Anaemia at 36 weeks of pregnancy: Prevalence and determinants among antenatal women attending peri-urban facilities in a developing country, Ghana.

Autor:	Adjei-Gyamfi S; Savelugu Municipal Hospital, Ghana Health Service, Savelugu, Northern Region, Ghana.; Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Northern Region, Ghana., Asirifi A; Department of Midwifery, Garden City University College, Kumasi, Ashanti Region, Ghana., Peprah W; Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Northern Region, Ghana., Abbey DA; Faculty of Health and Allied Sciences, KAAF University College, Kasoa, Central Region, Ghana., Hamenoo KW; Begoro District Hospital, Ghana Health Service, Begoro, Eastern Region, Ghana., Zakaria MS; Savelugu Municipal Hospital, Ghana Health Service, Savelugu, Northern Region, Ghana., Mohammed O; Savelugu Municipal Hospital, Ghana Health Service, Savelugu, Northern Region, Ghana., Aryee PA; Department of Nutritional Sciences, School of Allied Health Sciences, University for Development Studies, Tamale, Northern Region, Ghana.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Sep 05; Vol. 4 (9), pp. e0003631. Date of Electronic Publication: 2024 Sep 05 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003631
Abstrakt:	Anaemia as a critical health condition greatly upsurges the risk of pregnancy complications leading to preventable maternal mortalities and long-term morbidities. Therefore, identifying anaemia-associated factors is vital for planning relevant interventions in resource-constrained regions in Sahelian Africa. This study aimed to assess the prevalence and determinants of anaemia at 36 weeks of pregnancy among antenatal women in a peri-urban municipality of Ghana. A retrospective cross-sectional study was conducted among antenatal women from five different health facilities in Savelugu Municipality. Using antenatal register as the sampling frame, 422 participants were sampled. Data were collected via antenatal records review and a structured questionnaire. Using STATA, binary logistic regression was performed to identify significantly associated factors of anaemia at 36 weeks of pregnancy, considering a significance level of α = 0.05. Prevalence of anaemia at 36 weeks was 45.3%. Low socioeconomic status (AOR = 1.78; 95%CI:1.10-2.90; p = 0.020), pre-pregnancy body mass index ≥ 25 kg/m2 (overweight or obesity) (AOR = 1.62; 95%CI:1.01-2.58; p = 0.041), non-intake of sulphadoxine-pyrimethamine drugs (AOR = 2.22; 95%:1.40-3.51; p = 0.001), and malaria infection (AOR = 3.14; 95%CI:1.66-5.93; p<0.001) were associated with increased odds of anaemia at 36 weeks of pregnancy. Anaemia remains a burden in peri-urban Northern Ghana. Given the observed correlates of anaemia, interventions should be focused on strengthening malaria preventive measures, poverty alleviation, and peri-conception nutrition programs to avert adverse pregnancy outcomes. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2024 Adjei-Gyamfi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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