Iron deficiency anemia is not a rare problem among women of reproductive ages in Ethiopia: a community based cross sectional study

<p>Abstract</p> <p>Background</p> <p>In Ethiopia, the existence of iron deficiency anemia is controversial despite the fact that Ethiopia is one of the least developed in Africa with a high burden of nutrient deficiencies.</p> <p>Methods</p> <p>The first large nutrition study of a representative sample of women in Ethiopia was conducted from June to July 2005 and a systematically selected sub-sample of 970 of these subjects, 15 to 49 years old, were used in this analysis of nutritional anemia. Hemoglobin was measured from capillary blood using a portable HemoCue photometer. For serum ferritin, venous blood from antecubital veins was measured by an automated Elecsys 1020 using commercial kits. Diets were assessed via simplified food frequency questionnaire. The association of anemia to demographic and health variables was tested by chi-square and a stepwise backward logistic regression model was applied to test the significant associations observed in chi square tests.</p> <p>Results</p> <p>Mean hemoglobin ± SD was 11.5 ± 2.1 g/dL with a 29.4% prevalence of anemia. Mean serum ferritin was 58 ± 41.1 ug/L with a 32.1% prevalence of iron deficiency. The overall prevalence rate of iron deficiency anemia was 18.0%. Prevalence of anemia, iron deficiency, and iron deficiency anemia was highest among those 31-49 years old (p < 0.05). Intake of vegetables less than once a day and meat less than once a week was common and was associated with increased anemia (p = 0.001). Although the prevalence of anemia was slightly higher among women with parasitic infestation the difference was not significant (p = 0.9). Nonetheless, anemia was significantly higher in women with history of illness and the association was retained even when the variable was adjusted for its confounding effect in the logistic regression models (AOR = 0.3; 95%CI = 0.17 to 0.5) signifying that the most probable causes of anemia is nutrition related and to some extent chronic illnesses.</p> <p>Conclusion</p> <p>Moderate nutritional anemia in the form of iron deficiency anemia is a problem in Ethiopia and therefore, the need for improved supplementation to vulnerable groups is warranted to achieve the United Nation's Millennium Development Goals. Chronic illnesses are another important cause of anemia.</p

Assessment of mothers’ knowledge and practice towards aflatoxin contamination in complementary foods in Ethiopia : from pre-harvest to household

This study assessed the knowledge and practices of the mothers in Ethiopia on issues related to aflatoxin in complementary foods (CFs) using structured questionnaires. The study involved 195 mothers from Amhara, Tigray, Oromia, and Southern Nations Nationalities and Peoples (SNNP) regions and addressed a range of issues used to prevent the risks of mould and aflatoxin contamination from farm-to-table. Of the 195 mothers who responded; 186 (95%) were ploughing their land before growing the next crop, 177 (91%) used the crop rotation schedule, 157 (81%) reported the practice of removing old seed heads and stalks used as an inoculum for aflatoxin contamination, 185 (95%) harvested the crops as soon as the crops were matured, 138 (70%) used a threshing method known as ' trampling by hoofed animals'. After threshing, about 124 (64%) respondents had the knowledge and practice of drying cereals and legumes to decrease the moisture content, 134 (68%) used solar drying on a bare ground, 184 (94%) cleaned and disinfected the storage structures before storage. Almost all the respondents practiced the CFs processing steps properly and they used colour, type, odour, insect infestations, mouldiness and all these criteria to select the CFs ingredients. A total of 78 (40%) respondents had the practice of feeding mouldy cereals and legumes to animals, and 89 (46%) of the respondents erroneously believed that roasting can decontaminate the aflatoxin produced from mouldy cereals. As a general conclusion, the majority of the respondents are practicing good agricultural practices in the field, but they use poor storage and processing practices at homes which are susceptible to mould and aflatoxin contamination. Besides, they lack awareness about the toxic effects of aflatoxin on human health. Therefore, awareness creation about the health impacts of aflatoxin and methods of prevention need to be implemented in the study areas