Abstract

In the world, more than half of pregnant women are anaemic. The burden of disease is heavy yet poorly estimated. Knowledge of the current situation in our environment is necessary. This knowledge will enhance early detection and timely management of anaemia in pregnancy. This was an analytical cross-sectional study that employed both qualitative and quantitative data collection methods. The aim of the study was to determine the socio-demographic factors associated with anaemia among women of reproductive age attending antenatal clinics in Garissa County Referral Hospital. Data were collected using structured questionnaires and the Key Informant Interview Guide by two research assistants. Validity and reliability were ensured by pre-testing the questionnaires. A total of 366 out of 384 expected women were interviewed. Six Key Informant Interviews were also conducted. The Nursing officer-in-charge of maternal and child health Clinic, as well as five nurses attending to the antenatal clinic, were interviewed. Data analysis was done using SPSS version 20. Results are presented in tables, graphs, and charts. Pearson’s Correlation coefficient was applied to the linear relationship between variables. The prevalence of anaemia was found to be very high among the participants of the study (64%). The study established that that education, religion, and the number of deliveries are significant predictive factors for anaemia (P>0.05). The study recommends that the community through government agencies and non-governmental organization partners need to invest in educating the girl child beyond the primary level, special education campaigns on the nutritional requirements and the benefits of iron supplements issued at the health facilities targeting this group be developed and to empower women economically. Finally, the study recommends that the magnitude of the contribution of the various factors to the outcome variable being investigated. The direction of the relationship between the various factors and the outcome variable also to be investigated for this community.

Highlights

  • Anaemia in pregnancy is one of the most common preventable causes of maternal morbidity and poor prenatal outcome

  • The aim of the study was to determine the socio-demographic factors associated with anaemia among women of reproductive age attending antenatal clinics in Garissa County Referral Hospital

  • The study found the prevalence of anaemia among pregnant mothers attending antenatal clinic in Garissa County Referral Hospital to be 57% of which 72% were severe anaemia

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Summary

Introduction

Anaemia in pregnancy is one of the most common preventable causes of maternal morbidity and poor prenatal outcome. Anaemia induces the most dramatic consequences, including increased risk of maternal morbidity and mortality, abortion, poor intrauterine growth, preterm birth and low birth weight [3]. These effects, in turn, result in higher perinatal morbidity and mortality, and higher infant mortality rate. The causes of anaemia include genetic factors, nutritional deficiencies, and infectious agents Both haemoglobin and haematocrit (Packed Cell Volume) are measured through fresh whole blood and are dependent on plasma volume. Factors such as dehydration as well as over hydration can affect the test results. Haematocrit is a more precise parameter than haemoglobin to determine the ratio of erythrocyte volume to the total blood volume [4]

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