Samuel Semalign, Darebo Teshale, Desta Derese Tamiru, Mulugeta Afework
TB Epidemiology Technical Advisor at Ministry of Health Addis Ababa Ethiopia.
Department of Public Health Mizan Tepi University Mizzan Ethiopia.
Food Sci Nutr. 2020 Mar 6;8(4):1978-1986. doi: 10.1002/fsn3.1485. eCollection 2020 Apr.
Anemia affects every country in the world including Ethiopia. It costs the socio-economic developments due to its health impacts. This study was aimed to determine socio-demographic and dietary diversity and other factors associated with anemia among pregnant women in Kembata Tembaro Zone. Institution-based cross-sectional study design was employed. Data were collected from 423 pregnant women. Hemoglobin level was measured by Hemocue. Pretested interviewer-administered close-ended questionnaire was used to collect the data. Analysis was done using SPSS for windows version 20. Descriptive and multivariate logistic regression analysis was conducted. We found that overall prevalence of anemia was 18%. Less than half (43.3%) of the respondents visited the health centers for antenatal care follow-up at least once during their pregnancy time. Only 20.1% consumed more than five food preceding 24 hr. 59.3% of the respondents were taking iron supplements during data collection time. Anemia was significantly associated with the lowest wealth index, formal education, women's occupation, husband occupation, low dietary diversity, and inadequate intake of iron-rich foods, history of malaria infection, maternal age, and parity. Anemia was of mild public health concern in the study area. The uptake of antenatal care service for the recommended number of visits and iron folic acid supplementation and the diet diversity was low in the pregnant women. The prevalence of anemia was mild public health concern. The early and timely uptake of iron folic acid supplementation was poor. Dietary diversity and consumption of iron-rich foods was found to be low. Thus, community mobilization and health education to improve the uptake of the antenatal care services, increase micronutrient intake through food based and control of infections are recommended.
贫血影响着世界上的每个国家，包括埃塞俄比亚。由于其对健康的影响，它给社会经济发展带来了代价。本研究旨在确定肯巴塔·滕巴罗地区孕妇中与贫血相关的社会人口统计学、饮食多样性及其他因素。采用了基于机构的横断面研究设计。从423名孕妇中收集了数据。使用血红蛋白仪测量血红蛋白水平。采用预先测试的由访谈员管理的封闭式问卷收集数据。使用SPSS for windows 20版进行分析。进行了描述性和多变量逻辑回归分析。我们发现贫血的总体患病率为18%。不到一半（43.3%）的受访者在孕期至少去过一次保健中心进行产前检查随访。在数据收集时，只有20.1%的受访者在24小时内食用了五种以上食物。59.3%的受访者在数据收集时正在服用铁补充剂。贫血与最低财富指数、正规教育、女性职业、丈夫职业、低饮食多样性、富含铁食物摄入不足、疟疾感染史、产妇年龄和产次显著相关。在研究地区，贫血是一个轻度的公共卫生问题。孕妇接受推荐次数产前保健服务、补充铁叶酸以及饮食多样性的情况较低。贫血患病率是一个轻度的公共卫生问题。铁叶酸补充剂的早期和及时服用情况较差。发现饮食多样性和富含铁食物的摄入量较低。因此，建议进行社区动员和健康教育，以提高产前保健服务的利用率，通过食物增加微量营养素摄入并控制感染。
