Prevalence of anaemia and factors associated with severe anaemia among under five children admitted at Bugando Medical Centre in Mwanza, Tanzania (Record no. 18261)

MARC details
000 -LEADER
fixed length control field 02926nam a22001697a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210819b |||||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Rehema, Simbauranga
Dates associated with a name CUHAS/6000076/T/10
9 (RLIN) 22477
245 ## - TITLE STATEMENT
Title Prevalence of anaemia and factors associated with severe anaemia among under five children admitted at Bugando Medical Centre in Mwanza, Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences CUHAS - Bugando
Date of publication, distribution, etc. c2013
300 ## - PHYSICAL DESCRIPTION
Extent xiii; 55 Pages
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Anaemia is a major public health problem in developing countries contributing significantly to morbidity and mortality in children under five years. About 43% of children under five years are anaemic worldwide, and two-third are residing in Sub Saharan Africa. Even where blood transfusions are available there is a significant case fatality rate of 6-18%. This study aimed at determining the prevalence of anaemia, associated factors of severe anaemia as well as morphological types of anaemia among children under five years admitted at Bugando Medical Centre. <br/><br/>Methods: A hospital based cross-sectional study conducted between November 2012 and February 2013. About 448 subjects were eligible. To study morphological types of anaemia and factors associated with severe anaemia information from 309 subjects was obtained as well as performance of selected laboratory investigations. Data were cleaned and analyzed using STATA version 11.<br/><br/>Results: The prevalence of anaemia was 77.2%. Mild, moderate and severe anaemia were 16.5%, 33% and 27.7% respectively. Malaria parasitaemia (p-value < 0.001), presence of haemoglobin S (p-value 0.018) and unemployment among caretakers (p-value 0.007 were strongly associated with severe anaemia. Of 239 children with moderate and severe anaemia 22.6% had iron deficiency. Majority of the anaemic children (37.5%) and microcytic hypochromic anaemia.<br/><br/>Conclusion: Prevalence of anaemia among under-fives admitted at BMC is high. Iron deficiency anaemia is the leading type. Factors strongly associated with severe anaemia were malaria parasitaemia, presence of hemoglobin S and unemployment among caretakers.<br/><br/>Recommendations: Considering a high prevalence of anaemia, the approach to anaemia control should be revised. Preventive strategies such as iron supplementation, antimalarial prophylaxis, follow up clinics, regular screening of haemoglobin level must target all under-fives irrespective of their haemoglobin level or clinical status.<br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Pediatrics and Child Health
9 (RLIN) 48299
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 22814
9 (RLIN) 22795
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type POSTGRADUATE DISSERTATIONS
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            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   08/19/2021   PD0053 08/19/2021 08/19/2021 POSTGRADUATE DISSERTATIONS
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