical Laboratory Medicine. Department of Clinical Sciences. Preparation of thin blood films and Giemsa staining. TLM_PRO_026 Version No.001; 2018.
17) Ocean A, Oyet C, Webbo F, Mwambi B, Taremwa, I.M., (2018). Prevalence, morphological characterization, and associated factors of anemia among children below 5 years of age attending St. Mary’s Hospital Lacor, Gulu District, Northern Uganda.
18) Adebisi, Y. A. et al (2019). Prevalence and Socio-economic Impacts of Malnutrition Among Children in Uganda. Nutrition and Metabolic Insights Volume 12: 1–5.
19) Scott, SP, Chen-Edinboro LP, Caulfield LE, Murray-Kolb LE. The impact of anemia on child mortality: an updated review. Nutrients. 2014; 6(12):5915–5932.
Volume 07 Issue 11 November 2024
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