Maternal anaemia and associated factors in Mpwapwa district, Tanzania
| dc.contributor.author | Tumbo, Amon Peter | |
| dc.date.accessioned | 2019-06-22T00:06:05Z | |
| dc.date.accessioned | 2020-01-08T10:05:54Z | |
| dc.date.available | 2019-06-22T00:06:05Z | |
| dc.date.available | 2020-01-08T10:05:54Z | |
| dc.date.issued | 1994 | |
| dc.description | Available in print form | en_US |
| dc.description.abstract | To determine the prevalence and associated risk factors of maternal anaemia, we conducted a community based cross-sectional survey in Mpwapwa district. A total of 724 pregnant women were studied. Data were collected from the beginning of November to mid December, 1992. Anaemia, as defined by WHO cut-off point of haemoglobin less than 11 g dl, was recorded in 61 % (441/724) of the study population. Both the prevalence of anaemia and the mean haemoglobin levels decreased gradually as age increased except for age group 20-24 years. however, the mean haemoglobin level was significantly higher among women who reported that they were using iron supplements (1l.lg/dl than among those who didn't (10.3g/d1) (Student t-statistic = 8.9; p-value < 0.001). There was no significant difference between the mean haemoglobin levels of subjects who reported that they were using chloroquine chemoprophylaxis (10.4g/dl) and those who didn't (10.5g/dl). Subjects who had booked for antenatal clinic had lower prevalence of anaemia 57.2 % (299/523) compared with those who had not 70. 6 % (142/201). The difference 13.4 % was statistically significant (95 % CI = 5.8 % , 21%; Mantel-Haenszel (M-H) Chi-square test = 11.1; p-value = 0.001; df = 1}. About 6% (46/724) of the study subjects had multiple parasitic infections, those with malaria parasites or hookworm alone were 9.5 % (69/724) and 13.4 % (97/724) respectively. Analysis using logistic regression model showed that the significant risk factors associated with maternal anaemia were age below 20 years (Odds Ratio (OR) = 2.0; 95 % Colfidence Interval (Cl) = 1.35 % , 3.0 % ), malaria (OR = 2 .7, 95 % CI = 1.7 % , 5.1 % ), hookworm (OR = 2.3; 95 % CI = 1.3 % , 3.8 %), other intestinal helminths (OR = 2.6 95 % CI = 1.1 % , 6.2 %). The risk of anaemia was higher among women who reported that they were using chloroquine chemoprophylaxis than in those who did not (OR = 2.2; 95 % CI = 1.3 % , 3.9 %). Antenatal clinic attendance and iron supplementation were associated with a reduction of risk of anaemia by 30 % and 57 % respectively. In conclusion, maternal anaemia is a major public health problem in Mpwapwa district. Measures to its control should concentrate on pre-pregnancy deworming, increasing use of antenatal clinic and iron supplementation during pregnancy. | en_US |
| dc.identifier.citation | Tumbo, A.P (1994) Maternal anaemia and associated factors in Mpwapwa district, Tanzania, masters dissertation, University of Dar es Salaam. Available at (http://41.86.178.3/internetserver3.1.2/detail.aspx?parentpriref=) | en_US |
| dc.identifier.uri | http://localhost:8080/xmlui/handle/123456789/5981 | |
| dc.language.iso | en | en_US |
| dc.publisher | University of Dar es Salaam | en_US |
| dc.subject | Anaemia in pregnancy | en_US |
| dc.subject | Anaemia | en_US |
| dc.subject | Mpwapwa district | en_US |
| dc.subject | Tanzania | en_US |
| dc.title | Maternal anaemia and associated factors in Mpwapwa district, Tanzania | en_US |
| dc.type | Thesis | en_US |