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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Anaemia in pregnancy in southern Malawi: Prevalence and risk factors
BJOG: An International Journal of Obstetrics and Gynaecology, Volume 107, No. 4, Year 2000
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Description
Objective To determine prevalence of anaemia in pregnancy in southern Malawi, and to establish if an ‘at risk’ group can be identified for targeted intervention. Design Prospective cross-sectional study. Setting A semi-urban hospital and a rural health clinic in southern Malawi. Population Pregnant women attending the antenatal clinic for their booking visit. Methods Haemoglobin concentration (g/dL) measured from a capillary blood sample (fingerprick) by battery operated HemoCue machine. Results In urban Blantyre 57% of women were anaemic by WHO standards (haemoglobin < 11.0 g/dL) and 3.6% were severely anaemic (haemoglobin < 7.0 g/dL). The prevalence was higher in the rural area; 72% and 4.0%, respectively. Primiparae were at slightly increased risk for overall anaemia and severe anaemia but the effect of targeting this group alone for interventions would mean at least 65% of anaemic women and over half of the women with severe anaemia would be excluded. When the effect of age was examined separate from gravidity, adolescents were not found to be at increased risk of anaemia. Anaemia was more prevalent in the wet season and in women who booked late for antenatal care. Conclusion The prevalence of anaemia in pregnancy in our population is unacceptably high and deserves more attention. Prophylaxis of all women rather than an ‘at risk’ group based on age or gravidity is recommended. © 2000 Wiley. All rights reserved.
Authors & Co-Authors
Van Den Broek, Nynke R.
Malawi, Zomba
University of Malawi
Rogerson, Stephen J.
Malawi, Zomba
University of Malawi
Mhango, Chisale G.
Malawi, Zomba
University of Malawi
Kambala, B.
Malawi, Zomba
University of Malawi
White, Sarah Ann
Malawi, Zomba
University of Malawi
Molyneux, Malcolm Edward
Malawi, Zomba
University of Malawi
Statistics
Citations: 77
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1111/j.1471-0528.2000.tb13260.x
ISSN:
14700328
e-ISSN:
14710528
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Malawi
Participants Gender
Female