Maternal co-relates of anaemia among children aged 1-3 years of age in a rural area of Meerut

Tanveer Bano, Abhishek Agarwal, Sunil Kumar Garg, Harivansh Chopra, Seema Jain, Ganesh Singh


Background: Iron deficiency anaemia constitutes more than half of the anaemia burden among the under 5 children. In addition to socio-demographic factors, the maternal factors plays an important role in determining childhood anaemia. The objective of the study was to determine the prevalence of anaemia among 1-3 year old children and to find their association with maternal factors.

Methods: The present cross sectional study was conducted in a sub centre village under Machhra CHC. Sample size was calculated as 182 by taking the prevalence of anaemia as 79% with 7.5% relative precision and 95% confidence interval. From the list of 404 children obtained from MCTS data, 200 children were selected randomly. Detailed information regarding socio demographic factors and maternal factors was obtained on a pre tested and pre designed questionnaire. Hemoglobin levels were estimated using haemo check rapid diagnostic kit. The data was collected and analyzed on epi info 3.7.2 using appropriate statistical tests.

Results: Out of 200 children 77.5% of them were suffering from mild to severe anaemia. Among all the maternal factors studied maternal education, iron folic acid consumption during pregnancy, birth order of the index case and history of exclusive breast feeding were found to be significantly associated with prevalence of anaemia among the children.

Conclusions: The present study revealed a high prevalence of anaemia in children and maternal factors plays an important role in determining the disease. 


Anaemia, Maternal factors, Rural area, Children 1-3 years age

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World Health Organization; Worldwide prevalence of anaemia; 1993–2005, WHO Global Database, Geneva Switzerland; 2008: 1-2

Anaemia: World Health Organization, Available at: Accessed on 11 May 2018.

World Health Organization; The Global Prevalence of Anaemia in 2011; Geneva; WHO; 2015.

Indian Institute of Population Sciences (IIPS); India fact sheet, National Family Health Survey 4, 2015–16, Ministry of Health and Family Welfare. Available at: India.pdf. Accessed on 11 May 2018.

National Iron Plus Initiative; Guidelines for control of Iron Deficiency anaemia: National Iron Plus initiative; National Health Mission, Ministry of Health & Family Welfare; 2013.

Ministry of health and Family Welfare; Nutrition in India; National Family Health Survey 2005–07; Indian Institute of Population Sciences; Mumbai; 2009.

WHO; Hemoglobin concentrations for the diagnosis of anaemia and assessment of severity, Geneva, WHO; 2011.

Clinical Anthropometry Biochemistry report–Uttar Pradesh (2014) Available at: http://www. Accessed on 11 May 2018.

Arlappa N, Balkrishna N, Laxamaiah A, Brahaman G. Prevalence of anaemia among rural preschool children of West Bengal, India; Ann Hum Biol. 2010;37(2):231-42.

Parischa S, Black J, Muthayya S. Determinants of anaemia among young children in Rural, Indian Pediatrics. 2010;126(1):140–9.

Venkatesh G, Talawar S, Shah B; Clinical Profile of Anaemia in Children; IOSR-JDMS. 2013;10(5):65-9.

Jain S. Anaemia in children: early iron supplementation. Indian J Pediatrics. 2000;67(1):19-21.

Awasthi S, Das R, Verma T, Vir S. Anaemia and Undernutrition Among Preschool Children in Uttar Pradesh, India. India Pediatrics. 2003;40; 985–90.

Singh R, Patra S. Extent of anaemia among pre-school children in EAG states, India: A challenge to policy makers; 2014; Hildwani Publishing cooperation, 2014.

Ray S, Chandra J, Bhattacharjee J, Sharma S, Agarwala A. Determinants of nutritional anaemia in children less than five years age; Indian J Contemporary Pediatr. 2016;2(3):403-8.

Mishra N, Kumar S, Parveen K. Essential determinants of Anaemia among children of Uttar Pradesh (India): Evidence from National Family Health Surveys. Indian J Community Health. 2016;28(3):254-9.

Arlappa N, Balakrishna N, Laxmaiah A. Prevalence of anaemia among rural preschool children of Maharashtra. Indian Journal of Community Health. 2012;24(1):4-8.

Kapur D, Sharma S, Agarwal K; Iron Status of children aged 9-36 months in an urban slum Integrated Child Development Services Project in Delhi, 2002; Indian Pediatr. 2002;39;136-44.

Lourdes J. Influence of breastfeeding type and maternal anaemia on hemoglobin concentration in 6-month-old infants; J Pediatr (Rio J). 2010;86(1):65-72.

Derr J, Guerrero M, Alteye M, Gallegos H. Risk of Infant Anaemia Is Associated with Exclusive Breast-Feeding and Maternal Anaemia in a Mexican Cohort. J Nut American Society Nutr. 2006;136(2):452-8.