Burden Of Anemia Research Articles

Trends and predictors of severe and moderate anaemia among children aged 6–59 months in India: an analysis of three rounds of National Family Health Survey (NFHS) data

BackgroundChildhood anaemia remains a significant public health problem in India, as it adversely affects child development and overall health outcomes. This study aimed to analyse the prevalence of severe and moderate anaemia among children aged 6–59 months and identify consistent predictors of this condition over the past 15 years.MethodsData from the three most recent rounds of the NFHS were used for this analysis. The final weighted sample included 40,331 children from the NFHS-3 (2005–2006), 200,093 from the NFHS-4 (2015–2016), and 178,909 from the NFHS-5 (2019–2021). Descriptive and bivariate analyses were conducted, followed by binary logistic regression to identify factors associated with severe and moderate anaemia in children aged 6–59 months. All statistical analyses were performed using Stata version 14.ResultsOver the past 15 years, the prevalence of severe and moderate anaemia among children in India has shown a slight decline. However, the influence of various predictors has changed over time. Young children (aged 6–23 months), those from Scheduled Caste (SC) and Scheduled Tribe (ST) communities, and children born to mothers with high parity and low educational attainment remain particularly vulnerable to anaemia. Additionally, short-term illness significantly increases the risk of anaemia. Furthermore, women’s autonomy, indicated by higher education and lower fertility rates, along with maternal nutrition education, have emerged as key factors in reducing anaemia burden in the future. Notably, children whose mothers had no education were 1.4 times more likely to suffer from severe or moderate anaemia. Similarly, children born to mothers with four to five children (OR 1.1, p < 0.05) and those with six or more children (OR 1.2, p < 0.05) had an elevated risk of anaemia.ConclusionThe findings highlight three key areas for programmatic focus to accelerate anaemia reduction in India: [1] targeting young children (aged 6–23 months); [2] ensuring the inclusion of SC and ST communities in all relevant interventions; and [3] promoting women’s autonomy. These strategies are essential for reducing the burden of anaemia across the country.

Prevalence and determinants of stunting and anaemia in children aged 6-23 months: A multilevel analysis from rural Ethiopia.

Low- and middle-income countries shoulder the greatest burden of stunting and anaemia in children. This calls for prompt and effective intervention measures, while the contributing factors are not fully understood. This study evaluates determinants spanning from individual-, household- and community levels including agroecology and antinutrients as unique sets of predictors. Primary data were collected from 660 rural households representing the midland (ML), highland, and upper highland (UHL) agroecological zones from northern Ethiopia. The study relates several predictors to stunting and anaemia in children aged 6-23 months. We found 49.1% and 49.7% of children were stunted and anaemic, respectively. Children living in the ML are approximately twice more likely to be stunted adjusted odds ratio (AOR: 1.869; 95% CI: 1.147-3.043) than in the UHL. The risk of stunting increases by 16.3% and 41.9% for every unit increase in phytate-to-zinc and phytate-to-iron molar ratios, respectively. A 10% increase in mean aggregated crop yield was observed to reduce the likelihood of stunting occurrence by 13.6%. Households lacking non-farm income-generating opportunities, travel longer time to access the marketplace and poor health service utilisation were associated with increased risk of stunting. Low diversity of child's diet, age of the child (18-23 months) and mothers at a younger age are significantly associated with stunting. Risk of anaemia in children is high amongst households with unimproved water, sanitation, and hygiene practices, younger age (6-11 months) and mostly occurs amongst boys. Children in the ML had a 55% reduced risk of being anaemic (AOR: 0.446; 95% CI: 0.273-0.728) as compared to the UHL. Therefore, the influence of these factors should be considered to tailor strategies for reducing undernutrition in children of 6-23 months in rural Ethiopia. Interventions should go beyond the administrative boundaries into targeting agroecological variation.

Burden and awareness of anemia among adolescent girls of residential school in Telangana.

Adolescence is an important transition phase and the burden of anemia among adolescent school-going children is not well explored. The present study was carried out to determine the prevalence of anemia among school-going adolescent girls and to explore their awareness on anemia. A cross-sectional study was conducted among 217 adolescent girls studying in a residential school of Bibinagar village, Telangana. A pre-tested, semi-structured questionnaire was administered to collect the data. Hemoglobin (Hb) was estimated using TrueHb. Data was entered into excel and was analyzed using SPSS software version 21. The mean (±SD) age of the adolescent girls was 13.8 (±0.99) years. About 74.2 % of the girls were in 12-14 years' age group. About 91.7 % had attained menarche. The prevalence of anemia was 81.6 % with a mean (±SD) Hb of 9.5 (±2.7) g/dl among adolescent girls. Among the adolescent girls, 32.7 % had severe anemia, 31.8 % had moderate anemia and 17.1 % had mild anemia. About 86.2 % adolescent girls had heard of anemia while 60.8 % adolescent girls felt that anemia is preventable and only 27.6 % were aware about iron-rich foods. About 38 % of adolescent girls were not aware of any causes of anemia. The prevalence of anemia was very high among the school-going adolescent girls of rural Telangana. The awareness regarding causes of anemia and iron-rich foods was low among study adolescent girls. Thus, there is a dire need to conduct frequent Test, Treat and Talk (T3) Anemia camps in schools through district school health program.

Validating a portable device for groundwater iron measurement in Bangladesh

The mineral iron is essential for health at an optimum level. In Bangladesh iron is obtained from the drinking source groundwater, attributing largely to the good iron status in population. This groundwater iron poses two scenarios—predominantly high in many areas and predominantly low in other areas. Despite good iron status, burden of anemia in population is high. To control anemia, iron supplementation programs are operational against the backdrop of high iron status. This often leads to iron-associated side effects, plausibly due to excess iron, especially among the individuals exposed to high amount of iron from the drinking water. This geological phenomenon warrants the supplementation program to deliver different doses depending on the groundwater iron level. To enable that, the country needs an area-representative “mapping” of groundwater iron. However, such a mapping using the gold standard laboratory methods is expensive and logistically intensive. The aim of the study is to validate Handheld Colorimeter (HI721 Checker® HC), a portable device (“spot kit” device) to measure iron concentration in the drinking groundwater. The study was carried out in the rural Belkuchi upazila of the Sirajganj district in the Rajshahi division. In the study 25 tubewells were selected and categorized into five groups. Among them, four were categorized based on their iron concentration, low iron conc. (0-&lt;1 mg/L), medium iron conc. (1-2 mg/L), high iron conc. (2-10 mg/L), very high iron conc. (&gt;10 mg/L). One additional group was included for tubewell water that was used after filtering. The study compared the iron estimates measured in groundwater samples of the selected tube wells by the spot kit device and the same samples measured by atomic absorption spectrophotometry (AAS). There was a high agreement between the estimates by the spot kit and AAS (Kappa coefficient= 0.72, p &lt;0.001; Lin’s concordance = 0.829, p &lt; 0.001). Pitman's test of difference in variance exhibited that the two methods produced equally precise results (r=0.227, p=0.275). The study concluded that the Handheld Colorimeter (HI721 Checker® HC) was valid to measure the iron concentration of groundwater under field conditions. This device can facilitate testing processes, particularly in remote or resource-constrained areas where sophisticated testing methods (i.e: AAS) are unavailable and thus may help the re-design of the anemia control program in settings like Bangladesh with high and variable level of iron in the drinking groundwater.

The burden of pre-operative anaemia and postoperative outcomes in 15 166 surgical patients from a public hospital in Brazil: A retrospective cohort study.

Preoperative anaemia is associated with poor postoperative outcomes; however, few studies have reported its prevalence in developing countries and its association with significant postoperative outcomes. We aimed to identify the prevalence of anaemia and its association with postoperative outcomes in a major public hospital in Brazil. Retrospective cohort study. Single-centre, 860-bed, quaternary university-affiliated teaching hospital in Southern Brazil. We included adult patients who had undergone surgery between 2015 and 2019. Main outcome measures: The main outcome was the in-hospital 30-day postoperative mortality. According to the World Health Organisation, we defined anaemia and its sub-classification (mild, moderate, and severe). We developed Poisson regression models to examine the association between preoperative anaemia and outcomes. We included 15 166 patients, of whom 6387 (42.1%) were anaemic. After adjustment for confounding factors, patients with anaemia had an increased risk of in-hospital 30-day postoperative mortality (relative risk (RR) 1.69, 95% confidence interval (CI) 1.44 to 1.99, P < 0.001). Mild [relative risk (RR) 1.38, 95% CI 1.12 to 1.71, P = 0.003], moderate (RR 1.73, 95% CI 1.43 to 2.10, P < 0.001), and severe anaemia (RR 2.43, 95% CI 1.92 to 3.07, P < 0.001) were associated with the primary outcome. Anaemia increased the transfusion risk (RR 4.44, 95% CI 3.90 to 5.06, P < 0.001) and postoperative intensive care unit (ICU) admission (RR 1.09, 95% CI 1.04 to 1.16, P = 0.001). Four out of 10 patients had anaemia. These patients had an increased risk of adverse postoperative outcomes. Comprehension of the magnitude and impact of anaemia is essential to establish interventions in low-resource scenarios to optimise the patient's journey. Institutional Review Board Registration number 40522820000005327 (Brazilian CEP/CONEP System, available in https://plataformabrasil.saude.gov.br/).

The Impact of Health Behaviors on Iron Supplementation Adherence and Anemia Prevalence among Pregnant Women: Evidence from a Primary Care Setting in Aceh Tengah, Indonesia

Anemia during pregnancy remains a significant global health concern, particularly in developing countries like Indonesia. However, adherence to iron supplementation programs is often suboptimal, leading to persistent anemia and adverse maternal and neonatal outcomes. This study aimed to investigate the relationship between health behaviors (knowledge, attitudes, and practices) and adherence to iron supplementation among pregnant women in a primary care setting in Aceh Tengah, Indonesia. Additionally, we explored the impact of these factors on anemia prevalence. A cross-sectional study was conducted at the Pegasing Community Health Center in Aceh Tengah, Indonesia. Pregnant women diagnosed with anemia were recruited, and data were collected using questionnaires assessing their knowledge, attitudes, and practices regarding iron supplementation. Hemoglobin levels were measured to determine anemia status. Statistical analyses were performed to examine the relationships between health behaviors, adherence, and anemia prevalence. A total of 59 pregnant women with anemia participated in the study. Adherence to iron supplementation was suboptimal, with 59.3% reporting poor adherence. Knowledge about iron supplementation was generally good (76.3%), but attitudes and practices were less favorable (30.5% and 27.1%, respectively). Statistical analyses revealed a significant association between attitudes and practices related to iron supplementation and adherence. Furthermore, poor adherence was linked to a higher prevalence of anemia. In conclusion, healthy behaviors, particularly attitudes and practices, play a crucial role in iron supplementation adherence among pregnant women in Aceh Tengah, Indonesia. Interventions targeting these behaviors are essential to improve adherence and reduce the burden of anemia in this population.

The Growing Burden of Anaemia Among Young Children (6-59 months) in India: A Comparative Study Using NFHS-4 and NFHS-5 Data for Informed Interventions"

The Growing Burden of Anaemia Among Young Children (6-59 months) in India: A Comparative Study Using NFHS-4 and NFHS-5 Data for Informed Interventions"

Epidemiology of Anaemia in Children under Five in Uganda: Current Trends, Challenges, and Strategic Approaches

Anaemia in children under five years old is a significant public health issue in Uganda, affecting over half of the vulnerable population and posing challenges to their health and development. The issue is influenced by nutritional deficiencies, infectious diseases, socioeconomic factors, and limited healthcare access. Clinical manifestations include pallor, fatigue, and developmental delays, and early detection is difficult due to non-specific symptoms, resource constraints, and cultural practices. The impact of anaemia on child health and development is profound, affecting physical growth, cognitive and motor skills, and overall well-being. Nutritional interventions, such as iron supplementation, fortified foods, and dietary education, are crucial for managing anaemia. Effective healthcare responses and policies, including routine screenings, treatment programs, and community outreach, are also necessary. Preventive measures and treatment programs are crucial for combating malaria and other infectious diseases. Community-based approaches, including training health workers and implementing grassroots education programs, are essential for improving anaemia management. Addressing gender dynamics and socioeconomic determinants is vital for reducing anaemia rates. Monitoring and evaluation frameworks are essential for assessing the effectiveness of anaemia control programs and guiding future efforts. In conclusion, a coordinated approach integrating nutritional, healthcare, environmental, and socioeconomic strategies is necessary to combat anaemia in Uganda. Through continued efforts and collaboration, the burden of anaemia can be mitigated, leading to improved health outcomes for children under five. Keywords: Anaemia, Children, Uganda, Current Trends, Challenges, Strategic Approaches

The impact of different doses of oral iron supplementation during pregnancy: a pilot randomized trial

AbstractOral iron is first-line medication for iron deficiency anemia in pregnancy. We conducted a pilot randomized trial to investigate the impact of different doses of oral iron supplementation started early in pregnancy on women without anemia for 4 main outcomes: recruitment and protocol compliance, adherence, maintenance of maternal hemoglobin, and side effects. At antenatal clinic visits, participants were allocated to 1 of 3 trial arms in a 1:1:1 ratio: 200 mg ferrous sulfate daily, alternate days, or 3 times per week. The participants were followed to delivery. Baseline characteristics of 300 recruited participants were well matched between trial arms. The mean proportion of tablets taken as expected per participant was 82.5% overall (72.3%, 89.6%, and 84.5% for the daily, alternate days, and 3 times a week arm, respectively). There was a lower overall adherence rate in the daily arm (47%) than in the alternate days (62%) and the 3 times per week (61%) arms. A reduction in hemoglobin between randomization and 28 weeks’ gestation seemed smaller for the daily arm. A range of side effects were commonly reported at baseline before starting interventions and at later antenatal visits. Many side effects of iron overlapped with normal pregnancy symptoms. A daily iron dosing schedule might give the best opportunity for delivering an adequate iron load during pregnancy in women without anemia. Further randomized trials powered on clinical outcomes are needed to establish the clinical effectiveness of oral iron supplementation to prevent iron deficiency anemia. This study was registered (#ISRCTN12911644).

Insufficient Awareness Regarding Anemia Prevention during Pregnancy among Expectant Women in Uganda

Anemia during pregnancy is a significant public health issue in Uganda, affecting 30-50% of expectant mothers, with detrimental consequences for both maternal and fetal health. This condition, characterized by low hemoglobin levels, increases the risks of preterm birth, low birth weight, and maternal mortality. Despite its prevalence, there is insufficient awareness regarding anemia prevention among pregnant women in Uganda. Contributing factors include poor nutrition, chronic infections, lack of access to healthcare, and cultural beliefs that hinder dietary practices. This review explores the types, causes, and consequences of anemia during pregnancy, as well as existing prevention strategies, such as iron and folic acid supplementation, malaria prevention, and community health initiatives. It also highlights the barriers to awareness, including educational, socioeconomic, and healthcare access challenges, and offers recommendations for improving awareness, prevention, and healthcare access. Strengthening education campaigns, leveraging community health workers, and enhancing healthcare infrastructure are vital for reducing the burden of anemia in pregnancy and improving maternal and child health outcomes. Keywords: Anemia, pregnancy, Uganda, iron deficiency, maternal health, prevention strategies, public health.

CAT Study: Pediatric Catheter-Associated Thrombosis: A Retrospective Electronic Record Review

Highlights CAT is a significant problem in pediatric patients with CVCs and other risk factors. CAT was found in 4% of the sample with estimated 0.23 events per 1,000 CVC days. Incidence of CAT was lower than anticipated but consistent with published evidence. Median LOS was substantial in the CAT group suggesting increased disease burden. Specific clinical modifiers and CVC factors were more common in the CAT group. Findings provide valuable foundation for future CAT research and risk models. Clinicians and researchers should collaborate to reduce CAT incidence. Abstract Background: Catheter-associated thrombosis (CAT) is a serious condition, especially among pediatric surgical patients. This study describes the CAT incidence rate and clinical, demographic, and central venous catheter (CVC)-specific risk factors that may be associated with CAT, for a cohort of pediatric surgical patients. Methods: An electronic record review of 124 pediatric surgical patients with indwelling CVCs receiving parenteral nutrition (PN) cared for in a single pediatric hospital between 2016 and 2018 was performed. Results: Of the 297 CVCs, 4% of patients (n = 5) developed CAT, resulting in an estimated incidence rate of 0.23 events per 1,000 CVC days (95% confidence interval 0.15–0.31). Patients diagnosed with CAT had a higher burden of anemia, blood product administration, chronic lung disease, congenital heart disease, sepsis, prolonged mechanical ventilation, extracorporeal membrane oxygenation use, increased surgical complexity, and longer hospital stays. They also had a higher frequency of peripherally inserted central catheters, small caliber size CVCs, double lumen CVCs, extended PN and lipid course, lack of ethanol prophylaxis, higher rates of intravenous antibiotics, lower rates of treatment-dose heparin, and prolonged CVC duration. Conclusion: The incidence of CAT in this study was consistent with published rates for hospitalized pediatric patients with CVCs. The study provides additional foundational evidence about clinical, demographic, and CVC-specific risk factors associated with CAT in pediatric surgical patients with CVCs. It can help guide future research and collaborative efforts to develop risk assessment and other preventative strategies to reduce CAT incidence and improve patient care outcomes.

Anemia Burden in Patients With Myelofibrosis (MF) Treated With Ruxolitinib (RUX): Data From the Veterans Affairs Corporate Data Warehouse (VACDW)

Anemia Burden in Patients With Myelofibrosis (MF) Treated With Ruxolitinib (RUX): Data From the Veterans Affairs Corporate Data Warehouse (VACDW)

Burden and Predictors of Anemia Among Pregnant and Lactating Females in a Rural Area in India With a High Tribal Population.

Introduction Nutritional anemia is a silent emergency particularly rampant in developing countries, especially among women of reproductive age group. This study was done with the objective to determine the prevalence and predictors of anemia among pregnant and lactating females in the Ormanjhi block of Ranchi district, Jharkhand. Methodology A community-based cross-sectional study was done on 388 pregnant and lactating females from July 2022 to June 2024 using a multi-stage cluster sampling technique. A pre-designed, pre-tested, semi-structured, interviewer-administered questionnaire containing different sections namely socio-demographic details, dietary history, menstrual history, obstetric history, antenatal history, medical history, behavioral history, and personal history was used. House-to-house visits were done for the collection of data. To estimate the prevalence, hemoglobin levels were analyzed using adigital hemoglobinometer. Results The overall prevalence of anemia among pregnant and lactating females was found to be 361 (93%) among 388 participants. Prevalence among pregnant females was 295 (92.76%) out of 318, and among lactating females, it was 66(94.28%) out of 70. The prevalence of anemia in the first trimester was 80 (80.45%) out of 87, 112 (94.91%) in the second trimester among 118, and 103 (91.15%) among113females in the third trimester. Conclusion There are concerns about stagnancy in the prevalence of anemia in pregnancy despite strong political commitments. A baseline data is generated from this study giving a clear picture of the exact prevalence and the predictors of anemia among pregnant and lactating females. This would help the policymakers to make warranted modifications imperative to improve the nutritional status of pregnant and lactating women and hence the children.

MPN-203 Anemia Burden in Patients With Myelofibrosis (MF) Treated With Ruxolitinib (RUX): Data From the Veterans Affairs Corporate Data Warehouse (VACDW)

MPN-203 Anemia Burden in Patients With Myelofibrosis (MF) Treated With Ruxolitinib (RUX): Data From the Veterans Affairs Corporate Data Warehouse (VACDW)

Inside ANEMIA of CKD: Projecting the Future Burden of Anemia of Chronic Kidney Disease and Benefits of Proactive Management: A Microsimulation Model of the Chinese Population.

Anemia is a common comorbidity of chronic kidney disease (CKD) that has been associated with increased risk of complications, healthcare expenditure, and reduced quality of life. In China, the treatment of anemia of CKD has been reported to be suboptimal in part because of a lack of awareness of the condition and its management. It is therefore important to raise awareness of the condition by estimating the future health and economic burden of anemia of CKD and also to understand how it may be addressed through proactive policies. This study aims to project the health and economic burden of anemia of CKD, in China, from 2023 to 2027 and to estimate the impact of a hypothetical intervention on related clinical and cost outcomes. A virtual Chinese population was simulated using demographic, clinical, and economic statistics within a validated CKD microsimulation model. Each individual was assigned a CKD stage, anemia stage, comorbidity status (type2 diabetes, hypertension), complication status (stroke, heart failure, and/or myocardial infarction), and a probability of receiving treatments and therapies. Annual direct healthcare costs were assigned and based on these factors. The hypothetical intervention reduced the prevalence of moderate and severe anemia by 5% annually. This hypothetical scenario was chosen to highlight the impact of implementing policies that could reduce anemia of CKD, and is aligned with the Healthy China 2030 policy, which aims to reduce mortality from noncommunicable diseases by 30%. Interventions could consist of early screening and intervention to reduce the escalation of anemia from mild to moderate or severe. Results were compared with a baseline "no change" scenario which reflects current trends. The number of patients with moderate/severe anemia of CKD was projected to increase from 3.0 to 3.2million patients, with associated costs increasing from ¥22.0 billion (B) to ¥24.4B between 2023 and 2027, respectively. Compared with the no change scenario, the hypothetical intervention reduced the prevalence of moderate and severe anemia of CKD, saving ¥3.9B in healthcare costs in 2027 (¥24.4B vs ¥20.6B, respectively). Consistent with trends in CKD burden in China, the prevalence of anemia of CKD is projected to increase, leading to greater related healthcare costs. The introduction of healthcare interventions designed to screen for and treat anemia more effectively could therefore reduce its future burden and related costs.

Prevalence and factors associated with anemia among HIV-infected women in sub-saharan Africa: a multilevel analysis of 18 countries

BackgroundDespite the intended 50% reduction in anemia in women of reproductive age, this tendency has only worsened. Even though iron deficiency is the most prevalent cause of anemia, anemia and chronic illnesses like HIV are closely associated; in fact, 48.6% of people living with HIV who were 15 years of age or older had anemia. However, the burden of anemia among HIV-positive women in sub-Saharan African (SSA) countries is not well documented. Therefore, the goal of our research was to investigate anemia and the factors that are linked to it in SSA women who had HIV infections.MethodsA cross-sectional study was conducted using demographic and health survey datasets from 18 SSA countries. A total of 7823 weighted samples were included. STATA version 16 software was used for analysis. A multilevel logistic regression model was fitted. An adjusted odds ratio with a 95% CI and a p-value < 0.05 was used to declare significantly associated factors.ResultThe overall prevalence of anemia was found to be 45.1% [95% CI: 43.97–46.18%]. Of those 5.05%, 37.97%, and 56.97% were severely, moderately, and mildly anemic, respectively. Education level of primary [AOR = 0.74, 95% CI: 0.62, 0.89], secondary [AOR = 0.81, 95% CI: 0.68, 0.98], and higher [AOR = 0.74, 95% CI: 0.55, 0.99], as well as current contraceptive use [AOR = 0.74, 95% CI: 0.63, 0.87] were negatively associated with anemia. While pregnancy [AOR = 1.51, 95% CI: 1.17, 1.94], breast feeding [AOR = 1.38, 95% CI: 1.17, 1.64], health insurance [AOR = 1.50, 95% CI: 1.25, 1.80], and menstruation within six weeks prior to data collection [AOR = 1.36, 95% CI: 1.20, 1.54] had a significant positive relation with anemia among HIV-infected women in SSA countries.ConclusionAnemia is a serious public health problem among HIV-infected women in SSA countries. Pregnancy, breast feeding, health insurance, and menstruation within six weeks prior to data collection were significant risk factors. On the other education and current contraceptive use were significant protective factors for anemia among HIV-infected women in SSA countries. Therefore, strategies aimed at early identification of anemia may lead to an improvement in the health of HIV-infected women.

Magnitude of anemia and associated factors among adults with tuberculosis in Galkaio Public Health Facilities Puntland, Somalia 2024: A cross-sectional study design

Background: Treatment of anemia associated with TB may involve addressing the underlying cause, such as improving nutrition or managing inflammation, and sometimes may require blood transfusions. Objective: The objective of this study is to assess the magnitude of anemia and associated factors among adults with tuberculosis in Galkaio town Public Health Facilities Puntland, Somalia 2024. Methods: A facility-based cross-sectional study was used. A total sample of 422 adults with tuberculosis include in this study. Attending Health facilities in Galkaio town. Systematic random sampling technique was used to select the study participants. Structured questionnaires were used to obtain information related to socio-demographic characteristics. Data from both questioner and laboratory were checked and cleaned for completeness and consistency. Data was entered into Epi data version 3.1 and was analyzed using Statistical Package for the Social Science (SPSS) Version 20 statistical software. Both bivariate with cut off &lt; 0.25 and multivariate with cut off &lt; 0.05 analysis has been used to check the strength of association between dependent and independent variables. Result: The overall magnitude of anemia was 82.7% CI :( 78.09, 86.31).In multivariable logistic regression analyses, the odds of anemia were 4.23 times higher for patients aged between 41-50 years [AOR=4.23, 95% CI (1.92,9.34)] compared to those aged between 18-30 years, 6.12 times higher for patients unable to read and write compared to those who had a college diploma and above [AOR=6.12, 95% CI (2.63,14.2)], and 5.71 times higher for patients who had not started taking Anti-TB drugs compared to those who had started [AOR=5.71, 95% CI (2.68,12.14)]. Conclusion: the magnitude of anemia among adults with tuberculosis in the study area was found to be high (82.7%). The study revealed that age, gender, occupation, TB treatment status, started taking Anti-TB drugs, and BMI as key factors associated with anemia. These findings underscore the importance of targeted interventions and healthcare strategies for at-risk individuals, with the aim of reducing the burden of anemia.

Cultural determinants in anemia prevention and management: Insights from women and caregivers

Anemia poses a significant global health challenge, particularly impacting women and caregivers across diverse cultural settings. This abstract delves into the profound influence of cultural beliefs and practices on anemia prevention and management behaviors, drawing insights from the experiences of women and caregivers.Cultural norms shape individuals' perceptions of anemia, influencing attitudes towards preventive measures and treatment adherence. These beliefs, deeply entrenched within specific cultural contexts, significantly affect health-seeking behaviors and intervention outcomes.Women, often primary caregivers and disproportionately affected by anemia, navigate cultural expectations that shape their dietary habits, healthcare-seeking behaviors, and attitudes towards medical interventions. Additionally, gendered cultural roles intersect with anemia prevention efforts, impacting susceptibility and intervention efficacy targeting women's health.Caregivers, crucial in supporting individuals affected by anemia, are also influenced by cultural beliefs and practices. Understanding the cultural context surrounding caregiving roles is essential for devising comprehensive anemia management strategies that engage caregivers effectively and optimize patient outcomes.Acknowledging the diversity of cultural beliefs surrounding anemia is critical for developing tailored prevention and management approaches. Culturally competent interventions respect and leverage cultural norms to enhance their relevance and effectiveness within specific cultural contexts.By integrating insights from women and caregivers, this abstract emphasizes the importance of cultural sensitivity in addressing anemia. Embracing cultural diversity and understanding its influence on anemia-related behaviors are essential steps towards improving health outcomes and reducing the burden of anemia globally.

Assessing the Burden of Anemia in Non-Communicable Diseases at a Tertiary Care Center: A Cross-Sectional Study

Background: Anemia is a prevalent global health issue, significantly affecting patients with non-communicable diseases (NCDs) like Type 2 Diabetes Mellitus (Type 2 DM), Hypertension (HTN), and Coronary Artery Disease (CAD). This study assessed the burden of anemia in patients with Type 2 DM, HTN, and CAD, and to identify its prevalence, types, and association with these chronic diseases. Methods: A cross-sectional study was carried out, involving 250 patients diagnosed with Type 2 DM, HTN, and CAD. Patients were categorized as anemic based on WHO criteria: males with Hb &lt; 13 gm% and females with Hb &lt; 12 gm%. Data were collected through a structured questionnaire. Laboratory investigations included Hb, serum creatinine, MCV, MCHC, and reticulocyte count. Statistical analysis was accomplished using chi-square tests and logistic regression to examine associations between anemia and NCDs. Results: Anemia was prevalent in 80% of the study population, with normocytic anemia being the most common type (45%). Significant correlations were found between anemia and Type 2 DM (p=0.036), HTN (p=0.032), and CAD (p=0.013). Anemic patients had significantly lower Hb levels and MCHC, and higher serum creatinine and reticulocyte counts compared to non-anemic patients. Conclusion: The study highlights a high prevalence of anemia among patients with NCDs, indicating a critical need for routine screening and integrated management of anemia in this population. Addressing anemia could improve clinical outcomes and enhance the quality of life for individuals with chronic diseases. Recommendations: Healthcare providers should implement regular anemia screening for patients with NCDs and adopt integrated care approaches that address both chronic diseases and anemia. Further research is needed to explore the underlying mechanisms linking anemia and NCDs and to develop targeted interventions. Keywords: Anemia, Non-Communicable Diseases, Type 2 Diabetes Mellitus, Hypertension, Coronary Artery Disease..

Determinants of childhood anaemia in India from 2005 to 2021: insights from the last three rounds of India National Family Health Surveys

Anaemia is a global public health problem affecting 800 million women and children globally. Anaemia is associated with perinatal mortality, child morbidity and mortality, mental development, immune competence, susceptibility to lead poisoning, and performance at work. This paper used data from India National Family Health Surveys (INFHS) carried out in 2005-06, 2015-16 and 2019-21 to identify the factors associated with childhood anaemia among children, adjusting for a range of covariates. In NFHS rounds of 3 and 4 after adjusting for standard covariates, in the probit model, it was found according to marginal effects, the probability of children being anaemic in urban areas is lower. Those belonging to the scheduled tribes have a higher probability of being anaemic in the two survey rounds of NFHS-3 and NFHS-4. Literate mothers were found to have a lower probability of anaemia in their children. In NFHS-5, in the binary logit model after adjusting for standard covariates, it was found that those belonging to the scheduled tribes were 1.348 times more likely to be anaemic compared to the scheduled castes. Maternal education was another significant factor determining the likelihood of being anaemic. Literate mothers were less likely to have anaemic children. This study provides crucial insights into the dynamic nature of childhood anaemia in India, utilizing data from three decades of NFHS surveys. It highlights the need for comprehensive interventions addressing socio-economic determinants, education of women, and behaviour change interventions to mitigate the burden of childhood anaemia in India.