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Risk factors for iron deficiency anaemia in preschool children in northern Ethiopia

Published online by Cambridge University Press:  02 January 2007

AA Adish ,
SA Esrey ,
TW Gyorkos  and
T Johns
AA Adish*
Affiliation:
School of Dietetics and Human NutritionMacdonald Campus of McGill University, 21, 111 Lakeshore Road, St Anne-de-Bellevue, Quebec H9X 3V9, Canada Jimma Institute of Health Sciences, Ethiopia
SA Esrey
Affiliation:
School of Dietetics and Human NutritionMacdonald Campus of McGill University, 21, 111 Lakeshore Road, St Anne-de-Bellevue, Quebec H9X 3V9, Canada UNICEF, 3 UN Plaza, New York, NY 10017, USA Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
TW Gyorkos
Affiliation:
Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada Division of Clinical EpidemiologyMontreal General Hospital, Montreal, Quebec, Canada
T Johns
Affiliation:
School of Dietetics and Human NutritionMacdonald Campus of McGill University, 21, 111 Lakeshore Road, St Anne-de-Bellevue, Quebec H9X 3V9, Canada
*
*Corresponding author: Email MDGT@musica.mcgill.ca
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Abstract

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Objective

To determine risk factors for anaemia in preschool children.

Design

A cross-sectional study.

Setting

Tigray province, northern Ethiopia.

Subjects

2080 of 2373 children aged 6–60 months provided blood to assess anaemia.

Results

Anaemia was highly prevalent (42%) and constituted an important nutritional problem in the region. In a sub-sample of 230 anaemic children, 56% had a low red blood cell (RBC) count, and 43% had a serum ferritin of less than 12 μg l−1 indicating that the anaemia was largely due to iron deficiency. Unlike other regions in developing countries, hookworm (0.4%) and malaria (0.0%) were rare and contributed little to the anaemia. Even though their diet lacked variety, the amount of iron consumed through cereal-based staple foods was adequate. However, the iron in these foods was not readily available and their diets were probably high in iron absorption inhibitors and low in enhancers. Dietary factors associated with anaemia included frequent consumption of inhibitors, such as fenugreek and coffee, and poor health in the child such as diarrhoea and stunting.

Conclusions

Underlying causes of anaemia were lack of safe water and inadequate human waste management, maternal illiteracy and mother being ill, and having no food reserves. The root cause of these factors was poverty. The optimal control strategy for iron deficiency anaemia should have a holistic approach which includes the alleviation of poverty, the empowerment of women and the provision of a safe environment.

Keywords

AnaemiaIron deficiencyRisk factorsChildren
Type
Research Article
Information
Public Health Nutrition , Volume 2 , Issue 3 , March 1999 , pp. 243 - 252
Copyright
Copyright © CABI Publishing 1999

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