Mbule Marjorie A, Byaruhanga Yusuf B, Kabahenda Magaret, Lubowa Abdulrahman
Department of Food Technology and Nutrition, Makerere University, Kampala, Uganda.
Rural Remote Health. 2013 Apr-Jun;13(2):2259. Epub 2013 May 16.
In spite of intervention efforts, in Uganda, as in other developing countries, high levels of anaemia among pregnant women continue. Anaemia among women of reproductive age (15-49 years) is a matter of national concern. This study was carried out to assess determinants of anaemia in Kiboga district.
This was a single cross-sectional, descriptive survey. The anaemia status of the pregnant women was determined by measuring their haemoglobin levels. Possible determinant factors including socio-economic characteristics, knowledge, attitudes, practices and food intake were assessed using a structured questionnaire.
Results showed that the prevalence of anaemia among pregnant women in Kiboga district was high enough (63.1%) to be described as a severe public health problem. The uptake and utilisation of the public-health intervention package to combat anaemia in pregnancy was low, with iron/folic acid supplementation at 13.2%, use of intermittent preventive treatment of malaria 45.4%, and use of de-worming medicines 14.5%. Women from households without a functional radio were 2.07 times more likely be anaemic (95%CI, 1.08-3.00) compared with women from households where there was a functional radio. There was little awareness and functional knowledge about anaemia among pregnant women.
The high prevalence of anaemia observed in Kiboga district can be attributed to poverty and limited access to nutrition and health education information which lead to low uptake and utilization of the public-health intervention package to combat anaemia in pregnancy.
尽管采取了干预措施，但与其他发展中国家一样，乌干达孕妇贫血水平仍然居高不下。育龄妇女（15 - 49岁）贫血是一个国家关注的问题。本研究旨在评估基博加区贫血的决定因素。
这是一项单一横断面描述性调查。通过测量孕妇血红蛋白水平来确定其贫血状况。使用结构化问卷评估可能的决定因素，包括社会经济特征、知识、态度、行为和食物摄入情况。
结果显示，基博加区孕妇贫血患病率高到足以被描述为严重的公共卫生问题（63.1%）。用于防治孕期贫血的公共卫生干预措施的采用和利用率较低，铁/叶酸补充剂的使用率为13.2%，间歇性预防疟疾治疗的使用率为45.4%，驱虫药的使用率为14.5%。与家中有功能正常收音机的妇女相比，家中没有功能正常收音机的妇女贫血的可能性高2.07倍（95%置信区间，1.08 - 3.00）。孕妇对贫血的认识和实用知识很少。
基博加区观察到的贫血高患病率可归因于贫困以及获取营养和健康教育信息的机会有限，这导致用于防治孕期贫血的公共卫生干预措施的采用和利用率较低。
