Determinants of anaemia among pregnant women in rural Uganda

Rural Remote Health. 2013 Apr-Jun;13(2):2259. Epub 2013 May 16.

Abstract

Introduction: 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.

Methods: 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: 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.

Conclusion: 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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Anemia / epidemiology*
  • Anemia / etiology
  • Anemia / prevention & control
  • Anemia, Iron-Deficiency / epidemiology*
  • Anemia, Iron-Deficiency / etiology
  • Anemia, Iron-Deficiency / prevention & control
  • Cross-Sectional Studies
  • Energy Intake / physiology
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility / statistics & numerical data
  • Hemoglobins / analysis
  • Humans
  • Middle Aged
  • Pregnancy
  • Pregnancy Complications / blood*
  • Pregnancy Complications / epidemiology
  • Pregnant Women
  • Residence Characteristics
  • Risk Factors
  • Rural Population / statistics & numerical data*
  • Social Class
  • Surveys and Questionnaires
  • Uganda / epidemiology

Substances

  • Hemoglobins