Bairwa Mohan, Ahamed Farhad, Sinha Smita, Yadav Kapil, Kant Shashi, Pandav Chandrakant S
Assistant Professor, Public Health and Epidemiology, IIHMR University, Jaipur; Senior Resident, Centre for Community Medicine, All Institute of Medical Sciences, New Delhi, India.
Junior Resident, Centre for Community Medicine, All Institute of Medical Sciences, New Delhi, India.
Indian J Public Health. 2017 Jan-Mar;61(1):37-42. doi: 10.4103/0019-557X.200250.
Anemia is major public health problem affecting 1.6 billion people worldwide. The poor compliance of iron supplementation remains main contributor for high prevalence of anemia. The current paper reviewed the effectiveness of direct observation of oral iron supplementation on anemia. A systematic search was performed through electronic databases and local libraries. Search strategies used subject headings and key words "directly observed" and "iron supplementation." Searches were sought through April 2014. A total of 14 articles were included in the study. Findings were presented in three categories. First, all of those reported an improvement in compliance of iron supplementation. Second, reduction in the prevalence of anemia was reported by all and third, all except one reported increased blood hemoglobin level. Directly observed an iron supplementation is an effective approach for prevention and management of anemia in vulnerable groups. However, larger trials are needed before concluding that scaling up directly observed iron supplementation through community health volunteers would be beneficial.
贫血是一个影响全球16亿人的重大公共卫生问题。铁补充剂的依从性差仍然是贫血高发的主要原因。本文综述了直接观察口服铁补充剂治疗贫血的有效性。通过电子数据库和当地图书馆进行了系统检索。检索策略使用了主题词和关键词“直接观察”和“铁补充剂”。检索截至2014年4月。该研究共纳入14篇文章。研究结果分为三类。第一，所有研究均报告铁补充剂的依从性有所改善。第二，所有研究均报告贫血患病率有所降低，第三，除一项研究外，所有研究均报告血红蛋白水平有所提高。直接观察铁补充剂是预防和管理弱势群体贫血的有效方法。然而，在得出通过社区卫生志愿者扩大直接观察铁补充剂的规模将有益的结论之前，还需要进行更大规模的试验。
