DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph201923462394-6040.ijcmph20192346

Knowledge, attitudes and practices of adolescent school girls regarding prevention of iron deficiency anaemia

Venkata Prasad Upadrasta, Satyendra Nath Ponna, Hemalatha Bathina, Bharathi S., Ashok Kumar Reddy Kapu, Renuka Sadasivuni, Chandini Mitaigiri

Abstract


Background: Anaemia is very prevalent in adolescent girls, especially in developing countries like India. Treatment of anaemia based on the cause during adolescence decreases morbidity and mortality during early pregnancy. Despite weekly iron and folic acid supplementation programmes, the prevalence of anaemia among women and adolescent girls is still high. The objective of the study was to assess the proportion of anaemia and its determinants among adolescent school girls.

Methods: An observational study was conducted in adolescent school girls of Chandragiri from January to March, 2018. Demographic data, knowledge and practices of personal hygiene were collected. Nutritional status was assessed by collecting anthropometric, body composition measurements, dietary habits and haemoglobin was estimated.

Results: Of the 111 girls studied, 55.9% were found to be anaemic. Knowledge and practices of personal hygiene was lower in anaemic girls compared to non-anaemic girls. The extent of deficit of iron rich food consumption was low in both anaemic and non-anaemic girls.

Conclusions: Prevalence of mild anaemia was high and iron rich foods intake was low in our study subjects. Assessment of burden of anaemia among adolescent girls is essential to address gaps in implementation of public health programs and effective intervention programs can be designed to reduce the burden of anaemia.


Keywords


Adolescent girls, Anaemia, Iron rich foods, Knowledge, Attitude and practices

Full Text:

PDF

References


Kassebaum NJ, Jasrasaria R, Naghavi M, Wulf SK, Johns N, Lozano R, et al. A systematic analysis of global anaemia burden from 1990 to 2010. Blood. 2014;123(5):615-24.

Who U. UNU. Iron deficiency anaemia: assessment, prevention and control, a guide for programme managers. Geneva: World Health Organization. 2001.

Beegum MR. Prevalence of malnutrition among adolescent girls: a case study in Kalliyoor panchayat, Thiruvananthapuram. Kerala Research Programme on Local Level Development, Centre for Development Studies; 2001.

Delisle H. World Health Organization. Nutrition in adolescence: issues and challenges for the health sector: issues in adolescent health and development, 2005.

Scholl TO, Hediger ML. Anaemia and iron-deficiency anaemia: compilation of data on pregnancy outcome. The American journal of clinical nutrition. 1994;59(2):492S-501S.

Macgregor MW. Maternal anaemia as a factor in prematurity and perinatal mortality. Scottish Med J. 1963;8(4):134-40.

Pathak P, Singh P, Kapil U, Raghuvanshi RS. Prevalence of iron, vitamin A, and iodine deficiencies amongst adolescent pregnant mothers. The Indian Journal of Pediatrics. 2003;70(4):299-301.

Kaur S, Deshmukh PR, Garg BS. Epidemiological correlates of nutritional anaemia in adolescent girls of rural Wardha. Indian J Community Med. 2006;31(4):255-8.

Alauddin F, Blum RW, Diallo I, Djaelani J, Ghose S, Gupta GR, King R, Kwawu J, Maddaleno M, Omar M, Rajani R. Programming for adolescent health and development. World Health Organization-Technical Report Series. 1999(886):1-260.

Indian Council of Medical Research Task Force. Evaluation of the national nutritional anaemia prophylaxis programme. New Delhi: Indian Council Med Res. 1989.

Jelliffe DB, World Health Organization. The assessment of the nutritional status of the community (with special reference to field surveys in developing regions of the world, 1966.

World Health Organization, UNICEF. WHO child growth standards and the identification of severe acute malnutrition in infants and children: joint statement by the World Health Organization and the United Nations Children's Fund, 2009.

Dhulipala P, Gujjarlapudi C. Prevalence of anaemia among adolescent school going children in Guntur. Journal of Evolution of Medical and Dental Sciences-JEMDS. 2016;5(49):3232-5.

Manikandan R, Ashok KTR, Vijayakumar TM, Damodharan N, Akshaykiran M. Prevalence of anaemia among adolescent girls in rural areas of Kanchipuram district. J Emerging Technol Innovative Res. JETIR. 2017;4(8):38-40.

Siva PM, Sobha A, Manjula VD. Prevalence of Anaemia and Its Associated Risk Factors Among Adolescent Girls of Central Kerala. J Clin Diagnos Res. 2016;10(11):LC19.

Karkada S, Upadhya S, Upadhya S, Bhat G. Beneficial Effects of ragi (Finger Millet) on Hematological Parameters, Body Mass Index, and Scholastic Performance among Anemic Adolescent High-School Girls (AHSG). Comprehensive child and adolescent nursing. 2018: 1-0.

Scott SP, Murray-Kolb LE, Wenger MJ, Udipi SA, Ghugre PS, Boy E, et al. Cogniive performance in Indian school-going adolescents is positively affected by consumption of iron-biofortified pearl millet: A 6-month randomized controlled efficacy trial. J Nutr. 2018;148(9):1462-71.

World Health Organization. Guideline: daily iron supplementation in adult women and adolescent girls (2016). World Health Organization. Available at http://apps.who.int/iris/handle/10665/204761. Accessed on 3 January 2018.

Multisectoral Anaemia Partners Meeting Participant Guide 2013. Washington, DC October 18, 2013. https://www.spring-nutrition.org/sites/default/files/ final_participant_guide_multisectoral_anaemia_partners_meeting.pdf. Accessed on 3 January 2018.

World Health Organization. Strategies to prevent anaemia: Recommendations from an Expert Group Consultation. New Delhi. India. 2016.