Anemia among Women Attending Antenatal Care at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest Ethiopia, 2017.

Wubet Worku Takele,Fasil Wagnew Shiferaw,Amare Tariku,Wondale Getinet Alemu,Degefaye Zelalem Anlay,Amare Demsie

doi:10.1155/2018/7618959

Wubet Worku Takele, Fasil Wagnew Shiferaw + Show 4 more

Open Access

https://doi.org/10.1155/2018/7618959

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Journal: Anemia	Publication Date: Oct 9, 2018
Citations: 11	License type: CC BY 4.0

Affiliation: University of Gondar, Debre Markos University

Abstract

Background In Ethiopia, prenatal anemia is a major public health concern affecting both the health of the woman and babies. The World Health Organization recommends to conduct repeated prevalence studies concerning prenatal anemia . However, there is no recent evidence on the magnitude of the prenatal anemia. Therefore, the aim of this study was to determine the prevalence and the associated factors of prenatal anemia among women attending the Antenatal Care Clinic at the University of Gondar Referral Hospital. Methods A facility-based cross-sectional quantitative study was conducted among 362 participants from June 03-July 08, 2017, at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. The systematic random sampling technique was employed. Structured interviewer administered questionnaire was used. Human Immunodeficiency Virus (HIV) screening was conducted. Nutritional status of the participants was assessed. Blood sample was collected by capillary tube . Intestinal parasite was examined by stool wet mount test. HIV serostatus was detected. Anemia was defined as hemoglobin concentration below 11 g/dl. The multivariable logistic regression model was employed to identify associated factors and to control the possible effects of confounders. Result The prevalence of anemia was 22.2% (95% CI: 18.11, 27.1%). The highest odds of anemia were observed among pregnant women with family size of >five [AOR = 3 (95% CI: 1.03, 8.65)], unprotected water source users, [AOR = 4.09 (95% CI: 1.75, 9.55)], HIV infected [AOR = 2.94(95% CI: 1.37, 6.35)], and multigravida women [AOR = 3.5 (95% CI: 1.35, 9.17)]. Conclusion and Recommendations The prevalence of anemia among pregnant women attending the University of Gondar Referral Hospital was a moderate public health problem. Unprotected water source, large family size, Human Immunodeficiency Virus infection, and repeated pregnancies were factors that predicted anemia. Thus, prevention of Human Immunodeficiency Virus infection, family planning utilization, and accessing pure water are recommended.

Highlights

In Ethiopia, prenatal anemia is a major public health concern affecting both the health of the woman and babies
According to the World Health Organization (WHO) report, prenatal anemia is defined as hemoglobin concentration of below 11g/dl[1]
This finding exhibited that the magnitude of prenatal anemia was 22.2% deemed as a moderate public health problem

Summary

Introduction

In Ethiopia, prenatal anemia is a major public health concern affecting both the health of the woman and babies. The World Health Organization recommends to conduct repeated prevalence studies concerning prenatal anemia. The aim of this study was to determine the prevalence and the associated factors of prenatal anemia among women attending the Antenatal Care Clinic at the University of Gondar Referral Hospital. The prevalence of anemia among pregnant women attending the University of Gondar Referral Hospital was a moderate public health problem. Unprotected water source, large family size, Human Immunodeficiency Virus infection, and repeated pregnancies were factors that predicted anemia. It exposes women to cardiovascular disease [11] and fetal vital organ hypoxia [9] Another deleterious effect of anemia is thyroid hormone dysfunction following reduction of the activity of thyroid peroxidase (TPO) enzyme [12, 13]

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Discussion

Conclusion