Anemia Control Research Articles

Anemia prevalence and its predictors among children under-five years in Ghana. A multilevel analysis of the cross-sectional 2019 Ghana Malaria Indicator Survey.

Despite the implementation of anemia control interventions in Ghana, anemia prevalence is still high in children under-fives. Reducing the prevalence of anemia requires identifying and targeting associated critical risk factors. This study seeks to identify predictors of anemia among children under-fives in Ghana. Nationally representative data from the 2019 Ghana Malaria Indicator Survey was used in this study. Both fixed and random effects (multilevel) logistic regression models were applied to 2434 children to identify critical factors associated with anemia. In this study, 54% (95% confidence interval [CI] 52.0-57.0) of children under-5 years were anemic. Infants were more likely to be anemic (66.7%) compared with other children below 5 years. In the multivariable multilevel model, the risk of anemia was found to be higher in younger children especially 6-11 months old (adjusted odds ratio [aOR] = 3.59, CI: 2.54-5.08) and 12-23 months old (aOR = 2.97, CI: 2.08-4.23), children who had malaria (aOR = 1.53, CI: 1.13-2.06), children whose mothers were not registered but not covered with health insurance (aOR = 1.45, CI: 1.21-1.74) or were not even registered for insurance (aOR = 1.49, CI: 1.15-1.93), children born to adolescent mothers (aOR = 2.21, CI: 1.36-3.57), children born to non-Christian mothers (Islam [aOR = 1.53, CI: 1.17-2.00]), children born to families of poorer households (poorest [aOR = 3.01, CI: 1.64-5.51]; poorer [aOR = 2.56, CI: 1.65-3.98]); middle (aOR = 2.03, CI: 1.32-3.11) and richer (aOR = 1.78, CI: 1.19-2.64), and children who lived in either Upper East (aOR = 2.03, CI: 1.26-3.26) or Central (aOR = 2.52, CI: 1.42-4.47) regions. Significant unobserved community-level differences in anemia prevalence were observed. The probability of anemia in children under-fives differs substantially from one community to another, and the prevalence remains high. The identified critical risk factors should be addressed. Multifaceted and targeted approaches are needed to help reduce the anemia prevalence in this setting to achieve the multiple United Nation's Sustainable Development Goals, which are related to risk and prevalence of anemia by 2030.

Changes in Attitudes Toward Anemia Prevention Through Counseling Based on Health Belief Model Theory in Early Adolescent Children at Junior high school Nurul Islam Jember

Background: Based on the results of the anemia control program by the Jember District Health Office in 2018, anemia among adolescents was 41.6%, data from the preliminary study results, most students considered that adolescents were not at risk of anemia and considered that anemia did not affect their academic achievement, how the easiest way to prevent anemia is by taking blood-boosting tablets that have been programmed by the government. One such phenomenon is a negative attitude towards anemia prevention. The purpose of this study was to analyze changes in attitudes towards preventing anemia through counseling based on the HBM (Health Belief Model) theory for adolescents.
 Methods: The research design used a pre-experimental design with a one-group pretest-posttest study design. The number of respondents in this study were 152 female students who were taken based on inclusion and exclusion criteria by means of stratified random sampling from class VII-IX Junior high school Nurul Islam Jember.
 Results: With the Mc Nemar test, the results obtained α value <0.05, namely 0.000, it can be concluded that there is a change in attitude before and after being given counseling about preventing anemia in early adolescents at Junior high school Nurul Islam Jember.
 Conclusion: Health education about anemia prevention with interesting material and media as well as the HBM (Health Belief Model) method is proven to be able to improve adolescent attitudes because it emphasizes one's belief that young women are very at risk of developing anemia and has an impact on decreased school achievement and disrupted growth. This treatment needs to be done repeatedly in order to give a deep impression.

Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers: A Systematic Literature Review

The prevalence of anemia in adolescents at the national level is still considered quite high. Several factors are associated with the incidence of anemia in female adolescents, namely energy intake, protein intake, iron intake, vitamin C intake, tea or coffee drinking habits, investment in worms, knowledge, education and type of parental occupation, family income, and menstrual patterns as well as genetics. Stunting is also still a problem in Indonesia due to insufficient nutritional intake for quite a long time. Stunting occurs when the fetus is still in the womb and only appears when the child is two years old. anemia caused by malnutrition at an early age increases infant and child mortality. anemia in young women and also stunting in children is very dangerous. Where the purpose of research is to explain Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers. A review is conducted on the state-of-the-art methods using the preferred reporting items for reviews and meta-analyses (PRISMA) guidelines. We review literature from several publications and analyze genetic factors that cause the prevalence of anemia in young women. The prevalence of anemia among young women is also caused by genetic factors. Young women tend to experience anemia because during this period they experience growth and development. The risk of anemia increases with physiological shifts such as menstrual periods. To prevent anemia, the government has planned a program for the Prevention and Control of Iron Nutrition Anemia in women of childbearing age which aims to reduce the prevalence of iron deficiency anemia in high school and junior high school students.

Severe Acute Malnutrition among Children in Bale Zone Southeast Ethiopia: Treatment Outcome and its Determinant Factors

To assess the treatment outcomes of severe acute malnutrition (SAM) and its associated factors in children aged 6-59months in Bale zone, Southeast Ethiopia. A multi-institutionally-based, retrospective cross-sectional study design was conducted, based on records from September 11, 2014 to September 11, 2017. Simple random sampling was used to select the records. A pretested extraction format was used to collect information from the logbook and patient records. Treatment outcome was dichotomized into recovery and censored. Bivariate and multivariable logistic regression analyses were used to analyze the data. Odds ratios with 95% CIs were calculated to determine the association between each independent variable and treatment outcome. A total of 763 records were completed and reviewed. Of these, 711 (93.2%) were recovered from SAM. Provision of deworming treatment (aOR=6.5; 95% CI: 2.8-15.1), education given to the mother/caregiver (aOR=8.8; 95% CI: 4.2-18.4), age range 6-24months (aOR=0.37; 95% CI: 0.17-0.81), presence of anemia (aOR=0.33; 95% CI: 0.14-0.78), and use of nasogastric (NG) tube (aOR=0.42; 95% CI: (0.21-0.85) were associated with recovery from SAM. Recovery rate of SAM children in this study was in line with international standards. Deworming, maternal education status, child's age, anemia, and NG tube use were associated with recovery. Attention should be given to deworming all children, disease control, and prevention of anemia and other comorbidities.

Review of intervention products for use in the prevention and control of anemia.

Anemia remains a major public health problem, especially in low- and middle-income countries. The World Health Organization recommends several interventions to prevent and manage anemia in vulnerable population groups, including young children, menstruating adolescent girls and women, and pregnant and postpartum women. Daily iron supplementation reduces the risk of anemia in infants, children, and pregnant women, and intermittent iron supplementation reduces anemia risk in menstruating girls and women. Micronutrient powders reduce the risk of anemia in children. Fortifying wheat flour with iron reduces the risk of anemia in the overall population, whereas the effect of fortifying maize flour and rice is still uncertain. Regarding non-nutrition-related interventions, malaria treatment and deworming have been reported to decrease anemia prevalence. Promising interventions to prevent anemia include vitamin A supplementation, multiple micronutrient supplementation for pregnant women, small-quantity lipid-based supplements, and fortification of salt with iodine and iron. Future research could address the efficacy and safety of different iron supplementation formulations, identify the most bioavailable form of iron for fortification, examine adherence to supplementation regimens and fortification standards, and investigate the effectiveness of integrating micronutrient, helminth, and malaria control programs.

The comparative effect of aqueous extracts of Mucuna pruriens and Telfairia occidentialis leaf on liver enzymes and serum protein of albino rats

An experiment was conducted to determine the comparative effect of aqueous leaf extract of Mucuna prurines and Telfairia occidentalis on liver enzymes and serum protein in albino rats. Complete randomised design was used to assign twenty (20) Albino rats into four (4) groups of five rats per cage. Group 1 (control) received rat feed and water only, Group 2 received 25 mg/kgbw of M. pruriens, Group 3 received 25 mg/kgbw of T. occidentalis while group 4 received 50 mg/kgbw dose equipotent concentration of T. occidentalis and M. pruriens. After 21 days, liver enzyme and serum protein were estimated. The result showed a significant (p<0.05) decrease in aspartate aminotransferase (AST) of all the experimental animals across the groups especially T. occidentalis (44.203.47 µ/L) treated group when compared with control (88.803.87 µ/L). Also, alanine aminotransferase (ALT) of M. pruriens (36.20 0.98* µ/L) treated group was significantly increase whereas T. occidentalis (16.86  2.69* µ/L) treated group was significantly decreased. The elevated ALT in M. pruriens treated group showed extract may cause liver damage since elevated ALP is a more specific indicator of liver damage. Alkaline phosphatase (ALP) was significantly deceased in all experimental animals across the groups when compared with the control. Serum protein result showed significant decrease in albumin level of all the experimental groups, however, globulin level was slightly increased in all the experimental groups. There was no significant difference in total protein of all the experimental groups. In conclusion, extract of T. occidentalis showed high hepatoprotective effect while extract of M. pruriens was hepatotoxic. The two extracts were generally low in protein. It is recommended that leaf extracts should be used singly, combination therapy should be avoided to reduce hepatotoxic effect of M. pruriens. T. occidentalis is hepatoprotective and highly recommended for use in control of anaemia.

Management of anaemia in pregnancy using ‘test and treat’ strategy: hospital based open randomized study

In India, prevalence of nutritional anaemia due to iron, folic acid and vitamin B12 deficiency is high. National anaemia control programme envisaged detection and treatment of anaemic pregnant women. Prevalence of anaemia continues to be high because this strategy was not operationalised and coverage and compliance with iron folic acid supplementation remains low. : The present study aimed at: 1. Operationalizing Hb estimation in urban maternity center, 2. assessing prevalence of iron, folic acid and vitamin B12 deficiency, 3. undertaking an open randomized study in women with Hb between 8.0 and 10.9 g/dL to assess impact of supplementation with iron and folic acid (Group 1) or iron, folic acid and vitamin B 12 (Group 2). The ‘Test and treat’ strategy was operationalized in urban maternity center. At enrolment 100% of women were anaemic, 60% had ferritin <12ng/ml, 5% had folic acid <3ng/ml and 1/3 had vitamin B12 <200pg/ml. After eight weeks of supplementation, there was an increase in mean Hb (>1.0 g/dL), mean ferritin and folic acid in both Gr 1 and 2. There was a fall in mean vitamin B12 at 8 weeks in Gr 1 women who received 5 mg folic acid. Addition of vitamin B12 to IFA does not improve mean Hb or vitamin B12.With assured regular supply and supportive supervision, iron folic acid supplementation for 8 weeks reduces prevalence of anaemia in pregnancy by 50%; with continued supplementation till 38 weeks of pregnancy, there was 70% reduction in prevalence of anaemia.

Prevention and Control of Anaemia by Unani Intervention

Anaemia is still common in India, and its prevalence has increased across all age groups. The prevalence of anaemia has increased by 2–9% among infants, pregnant and non-pregnant women, and men, according to data from the National Family Health Survey 5 (NFHS-5)released on November 24, 2021. For over 2000 years, the Unani system of Medicine (USM) a unique and comprehensive medical system, has ruled in terms of theory and practise. Its beliefs and practises differ from western medicine and may not be completely associatedwith it, but they are still significant because they are well-considered, comprehensive, and advocate for a holistic approach to health care. The data was collected from 17 ancient Unani books, the Indian Pharmacopoeia of Unani, and other manuscripts. Unani systemrecommends specific diet and Unani drugs for the prevention and intervention of Anaemia.

Effect of iron folic acid with tablet vitamin C compared to iron folic acid with routine verbal advice of vitamin C rich foods on the hemoglobin levels of anemic pregnant women attending a tertiary care hospital in Puducherry: protocol for a pragmatic trial

Background: In routine practice, pregnant women are advised to take iron folic acid (IFA) tablets with vitamin C-rich foods. If vitamin C tablets are given instead, there may be an improvement in the hemoglobin levels of pregnant women. The study aims to find the effectiveness of IFA tablet with vitamin C tablet compared to IFA tablet with verbal advice of vitamin C rich foods, over 6 weeks, on the hemoglobin levels of anemic pregnant women (13-33 weeks) attending a tertiary care hospital in Puducherry. Methods: A pragmatic trial will be conducted in the antenatal OPD of a hospital in Puducherry. Anemic pregnant women will be consecutively recruited until a sample size of 86 is attained. Permuted block randomization and allocation concealment will be used. After eligibility assessment, participants will be randomly assigned two arms. The intervention arm will receive IFA tablets with vitamin C tablets, while the control arm will be advised to take IFA tablets with vitamin C-rich food. Participants will be followed up at 6 weeks. The intention-to-treat approach will be used. Linear regression will be performed followed by multivariable linear regression to adjust for confounding variables. Conclusions: This study protocol is designed to investigate whether the hemoglobin status and control of anemia in anemic mothers can be improved by giving IFA tablets with vitamin C tablets in routine practice, rather than verbal advice to take IFA tablets with vitamin C-rich foods.

Factors predicting post-dialysis fatigue of maintenance hemodialysis patients

AimsPost-dialysis fatigue is a common complication in maintenance hemodialysis patients. This study aims to evaluate post-dialysis fatigue and discover related risk factors.Design and methodsIn this cross-sectional study, we used the specific scale to measure post-dialysis fatigue of maintenance hemodialysis patients from June to September 2021, and looked for risk factors from sociodemographic and clinical data.ResultsThe post-dialysis fatigue score for 147 maintenance hemodialysis patients was 14.75 ± 8.24. The post-dialysis fatigue was associated with increasing age (b = 2.00, p = 0.016), fewer dialytic vintages (b = − 1.91, p = 0.001), increasing inter-dialysis weight gain (b = 5.79, p < 0.01), decreasing hemoglobin (b = − 3.30, p = 0.011) and Kt/V (b = − 2.74, p = 0.035).ConclusionsPatients with old age, dialytic vintage less than 36 months, poor control of inter-dialysis weight gain, anemia, and inadequate dialysis are more likely to suffer from post-dialysis fatigue.

The effect of giving moringa tempeh flour on hemoglobin levels and body weight of Wistar Rats

Background: Tempeh is a fermented product that has earned the nickname "the miracle food" because of its nutritional content, especially amino acids and fatty acids, which are good for health. Moringa leaves, which are also called "the miracle leaves," have complete nutritional content, especially iron, and vitamin C. Vitamin C plays a significant role in the absorption and metabolism of ironObjectives: Was to increase absorption of iron, which can increase hemoglobin blood and body weight of ratsMethods: There were 4 groups, each consisting of 6 rats. The rats were kept in animal laboratories at room temperature (25–27°C) for 21 days. This research was conducted from 7 to 27 October 2020 in the Pharmacology Laboratory of Medicine, Faculty of Medicine Universitas Muhammadiyah Malang. This study used a Completely Randomized Design, used 24 Rattus norvegicus with treatment conditioned with anemia. The four groups were divided into control anemia rats, control non-anemia rats, anemia rats that consumed tempeh, and anemia rats that consumed tempeh with moringa leaves of 4%. The rats body weight was weighed daily and the blood Hb was taken at the end of the treatment. Statistical test used One-way Analysis of Variance (α = 0,01).Results: The results of statistical tests with ANOVA show not significant influence. The results of the hemoglobin and body weight rats had no significant effect.Conclusion: The value was not significant between groups in the hemoglobin assessment, but the treatment group that was given moringa leaves tempeh was higher than the anemia control group and the pure tempeh group.

#2567 ASSOCIATION OF IMBALANCE OF MYOCARDIAL OXYGEN SUPPLY/DEMAND WITH MYOCARDIAL INJURY IN END STAGE KIDNEY DISEASE PATIENTS

Abstract Background and Aims It is well known that oxygen transport ability is impaired in patients with anemia, low hemoglobin (Hb) level, whereas the double product (DP, bpm*mmHg), consisting of the systolic blood pressure (SBP) multiplied by the heart rate (HR), is an index of myocardial oxygen consumption. The combination of these two markers could be a potential marker for balance of myocardial oxygen supply and demand. Therefore, we hypothesized that the balance of these two markers may lead to myocardial damage in end-stage kidney disease (ESKD) patients who is susceptible to vulnerable heart in oxygen balance. The purpose of this study is to examine the association of balance of DP and Hb with myocardial injury in ESKD patients. Method A single-center, cross-sectional study has conducted. From December 2010 to November 2021, 327 consecutive ESKD patients started maintenance hemodialysis (HD). Among them, 44 patients met the exclusion criteria as follows: (1) missing data of cardiac troponin T (cTnT); (2) complicating acute cardiac syndrome; (3) death during hospitalization for HD initiation, a total of 283 ESKD patients were enrolled into the study finally. The patients were divided four groups according to the high or low of Hb level of 9 g/dL and DP 12500, a median of our patients, and named low-DP/high-Hb; G1, low-DP/low-Hb; G2, high-DP/high-Hb; G3, and high-DP/low-Hb; G4. The patients with G1 group were defined as a well oxygen balanced group, whereas those with G4 was defined as an imbalance of oxygen supply and demand group. Based on the results of previous study, cTnT cut off for myocardial injury was serum cTnT ≧0.15 ng/mL. Odds ratio (OR) for myocardial injury was calculated in each group compared with well oxygen balanced group by logistic regression analysis. Results Median age was 72 years, 71% of them were male, 52.6% had diabetes. Mean Hb level was 9.09 ± 1.61, and median DP was 12144 (25% tile 10540, 75% tile 14688). Median cTnT was 0.083 (25% tile 0.057 and 75% tile 0.13), and 20.4% of patients were defined as suffering from myocardial injury latently. In the adjusted model, the odds for myocardial injury was significantly increasing in high-DP compared with low-DP (OR: 1.87, p = 0.049), while low-Hb did not show significant increment of odds for myocardial injury compared with high-Hb. As shown in the Table 1, compared to well-balanced group (G1), OR increased by exposing only high-DP (G3), however it was not statistically significant (OR 1.20, p = 0.68). Interestingly, by exposing with high-DP with low-Hb simultaneously (G4), synergistic increased OR was found compared with well-balanced (G1) group (OR 3.07, 95%CI 1.24-7.62, p = 0.015). Furthermore, these associations were enhanced and weakened if Hb cut-off level became to be lower (Hb 8 g/dL) and higher (Hb 10 g/dL), as shown in Tables 2, 3. Conclusion Imbalance of oxygen supply (Hb) and demand (DP) was associated with myocardial injury in incident HD patients. Appropriate control of anemia, SBP and HR may have possibility to prevent myocardial injury. Especially we need to pay attention more to the Hb level if BP and HR control is insufficient. Tables 1, 2, 3. Odds ratio for cTnT≧0.15 in four groups divided by DP and Hb (adjusted for age, male, CRP, albumin, diabetes mellitus).

#6131 ANEMIA IN PERITONEAL DIALYSIS

Abstract Background and Aims Anemia is one of the most frequent complications of chronic kidney disease (CKD), affects quality of life and increases morbidity and mortality. Prevalence of anemia in patients on peritoneal dialysis (PD) is 83% according to the RIKAS study. Diagnosis of anemia in CKD is set at a hemoglobin (Hb) below 13 g/dL in men and less than 12 g/dL in women. These values serve to define the diagnosis, but not to indicate treatment. Treatment is based on the use of erythropoiesis stimulating agents (ESA) and iron therapy. Absolute iron deficiency (ferritin less than 100 ng/ml and transferrin saturation index (TSAT) less than 20%) and functional iron deficiency (TSAT less than 20% with normal ferritin), require correction with oral or intravenous iron before the use of ESA. Treatment with ESA is indicated when Hb is below 10g/dL despite adequate iron stores. The goal is to achieve Hb values between 10-12g/dL. The aims are evaluating the situation of patients in our PD program with respect to anemia, its prevalence, treatment and its results. Method This is an observational, descriptive, cross-sectional and single-center study. Inclusion criteria were patients older than 18 years with at least 3 months of permanence in our PD program. We collected: age, sex, cause of CKD, type of PD, time on PD, origin (pre-dialysis, hemodialysis, kidney transplant), residual diuresis, diabetes mellitus (DM), high blood pressure (HBP), ischemic heart disease, bleeding, urea, creatinine, albumin, calcium, phosphorus, Hb, hematocrit, iron, ferritin, TSAT, C-reactive protein (CRP), transfusions and treatments (ESA and/or iron therapy). Descriptive statistical analysis (mean, standard deviations, maximums and minimums) and comparative analysis between variables was performed using Chi-square test and ANOVA for qualitative and quantitative variables, respectively. Results N = 58 patients, 64% men and 36% women. The mean age was 61.3+/- 15.54 years. 31% of patients were CKD secondary to glomerulonephritis (predominant etiology). 5% had no cardiovascular risk factors (CVRF), 48% between one and two and 47% more than three. 74% on continuous ambulatory peritoneal dialysis (CAPD). Mean time on dialysis 28.74 +/- 25.05 months. Mean residual diuresis in 24 hours 1199.22 +/- 703.14 cc. Prevalence of anemia 74%. Mean Hb of 10.97 +/-1.29 g/dL with 78% of patients with values between 10-12 g/dl. Mean ferritin of 356.79 +/-226.84 mg/dL with 79% of patients between 100-500 mg/dl. 83% received treatment with ESA, 33% with intravenous iron. No patient received oral iron. 4 patients needed of blood transfusion and 3 of them due to bleeding (2 gastrointestinal bleeding and 1 urinary bleeding). We observed a statistically significant association between higher residual diuresis volume and adequate anemia control (P = .042) and between lower creatinine values and target Hb values (P = .0005). No statistically significant association was observed between adequate anemia control and type of dialysis (p= 0.106), time on dialysis (P = .28), sex (P = .224) and DM (p= 0.139). Conclusion The high prevalence of anemia continues to be a major problem in PD in our program, but similar to other series. Under treatment (ESA and iron therapy) is achieved an adequate control in most patients, although in approximately 20% of patients do not reach the established target. Higher residual diuresis and lower creatinine values (probably due to increased residual renal function) are associated with better anemia control.

Anemia – a scourge to maternal and child development in Bihar, India

Introduction and aim. Anemia remains a leading contributor to years lived with disability (YLDs), being responsible for 50.3 million (5.82%) YLDs worldwide and 19.3 million (12.03%) YLDs in India, respectively. Results of the National Family Health Survey 2019-2021 (NFHS-5) suggest a high burden of anemia in India among women of reproductive age and children aged 6-59 months at the national level (57%, 67.1%), and in the state of Bihar, India (63.5%, 69.4%). Iron deficiency is the leading cause, accounting for more than half the cases. Anemia bodes harmful implications for both the mother and child, with long-lasting consequences for the latter. Anemia control programs have yielded little benefit despite efforts stretching over five decades. This narrative review aims to highlight the burden of anemia and the probable factors behind it among under-5 children and women of reproductive age in the Indian state of Bihar. Material and methods. The paper is a narrative review. The following databases were used to search and select literature: PubMed, Web of Science, Scopus, and Google Scholar. In addition, the websites of relevant government departments and national health programs were searched for pertinent material. Analysis of the literature. A multitude of reasons seem to be behind the unabated high prevalence in Bihar: low socioeconomic status, gender disparities, traditional customs and practices, food insecurity, lack of diverse diets, poor consumption, and no adherence to iron and folic acid (IFA) supplements, groundwater contamination with arsenic and fluoride, and supply chain mismanagement, all playing roles of varying degree. Conclusion. An all-encompassing approach and not merely the provision of IFA supplements are necessary to unravel the intricate web of factors that lead to anemia.

CO223 The Use of Artificial Intelligence to Guide Medication Dosage Is Associated with Improved Anemia Management and Lower Erythropoietin Stimulating Agents Consumption Among Dialysis Patients

The management of renal anemia remains challenging for nephrologists. The Anemia Control Model (ACM), a certified medical device based on Artificial Intelligence, assists nephrologists in optimizing dosage of erythropoiesis-stimulating agents (ESA) and iron for their patients. We evaluated the effectiveness of the ACM concerning hemoglobin (Hb) targets achievement and ESA inappropriate use.

Android-Based Mobile Application for the Control of Anemia in Children Aged 6 to 23 Months Old in the District of Comas – Lima

One of the main health problems facing the country is iron deficiency anemia. This condition reduces the level of hemoglobin present in the blood, which produces symptoms that affect the sufferer's daily activities. According to the INEI (National Institute of Statistics and Informatics), the urban area has 36.7% of anemia, and Comas is the second district of the capital (Lima) with the second highest rate of anemia with 43.4%. This article proposes a technological solution that allows the control and prevention of iron deficiency anemia in children from 6 to 23 months old in Comas through the follow-up of the screenings performed and by improving eating habits. The result obtained was an Android-based mobile application with three navigation options. The Children option allows the registration of each screening performed and notifies the level of anemia present in the child, the Home option displays information about this condition, and the Kitchen Recipes option is responsible for enriching the child's diet by presenting a highly nutritious recipe book, categorized according to age range. It also obtained a 90% positive acceptance rate from the sample population identified as users and patients, and a daily screening was recorded. This result can be applied to any coastal area of the country and, therefore, contributes to improving the quality of life of children by reducing anemia rates.

UPAYA PROMOTIF DAN REHABILITATIF PADA IBU HAMIL ANEMIA DENGAN PENDEKATAN KELUARGA

The anemia control program that is carried out is to provide iron supplement tablets, namely Fe preparations which aim to reduce anemia rates in toddlers, pregnant women, postpartum women, young women, and WUS (Women of Reproductive Age). Prevention of anemia in pregnant women is carried out by giving 90 tablets of Fe to pregnant women during their pregnancy. The role and function of the family is very important when one of the family members has health problems. Families can provide motivation to patients, remind patients to take medication and monitor their health. Because of this, it is necessary to provide assistance and supervision of taking Fe tablets by husbands for pregnant women who are taking Fe tablets. This service aims to provide "Promotive and Rehabilitative Efforts for Anemia Pregnant Women with a Family Approach to increase the adherence of pregnant women to consuming Fe tablets and prevent anemia in pregnant women in Langenharjo Village". The method used in this activity was in the form of mentoring and health education using leaflet media and giving Fe and Vitamin Tablets. The activity was carried out in Langenharjo Village in the Margorejo Health Center area, Pati Regency, carried out by 2 midwifery lecturers assisted by midwifery students. Target families with pregnant women with anemia. This service activity was carried out twice, namely on January 30, 2023 in the class of pregnant women providing counseling about anemia, iron (Fe) in pregnant women, giving iron tablets (Fe tablets) and multivitamins, the activity was attended by 10 pregnant women, 3 people cadres and 1 village midwife. out of 10 pregnant women who came, 2 pregnant women were found to be anemic, namely 10.5 gr% and 11.1 gr%. Pregnant women who are anemic are monitored by conducting home visits on February 7 2023 to the families of Mr. A and Mr. F. The evaluation monitors the consumption of Fe tablets and multivitamins in pregnant women, and recommends re-examination of Hb levels at the nearest health center.

Objective and subjective barriers to the effective pediatric iron deficiency anemia control: results of questionnaire assessment of pediatricians and parents

Background. Iron deficiency anemia (IDA) remains a pressing pediatric issue to date. Despite the availability of clinical guidelines and other publications that highlight the objective causes for the lack of effectiveness of treatment and prevention of IDA in children, the subjective reasons are unrenowned.Objective. The aim of the study is to evaluate health beliefs of pediatricians and parents on the problem of anemia in children to investigation into the objective and subjective causes for inadequate control of iron deficiency conditions in childhood.Materials and methods. In September 2022, single-step parallel survey of pediatricians and parents on the problem of IDA in children was conducted by random sampling technique using original questionnaires. The questions were formulated on five topics and related to a common understanding of the term “anemia”; priority reference sources; availability of diagnosis of IDA in medical institutions (MI); the position of pediatricians and parents on the treatment and prevention of IDA in children. Based on the results, the main subjective and objective barriers to the control of IDA in children are identified. The χ2 method was used for the comparative evaluation of the responses. The differences were considered significant at statistical significance of p &lt; 0.05.Results. Pediatricians (n = 81) and parents (n = 363) from 23 members of the Russian Federation took the survey. Among the objective barriers to the IDA control in children, the low availability of serum ferritin in MI, difficulties of venous access in children, a shortage of a range of iron preparations for children on Russian market were revealed. The subjective barriers were the skepticism of pediatricians and parents about the necessity for conservative prevention of IDA; poor knowledge of the criteria for diagnosis IDA and completion of IDA therapy by pediatricians; insufficient independence and selectivity of pediatricians when prescribing iron preparations; orientation of the majority of parents (93.7%) to the opinion of doctors, along with the actual rarity of full-fledged conversations with a pediatrician (16.3%).Conclusion. The main limitation of this study was the random sample method inclusion of respondents due to the impossibility of conducting a full-fledged population study. Elimination of the revealed subjective and objective factors can contribute to improving the detection of IDA in children, early appointment and higher effectiveness of treatment, reducing the frequency of disease recurrences, as well as increasing the confidence of parents in pediatricians.

Engaging academic institutions in public health programs: lessons from anemia control program in india

Engaging academic institutions in public health programs: lessons from anemia control program in india

Diagnosing anemia: Challenges selecting methods, addressing underlying causes, and implementing actions at the public health level.

Accurate and affordable tools for diagnosing anemia and its main determinants are essential for understanding the magnitude and distribution of the problem and the appropriate interventions needed for its timely prevention and treatment. The objective of this review is to address methods, equipment, and sample-related and quality control aspects of hemoglobin measurement for anemia diagnosis. Also, other iron-, infectious-, and genetic-related causes of anemia are addressed in individuals and populations. The best practice for hemoglobin determination is the use of venous blood, analyzed on automated hematology analyzers, with high-quality control measures in place. The importance of a correct anemia diagnosis is highlighted by the cost of a misdiagnosis. A false-negative diagnosis may result in missing out and not treating anemia, its causes, and its adverse effects. On the other hand, a false-positive diagnosis may result in the provision of unneeded treatment or referral for expensive laboratory tests to determine a cause of anemia, wasting valuable resources and risking causing harm. At the individual level, clinicians must understand the causes of absolute and functional anemia to diagnose and treat anemia at the clinical level. Actions toward anemia diagnosis and control at public health levels require global, regional, and country actions that should cover general and context-specific characteristics.