Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020

Abstract Introduction Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research...

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Main Authors: Henriette Usanzineza, Etienne Nsereko, Jean Pierre Niyitegeka, Aline Uwase, Jean de Dieu H. Tuyishime, Francois Xavier Sunday, Christian Mazimpaka, Jeanine Ahishakiye
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Public Health Challenges
Subjects:
Online Access:https://doi.org/10.1002/puh2.159
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author Henriette Usanzineza
Etienne Nsereko
Jean Pierre Niyitegeka
Aline Uwase
Jean de Dieu H. Tuyishime
Francois Xavier Sunday
Christian Mazimpaka
Jeanine Ahishakiye
author_facet Henriette Usanzineza
Etienne Nsereko
Jean Pierre Niyitegeka
Aline Uwase
Jean de Dieu H. Tuyishime
Francois Xavier Sunday
Christian Mazimpaka
Jeanine Ahishakiye
author_sort Henriette Usanzineza
collection DOAJ
description Abstract Introduction Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population. Methods This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors. Results The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively. Conclusion Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.
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spelling doaj.art-12091fea0da6454ea1d98ee5e2191b4c2024-03-27T14:02:32ZengWileyPublic Health Challenges2769-24502024-03-0131n/an/a10.1002/puh2.159Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020Henriette Usanzineza0Etienne Nsereko1Jean Pierre Niyitegeka2Aline Uwase3Jean de Dieu H. Tuyishime4Francois Xavier Sunday5Christian Mazimpaka6Jeanine Ahishakiye7Department of Anesthesia School of Health Science College of Medicine and Health Sciences University of Rwanda Kigali RwandaDepartment of Anesthesia School of Health Science College of Medicine and Health Sciences University of Rwanda Kigali RwandaDepartment of Anesthesia School of Health Science College of Medicine and Health Sciences University of Rwanda Kigali RwandaDepartment of Anesthesia School of Health Science College of Medicine and Health Sciences University of Rwanda Kigali RwandaDepartment of Anesthesia School of Health Science College of Medicine and Health Sciences University of Rwanda Kigali RwandaDepartment of Nutrition School of Public Health College of Medicine and Health Sciences University of Rwanda Kigali RwandaIntraHealth International Kigali RwandaDepartment of Nutrition School of Public Health College of Medicine and Health Sciences University of Rwanda Kigali RwandaAbstract Introduction Anemia in children is a significant health issue globally, with developing countries, notably Africa, being disproportionately affected. This condition can result in detrimental and irreversible impacts on a child's neurological development. Despite its relevance, research on anemia prevalence and risk factors in Rwandan children aged 6–23 months is limited. Our study aimed to ascertain the prevalence and potential risk factors associated with anemia in this defined population. Methods This is a cross‐sectional study that used secondary data analysis on a weighed sample of 1247 children aged 6–23 months, sourced from the 2019–2020 Rwanda Demographic Health Survey. We used descriptive statistics and binary logistic regression to identify the links between anemia and various factors. Results The study revealed a high prevalence of anemia at 52.79%. Among anemic children aged 6–23 months, most (52.82%) had mild anemia, 46.12% had moderate anemia, and 1.06% had severe anemia. Key contributors to childhood anemia included maternal anemia (adjusted odds ratio [AOR] = 1.62, 95% confidence intervals (95% CI): [1.11, 2.33]) and history of coughing in the 2 weeks before the survey (AOR = 1.42, 95% CI: [1.12, 1.81]). Vitamin A supplementation and antiparasitic medication were identified as protective factors (AOR = 0.70, 95% CI: [0.50, 0.97]) and (AOR = 0.59, 95% CI: [0.45, 0.77]), respectively. Conclusion Given the high anemia prevalence among Rwandan children aged 6–23 months, targeted public health interventions are critically needed. A comprehensive strategy throughout the health system is essential for reducing childhood anemia, involving measures such as addressing maternal anemia, managing childhood illnesses, and enhancing existing interventions like vitamin A supplementation and deworming.https://doi.org/10.1002/puh2.159anemiadeterminantsfactors associatedpredictorsprevalencerisk factors
spellingShingle Henriette Usanzineza
Etienne Nsereko
Jean Pierre Niyitegeka
Aline Uwase
Jean de Dieu H. Tuyishime
Francois Xavier Sunday
Christian Mazimpaka
Jeanine Ahishakiye
Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
Public Health Challenges
anemia
determinants
factors associated
predictors
prevalence
risk factors
title Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
title_full Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
title_fullStr Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
title_full_unstemmed Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
title_short Prevalence and risk factors for childhood anemia in Rwanda: Using Rwandan demographic and health survey 2019–2020
title_sort prevalence and risk factors for childhood anemia in rwanda using rwandan demographic and health survey 2019 2020
topic anemia
determinants
factors associated
predictors
prevalence
risk factors
url https://doi.org/10.1002/puh2.159
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