Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-11T03:12:36.716Z Has data issue: false hasContentIssue false

Anaemia among non-pregnant women in rural Bangladesh

Published online by Cambridge University Press:  02 January 2007

SM Ziauddin Hyder*
Affiliation:
BRAC, 75 Mohakhali, Dhaka 1212, Bangladesh Epidemiology Department of Public Health and Clinical Medicine, Umeå University, Umeå S-90185, Sweden
Lars-Åke Persson
Affiliation:
Epidemiology Department of Public Health and Clinical Medicine, Umeå University, Umeå S-90185, Sweden Public Health Sciences Division, ICDDR, B, Centre for Health and Population Research, Dhaka 1212, Bangladesh
AMR Chowdhury
Affiliation:
BRAC, 75 Mohakhali, Dhaka 1212, Bangladesh
Eva-Charlotte Ekström
Affiliation:
Epidemiology Department of Public Health and Clinical Medicine, Umeå University, Umeå S-90185, Sweden Clinical Sciences Division, ICDDR, B, Centre for Health and Population Research, Dhaka 1212, Bangladesh
*
*Corresponding author: Email smzia@bangla.net
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To estimate the prevalence and severity of anaemia among non-pregnant women in rural Bangladesh and describe its social distribution.

Design:

A cross-sectional study conducted in February–March 1996. Haemoglobin concentration was measured on a capillary blood sample by cyanmethaemoglobin method. The World Health Organization (WHO) classification was used to define anaemia.

Setting:

Twelve randomly selected villages in Fulbaria thana of Mymensingh district, about 110 km northwest of Dhaka city in Bangladesh.

Subjects:

A systematically selected sample of 179 non-pregnant apparently healthy women aged 15–45 years.

Results:

Anaemia was highly prevalent (73%; 95%CI 67–79%). Most of the women had mild (52%) or moderate (20%) anaemia, but a few of them suffered from severe anaemia (1%). Ascaris was common (39%) while hookworm was not (1%). The anaemia prevalence had no statistically significant association with age, parity or Ascaris infestation (P>0.05). Women with less than 1 year of schooling, who were landless or who reported having an economic deficit in the household had significantly higher prevalence of anaemia (P<0.05). There was a significantly increasing trend in anaemia prevalence with decreasing socioeconomic situation (SES). However anaemia was common in all social strata.

Conclusions:

Although the overall anaemia prevalence among non-pregnant rural women is high, only a few women suffer from severe anaemia. Women of all SES groups irrespective of their age and parity are affected by anaemia.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1DeMaeyer, E, Adiels-Tegman, M. Prevalence of anaemia in the world. World Health Stat. Q. 1985; 38: 302–16.Google ScholarPubMed
2DeMaeyer, EM. Preventing and Controlling Iron Deficiency Anaemia through Primary Health Care. A Guide for Health Administrators and Programme Planners. Geneva: World Health Organization, 1989.Google Scholar
3Scholl, T, Hediger, M, Fischer, R, Shearer, J. Anemia vs iron deficiency: increased risk of preterm delivery in a prospective study. Am. J. Clin. Nutr. 1992; 55: 985–8.CrossRefGoogle ScholarPubMed
4Lieberman, E, Ryan, K, Monson, R, Schoenbaum, S. Association of maternal hematocrit with premature labor. Am. J. Obstet. Gynecol. 1988; 159: 107–14.CrossRefGoogle ScholarPubMed
5Murphy, J, O'Riordan, J, Newcombe, R, Coles, E, Pearson, J. Relation of haemoglobin levels in first and second trimesters to outcome of pregnancy. Lancet 1986; i, 992–4.CrossRefGoogle Scholar
6Schultink, W, van der Ree, M, Matulessi, P, Gross, R. Low compliance with an iron supplementation programme: a study among pregnant women in Jakarta, Indonesia. Am. J. Clin. Nutr. 1993; 57: 135–9.CrossRefGoogle ScholarPubMed
7WHO. Iron Supplementation during Pregnancy: Why aren't Women Complying? A Review of Available Information. Geneva: World Health Organization. 1990.Google Scholar
8WHO. The Prevalence of Anaemia in Women. A Tabulation of Available Information. Geneva: World Health Organization, 1992.Google Scholar
9Untoro, J, Gross, R, Schultink, W, Sediaoetama, D. The association between BMI and haemoglobin and work productivity among Indonesian female factory workers. Eur. J. Clin. Nutr. 1998; 52: 131–5.CrossRefGoogle ScholarPubMed
10Carlo, EB, Sosa, EM. Iron status in non-pregnant women of child bearing age living in greater Buenos Aires. Eur. J. Clin. Nutr. 1991; 45: 215–20.Google Scholar
11Isah, HS, Fleming, AF, Ujah, IAO, Ekwempu, CC. Anaemia and iron status of pregnant and non-pregnant women in the Guinea savanna of Nigeria. Ann. Trop. Med. Parasitol. 1985; 79: 485–93.Google ScholarPubMed
12Johnson, A, Latham, MC, Roe, DA. The prevalence and etiology of the nutritional anemias in Guyana. Am. J. Clin. Nutr. 1982; 35: 309–18.CrossRefGoogle ScholarPubMed
13Lovell, C, Abed, FH. Scaling up in health: two decades of learning in Bangladesh. In: Rohde, J, Chatterjee, M, Morley, D, eds. Reaching Health for All. Bombay: Oxford University Press, 1988: 212–32.Google Scholar
14Jahan, K, Hossain, M. Nature and Extent of Malnutrition in Bangladesh: Bangladesh National Nutrition Survey 1995–96. Dhaka: Institute of Nutrition and Food Science, Dhaka University, 1998.Google Scholar
15Bennett, S, Woods, T, Liyanage, WM, Smith, DL. A simplified general method for cluster sample surveys of health in developing countries. World Health Stat. Q. 1991; 44: 98106.Google ScholarPubMed
16INACG. Measurement of iron status. Washington, DC: International Nutritional Anemia Consultative Group, 1985.Google Scholar
17BRAC. Baseline Survey Report. BRAC-ICDDR, B Joint Research Project in Matlab. Dhaka: Research and Evaluation Division, BRAC, 1994.Google Scholar
18BBS. Report of the Poverty Monitoring Survey. Dhaka: Bangladesh Bureau of Statistics, 1998.Google Scholar
19UN ACC/SCN 24th Session. Report of the Working Group on Iron Deficiency. Geneva: United Nations Administrative Committee on Coordination/Subcommittee on Nutrition, 1997.Google Scholar
20Jackson, DJ, Klee, EB, Green, SD, Mokili, JL, Elton, RA, Cutting, WA. Severe anaemia in pregnancy: a problem of primigravidae in rural Zaire. Trans. R. Soc. Trop. Med. Hyg. 1991; 85: 829–32.CrossRefGoogle ScholarPubMed
21Rush, D. Nutrition and Maternal Mortality in the Developing World. Boston: Tufts University, 1998 (mimeograph).Google Scholar
22Ahmed, F. Prevention and Aetiology of Anaemia in Pregnancy in Bangladesh. Dhaka: Institute of Nutrition and Food Science, University of Dhaka, 1998 (mimeograph).Google Scholar
23Husain, MM, Rashid, MA, Ali, SMK. Aetiology of Anaemia in Bangladesh. Dhaka: Institute of Epidemiology and Disease Control Research, 1997 (mimeograph).Google Scholar
24Islam, AIM, Siddaqua, R, Rahman, A, Rahman, A, Ara, I. Iron deficiency anaemia in pregnancy. Bangladesh Med. Res. Counc. Bull. 1977; 3: 18.Google Scholar
25Krishnaswamy, K, Bhaskram, P, Brahman, GNV. Iron deficiency Anaemia in Pregnancy – Prevention and Control Strategies in India. Hyderabad: National Institute of Nutrition, 1998 (mimeograph).Google Scholar
26Kumar, R, Sharma, AK, Barik, S, Kumar, V. Maternal mortality inquiry in a rural community of north India. Int. J. Gynecol. Obstet. 1989; 29: 313–9.CrossRefGoogle Scholar
27Bhatia, JC, Cleland, J, Bhagavan, L, Rao, NS. Levels and determinants of gynecological morbidity in a district of South India. Stud. Fam. Plann. 1997; 28: 95103.CrossRefGoogle Scholar
28Fleming, AF. The aetiology of severe anaemia in pregnancy in Ndola, Zambia. Ann. Trop. Med. Parasitol. 1989; 83: 3749.Google ScholarPubMed
29Atukorala, TM, de Silva, LD, Dechering, WH, Dassenaeike, TS, Perera, RS. Evaluation of effectiveness of iron-folate supplementation and anthelmintic therapy against anemia in pregnancy — a study in the plantation sector of Sri Lanka. Am. J. Clin. Nutr. 1994; 60: 286–92.CrossRefGoogle ScholarPubMed
30Olukoya, AA, Abidoye, RO. A study of intestinal parasites in antenatal clinic patients in Lagos. Health Hyg. 1991; 12: 176–9.Google Scholar
31Brabin, BJ, Ginny, M, Sapua, J, Galme, K, Paino, J. Consequences of maternal anaemia on outcome of pregnancy in a malaria endemic area in Papua New Guinea. Ann. Trop. Med. Parasitol. 1990; 84: 1124.CrossRefGoogle Scholar
32McDermott, JM, Slutsker, L, Steketee, RW, Wirima, JJ, Breman, JG, Heymann, DL. Prospective assessment of mortality among a cohort of pregnant women in rural Malawi. Am. J. Trop. Med. Hyg. 1996; 55: 6670.CrossRefGoogle ScholarPubMed
33Ananthakrishnan, S, Nalini, P, Pani, SP. Intestinal geohelminthiasis in the developing world. Natl. Med. J. India. 1997; 10: 6771.Google ScholarPubMed
34Kochar, DK, Thanvi, I, Joshi, A, Subhakaran Aseri, S, Kumawat, BL. Falciparum malaria and pregnancy. Indian J. Malariol. 1998; 35: 123–30.Google ScholarPubMed
35Kumar, RM, Khuranna, A. Pregnancy outcome in women with beta-thalassemia major and HIV infection. Eur. J. Obstet. Gynecol. Reprod. Biol. 1998; 77: 163–9.CrossRefGoogle ScholarPubMed
36Gillooly, M, Bothwell, TH, Torrance, JD, MacPhail, AP, Derman, DP, Bezwoda, WR. The effects of organic acids, phytates and polyphenols on the absorption of iron from vegetables. Br. J. Nutr. 1983; 49: 331–42.CrossRefGoogle ScholarPubMed
37Desalegn, S. Prevalence of anaemia in pregnancy in Jima town, South Eastern Ethiopia. Ethiop. Med. J. 1993; 31: 251–8.Google Scholar
38Johnson, AA, Latham, MC, Roe, DA. The prevalence and the aetiology of the nutritional anemia in Guyana. Am. J. Clin. Nutr. 1982; 35: 309–18.CrossRefGoogle ScholarPubMed
39Buchanan, JG, Nixon, AD, Pettit, JE, et al. Iron deficiency and anaemia among Indian women in Fiji. Pathology 1982; 14: 269–75.CrossRefGoogle ScholarPubMed