Improving the approach to assess impact of anaemia control programs during pregnancy in India: a critical analysis

BMC Pregnancy Childbirth. 2022 Dec 26;22(1):966. doi: 10.1186/s12884-022-05248-z.

Abstract

Around 42.7% of women experience anaemia during pregnancy in low- and middle-income countries. Countries in southeast Asia (with prevalence ranging between 40 and 60%) have reported a modest decline over the past 25 years. Nearly half the pregnant women continue to be anaemic in India between 2005-06 and 2015-16, although severe anaemia has reduced from 2.2% to 1.3%.India has been committed to achieving a target of 32% prevalence of anaemia in pregnant women from 50% by 2022. There are concerns around stagnancy in the prevalence of anaemia in pregnancy despite a strong political commitment. The paper puts forth the arguments that should be considered while introspecting why India might run the risk of not achieving the expected reduction. The reported findings highlight several methodological issues such as hemoglobin cut-offs used to determine anaemia during pregnancy, method of estimation of Hb, and less emphasis on causes other than iron deficiency anemia.

Keywords: Anaemia; Developing countries; Health programs; Health systems; Pregnancy; Prevalence.

MeSH terms

  • Anemia* / epidemiology
  • Anemia* / prevention & control
  • Anemia, Iron-Deficiency* / diagnosis
  • Anemia, Iron-Deficiency* / epidemiology
  • Anemia, Iron-Deficiency* / prevention & control
  • Female
  • Hemoglobins / analysis
  • Humans
  • India / epidemiology
  • Pregnancy
  • Pregnancy Complications, Hematologic* / epidemiology
  • Pregnancy Complications, Hematologic* / prevention & control

Substances

  • Hemoglobins