Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors

Abstract Background Anemia in pregnancy is a serious global public health problem in most developing countries and a major cause of maternal morbidity and mortality. Somalia which already had very high maternal mortality ratio of 829 per 100,000 live births, pregnant women in internally displaced ca...

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Main Authors: Ramla Hussein Ahmed, Asha Abdirahman Yussuf, Asma Abdikarin Ali, Sowdo Nuur Iyow, Maryan Abdulahi, Lul Mohamud Mohamed, Mohamed Hayir Tahlil Mohamud
Format: Article
Language:English
Published: BMC 2021-12-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-021-04269-4
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author Ramla Hussein Ahmed
Asha Abdirahman Yussuf
Asma Abdikarin Ali
Sowdo Nuur Iyow
Maryan Abdulahi
Lul Mohamud Mohamed
Mohamed Hayir Tahlil Mohamud
author_facet Ramla Hussein Ahmed
Asha Abdirahman Yussuf
Asma Abdikarin Ali
Sowdo Nuur Iyow
Maryan Abdulahi
Lul Mohamud Mohamed
Mohamed Hayir Tahlil Mohamud
author_sort Ramla Hussein Ahmed
collection DOAJ
description Abstract Background Anemia in pregnancy is a serious global public health problem in most developing countries and a major cause of maternal morbidity and mortality. Somalia which already had very high maternal mortality ratio of 829 per 100,000 live births, pregnant women in internally displaced camps (IDPs) remain at most exposed. The aim of the study was to determine the prevalence, severity and associated risk factors of anemia among pregnant women in internally displaced camps in Mogadishu, Somalia. Methods A community based cross-sectional study was conducted among 383 households in the most IDP settled districts in Mogadishu. Every pregnant mother in these sampled households who was voluntarily consented was targeted. A sample of blood was also taken by pricking the fingertip and inserted into hemoglobin meter. Those with Hb < 11 g/dl from hemoglobin meter had been taken another sample of 3 cc blood and put into EDTA tube for CBC analysis to identify the type of anemia. Data on risk factors were collected using structured pretested questionnaire via an interview. Collected data was coded and entered in SPSS- Version 22 for analysis. Descriptive analysis, bivariate chi-square and multivariate logistic regression were done. Results The overall prevalence of anemia among study participants was 44.4% (95%CI: 39.5-49.3%), where severe and moderate anemia were 11.8 and 47.0% respectively. In addition all anaemic cases were microcytic hypochromic anemia. Young maternal age, low Family income, fewer/zero parity, being at third or second trimesters, lack of ANC attendance during pregnancy, lack of iron supplementation during pregnancy, taking tea immediately after meal during pregnancy, lower/zero frequency of daily meat and vegetables consumption during pregnancy were associated risk factors of anemia. Conclusion The anemia prevalence from this study was severe public health problem. Several factors were found to be associated with anemia during pregnancy. Measures has to be taken to curb the problem by including them mass iron supplementation and health education towards identified risk factors.
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spelling doaj.art-7635fd8997d948da9a996b92ab40b01d2022-12-21T20:20:24ZengBMCBMC Pregnancy and Childbirth1471-23932021-12-012111910.1186/s12884-021-04269-4Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factorsRamla Hussein Ahmed0Asha Abdirahman Yussuf1Asma Abdikarin Ali2Sowdo Nuur Iyow3Maryan Abdulahi4Lul Mohamud Mohamed5Mohamed Hayir Tahlil Mohamud6Faculty of Medicine & Surgery, Jazeera UniversityFaculty of Medicine & Surgery, Jazeera UniversityFaculty of Medicine & Surgery, Jazeera UniversityFaculty of Medicine & Surgery, Jazeera UniversityObstetrics and Gynaecology Department, Dr Sumait HospitalFaculty of Medicine & Surgery, Jazeera UniversityFaculty of Medicine & Surgery, Jazeera UniversityAbstract Background Anemia in pregnancy is a serious global public health problem in most developing countries and a major cause of maternal morbidity and mortality. Somalia which already had very high maternal mortality ratio of 829 per 100,000 live births, pregnant women in internally displaced camps (IDPs) remain at most exposed. The aim of the study was to determine the prevalence, severity and associated risk factors of anemia among pregnant women in internally displaced camps in Mogadishu, Somalia. Methods A community based cross-sectional study was conducted among 383 households in the most IDP settled districts in Mogadishu. Every pregnant mother in these sampled households who was voluntarily consented was targeted. A sample of blood was also taken by pricking the fingertip and inserted into hemoglobin meter. Those with Hb < 11 g/dl from hemoglobin meter had been taken another sample of 3 cc blood and put into EDTA tube for CBC analysis to identify the type of anemia. Data on risk factors were collected using structured pretested questionnaire via an interview. Collected data was coded and entered in SPSS- Version 22 for analysis. Descriptive analysis, bivariate chi-square and multivariate logistic regression were done. Results The overall prevalence of anemia among study participants was 44.4% (95%CI: 39.5-49.3%), where severe and moderate anemia were 11.8 and 47.0% respectively. In addition all anaemic cases were microcytic hypochromic anemia. Young maternal age, low Family income, fewer/zero parity, being at third or second trimesters, lack of ANC attendance during pregnancy, lack of iron supplementation during pregnancy, taking tea immediately after meal during pregnancy, lower/zero frequency of daily meat and vegetables consumption during pregnancy were associated risk factors of anemia. Conclusion The anemia prevalence from this study was severe public health problem. Several factors were found to be associated with anemia during pregnancy. Measures has to be taken to curb the problem by including them mass iron supplementation and health education towards identified risk factors.https://doi.org/10.1186/s12884-021-04269-4AnemiaPregnant womenIDPCampsMogadishuJazeera University
spellingShingle Ramla Hussein Ahmed
Asha Abdirahman Yussuf
Asma Abdikarin Ali
Sowdo Nuur Iyow
Maryan Abdulahi
Lul Mohamud Mohamed
Mohamed Hayir Tahlil Mohamud
Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
BMC Pregnancy and Childbirth
Anemia
Pregnant women
IDP
Camps
Mogadishu
Jazeera University
title Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
title_full Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
title_fullStr Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
title_full_unstemmed Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
title_short Anemia among pregnant women in internally displaced camps in Mogadishu, Somalia: a cross-sectional study on prevalence, severity and associated risk factors
title_sort anemia among pregnant women in internally displaced camps in mogadishu somalia a cross sectional study on prevalence severity and associated risk factors
topic Anemia
Pregnant women
IDP
Camps
Mogadishu
Jazeera University
url https://doi.org/10.1186/s12884-021-04269-4
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