Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study
Background: The prevention of anaemia among under-fives is largely contributed by the caregiver’s knowledge, attitude, and practice in the preparation of foods and feeding practices. This study aimed to determine the prevalence of anaemia and caregiver’s knowledge, attitude, and practices towards it...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | International Journal of Africa Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214139122000233 |
| _version_ | 1818212182662316032 |
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| author | Arafat Hassan Khatib Angelina A. Joho |
| author_facet | Arafat Hassan Khatib Angelina A. Joho |
| author_sort | Arafat Hassan Khatib |
| collection | DOAJ |
| description | Background: The prevention of anaemia among under-fives is largely contributed by the caregiver’s knowledge, attitude, and practice in the preparation of foods and feeding practices. This study aimed to determine the prevalence of anaemia and caregiver’s knowledge, attitude, and practices towards its prevention among under-fives in Zanzibar. Methods: A hospital-based analytical cross-sectional study was conducted which included 594 caregivers and their under-fives from April to June 2020 in Zanzibar. Data were collected using an interviewer-administered questionnaire. Predictors of knowledge, attitude, and practice were determined using binary logistic regression. Multivariate analysis was done to control all other variables. SPSS version 23.0 was used to analyse the data. P-value < 0.05 was considered significant. Results: The overall prevalence of anaemia among under-fives was 69.1%, 43.8%, 22.9%, and 2.4% of the under-fives had mild, moderate, and severe anaemia, respectively. Caregivers’ knowledge, attitude and practice were 36.7%, 43.4%, and 49.8%, respectively. Having low family income, receiving information from family members, and mass media were the predictors of low level knowledge (AOR = 0.54, 95% CI = 0.32 – 0.92, p = 0.022, AOR = 0.53, 95% CI = 0.32–0.90, p = 0.018, and AOR = 0.34, 95% CI = 0.15 – 0.76, p = 0.009, respectively). Living in rural part of North Pemba district had a protective effect against negative attitude (AOR = 0.37, 95% CI = 0.23–0.66, p = 0.000). Having more than four under-fives and receiving information from media were the predictors of reduced chance of caregivers’ good practice (AOR = 0.51, 95% CI = 0.28 – 0.91, p = 0.024, AOR = 0.40, 95% CI = 0.17–0.96, p = 0.041, respectively). Conclusion: The prevalence of anaemia among under-fives in this study was quite high and alarming. This was reflected by low knowledge, attitude, and poor feeding practices. This study has shown that living in the rural area was associated with less chance of having good knowledge, a positive attitude, and good feeding practices for the prevention of anaemia. Emphasis should be made on raising the level of knowledge, attitude, and feeding practice, particularly for caregivers residing in rural areas. |
| first_indexed | 2024-12-12T05:44:20Z |
| format | Article |
| id | doaj.art-f3edc68038c14a49a5fdedd7db0a2a98 |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-12-12T05:44:20Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-f3edc68038c14a49a5fdedd7db0a2a982022-12-22T00:35:50ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0116100416Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional studyArafat Hassan Khatib0Angelina A. Joho1Arafat Hassan Khatib, Mnazi Mmoja Hospital, Zanzibar, P.O. Box 672, Tanzania; Department of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma City, P.O. Box 259, Dodoma, TanzaniaDepartment of Clinical Nursing, School of Nursing and Public Health, The University of Dodoma, Dodoma City, P.O. Box 259, Dodoma, Tanzania; Corresponding author.Background: The prevention of anaemia among under-fives is largely contributed by the caregiver’s knowledge, attitude, and practice in the preparation of foods and feeding practices. This study aimed to determine the prevalence of anaemia and caregiver’s knowledge, attitude, and practices towards its prevention among under-fives in Zanzibar. Methods: A hospital-based analytical cross-sectional study was conducted which included 594 caregivers and their under-fives from April to June 2020 in Zanzibar. Data were collected using an interviewer-administered questionnaire. Predictors of knowledge, attitude, and practice were determined using binary logistic regression. Multivariate analysis was done to control all other variables. SPSS version 23.0 was used to analyse the data. P-value < 0.05 was considered significant. Results: The overall prevalence of anaemia among under-fives was 69.1%, 43.8%, 22.9%, and 2.4% of the under-fives had mild, moderate, and severe anaemia, respectively. Caregivers’ knowledge, attitude and practice were 36.7%, 43.4%, and 49.8%, respectively. Having low family income, receiving information from family members, and mass media were the predictors of low level knowledge (AOR = 0.54, 95% CI = 0.32 – 0.92, p = 0.022, AOR = 0.53, 95% CI = 0.32–0.90, p = 0.018, and AOR = 0.34, 95% CI = 0.15 – 0.76, p = 0.009, respectively). Living in rural part of North Pemba district had a protective effect against negative attitude (AOR = 0.37, 95% CI = 0.23–0.66, p = 0.000). Having more than four under-fives and receiving information from media were the predictors of reduced chance of caregivers’ good practice (AOR = 0.51, 95% CI = 0.28 – 0.91, p = 0.024, AOR = 0.40, 95% CI = 0.17–0.96, p = 0.041, respectively). Conclusion: The prevalence of anaemia among under-fives in this study was quite high and alarming. This was reflected by low knowledge, attitude, and poor feeding practices. This study has shown that living in the rural area was associated with less chance of having good knowledge, a positive attitude, and good feeding practices for the prevention of anaemia. Emphasis should be made on raising the level of knowledge, attitude, and feeding practice, particularly for caregivers residing in rural areas.http://www.sciencedirect.com/science/article/pii/S2214139122000233KnowledgePracticeAttitudeAnaemiaUnder-fivesCaregivers |
| spellingShingle | Arafat Hassan Khatib Angelina A. Joho Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study International Journal of Africa Nursing Sciences Knowledge Practice Attitude Anaemia Under-fives Caregivers |
| title | Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study |
| title_full | Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study |
| title_fullStr | Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study |
| title_full_unstemmed | Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study |
| title_short | Prevalence of anaemia and caregivers’ knowledge, practice and attitude towards its prevention among under-fives in Zanzibar, Tanzania: A cross-sectional study |
| title_sort | prevalence of anaemia and caregivers knowledge practice and attitude towards its prevention among under fives in zanzibar tanzania a cross sectional study |
| topic | Knowledge Practice Attitude Anaemia Under-fives Caregivers |
| url | http://www.sciencedirect.com/science/article/pii/S2214139122000233 |
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