Abstract

BackgroundAnemia in children continues to be a major public health challenge in most developing countries, particularly in Africa. Anemia in the early stages of life leads to severe negative consequences on the cognitive as well as the growth and development of children, which may persist even after treatment. We examine the prevalence of anemia in under-five children in the Ghanaian population to help inform and serve as a guide to health policies and possible interventions.MethodsData from the 2008 Ghana Demographic and Health Survey (GDHS) was used. Data consists of health, demographic and socio-economic factors. Anemia status was determined using hemoglobin level, and prevalence of childhood anemia along with 95% confidence intervals was provided. We also examined the distribution of prevalence across different age and socio-demographic groups as well as the different regions and sub-regions in Ghana.ResultsThe overall prevalence of anemia in under-five children in Ghana was 78.4% (N = 2168, 95% CI: 76.7-80.2), where 7.8% (N = 2168, 95% CI: 6.6-8.9) of the children had severe anemia, 48.0% (N = 2168, 95% CI: 45.9-50.2) moderate anemia and 22.6% (N = 2168, 95% CI: 20.8-24.4) had mild anemia. The highest prevalence regions were the Upper East, 88.9% (N = 158, 95% CI: 80.9-94.0), and Upper West 88.1% (N = 220, 95% CI: 76.4-94.6). The prevalence was also higher among children under 2 years of age, 85.1% (N = 781, 95% CI: 82.6-87.7) than children 2–5 years of age, 74.8% (N = 1387, 95% CI: 72.5-77.1). No significant difference in prevalence between boys and girls was observed.ConclusionsGiven the high prevalence of childhood anemia observed in Ghana, particularly among those less than 2 years old, and given the negative consequences on their cognitive and behavioral development even in later years, there is an urgent need for effective and efficient public health interventions.

Highlights

  • Anemia in children continues to be a major public health challenge in most developing countries, in Africa

  • Anemia in children is of particular interest since it impairs their mental, physical and social development; it causes negative behavioral and cognitive effects resulting in poor school performance and work capacity in later years [3]

  • We examined the prevalence in the overall population and within some of the categories considered in the Ghana Demographic and Health Survey (GDHS) report and compared our results to the findings

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Summary

Introduction

Anemia in children continues to be a major public health challenge in most developing countries, in Africa. Anemia in children is of particular interest since it impairs their mental, physical and social development; it causes negative behavioral and cognitive effects resulting in poor school performance and work capacity in later years [3]. Several studies have shown that iron deficiency anemia during the first two years of life leads to impairments in the cognitive and behavioral development that persist even after treatment of iron deficiency [6,7]. Despite the serious health and social implications, prevalence of anemia remains a major public health concern and is indicated as one of the leading causes of infant mortality and morbidity in developing countries, in particular countries across Africa [8,9]. The prevalence of childhood anemia ranges from 27.2% in Mexico to 60.6% in Haiti [3,12]

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