Descriptive epidemiology of anaemia among pregnant women initiating antenatal care in rural Northern Ghana

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Descriptive epidemiology of anaemia among pregnant women initiating antenatal care in rural Northern Ghana
 
Creator Nonterah, Engelbert A. Adomolga, Emmanuella Yidana, Adadow Kagura, Juliana Agorinya, Isaiah Ayamba, Emmanuel Y. Atindama, Solomon Kaburise, Michael B. Alhassan, Majeed
 
Subject family medicine; rural health; primary health care anaemia in pregnancy; booking visit; maternal and child health; Navrongo; rural; Ghana
Description Background: Anaemia in pregnancy is associated with adverse obstetric outcomes. When detected early in pregnancy, it can be treated; however, information on its prevalence and associated factors is limited in rural Ghana.Aim: The aim of this study was to determine the prevalence and maternal factors associated with anaemia in pregnancy at first antenatal care (ANC) visits.Setting: The study was conducted in the Navrongo War Memorial Hospital, a secondary referral facility in the Kassena-Nankana district in rural northern Ghana.Methods: A retrospective analysis of antenatal clinic records of pregnant women collected from January to December 2014. All pregnant women initiating antenatal clinic, who had initial haemoglobin (Hb) levels measured, were included in the study. Logistic regression analyses were carried out to determine factors associated with anaemia at the initiation of ANC.Results: We analysed data from 506 women with median Hb of 11.1 g/dL (IQR 7.31–13.8). The median gestational age at booking was 14 weeks (5–36 weeks). The prevalence of anaemia was 42.7%, with 95% confidence interval (CI) [38.4–47.1], and was high among teenage mothers (52% [34.9–67.8]), mothers who booked in the third trimester (55% [33.6–74.7]) and grand multiparous women (58% [30.7–81.6]). Factors associated with anaemia included grand multiparity (odds ratio [OR] = 1.94 with 95% CI [1.58–2.46]), booking during the third trimester (OR = 2.06 [1.78–2.21]) and mother who were underweight compared to those with normal weight (OR = 3.17 [1.19–8.32]).Conclusion: Burden of anaemia in pregnancy is still high in rural northern Ghana. We advocate further strengthening of the primary health care system to improve early access to ANC delivery.
 
Publisher AOSIS
 
Contributor None
Date 2019-04-10
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative research
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v11i1.1892
 
Source African Journal of Primary Health Care & Family Medicine; Vol 11, No 1 (2019); 7 pages 2071-2936 2071-2928
 
Language eng
 
Relation
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https://phcfm.org/index.php/phcfm/article/view/1892/3028 https://phcfm.org/index.php/phcfm/article/view/1892/3027 https://phcfm.org/index.php/phcfm/article/view/1892/3029 https://phcfm.org/index.php/phcfm/article/view/1892/3021
 
Coverage Africa 2014-2018 pregnant women;
Rights Copyright (c) 2019 Engelbert A. Nonterah, Emmanuella Adomolga, Adadow Yidana, Juliana Kagura, Isaiah Agorinya, Emmanuel Y. Ayamba, Solomon Atindama, Michael B. Kaburise, Majeed Alhassan https://creativecommons.org/licenses/by/4.0
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