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Published in: Journal of Public Health 4/2016

01-08-2016 | Original Article

Anemia in pregnancy: Factors influencing knowledge and attitudes among mothers in southeastern Nigeria

Authors: Nkechi G. Onyeneho, S. V. Subramanian

Published in: Journal of Public Health | Issue 4/2016

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Abstract

Aim

Explored the factors that influence knowledge and attitudes toward anemia in pregnancy (AIP) in southeastern Nigeria.

Subjects and Methods

We surveyed 1500 randomly selected women who delivered babies within 6 months of the survey using a questionnaire. Twelve focus group discussions were held with the grandmothers and fathers of the new babies, respectively. Six in-depth interviews were held with health workers in the study communities.

Results

Awareness of AIP was high. Knowledge of its prevention and management was poor with a median score of 10 points on a 50-point scale. Living close to a health facility (p = 0.031), having post-secondary education (p <0.001), being in paid employment (p = 0.017) and being older (p = 0.027) influenced knowledge of AIP. Practices for the prevention and management of AIP were affected by a high level of education (p = 0.034) and having good knowledge of AIP issues (p <0.001). The qualitative data revealed that unorthodox means were employed in response to anemia in pregnancy. This is often delayed until complications set in. Many viewed anemia as a normal phenomenon among pregnant women.

Conclusion

AIP awareness is high among the populations. However, management is poor because of poor knowledge of signs and timely appropriate treatment. Prompt and appropriate management of AIP is germane for positive pregnancy outcomes. Anemia-related public education is an urgent need in Southeast Nigeria. Extra consideration of the diverse social development levels of the populations should be taken into account when designing new and improving current prevention and management programs for anemia in pregnancy.
Literature
go back to reference Abrams ET, Kwiek JJ, Mwapasa V, Kamwendo DD, Tadesse E, Lema VM, Molyneux ME, Rogerson SJ, Meshnick SR (2005) Malaria during pregnancy and foetal haematological status in Blantyre, Malawi. Malar J 4:39CrossRefPubMedPubMedCentral Abrams ET, Kwiek JJ, Mwapasa V, Kamwendo DD, Tadesse E, Lema VM, Molyneux ME, Rogerson SJ, Meshnick SR (2005) Malaria during pregnancy and foetal haematological status in Blantyre, Malawi. Malar J 4:39CrossRefPubMedPubMedCentral
go back to reference Aluka C, Amadi AN, Kamanu CI, Feyi-Waboso WP (2001) Anaemia in pregnancy in Abia State University Teaching Hospital Aba. JOMIP 2:58–61 Aluka C, Amadi AN, Kamanu CI, Feyi-Waboso WP (2001) Anaemia in pregnancy in Abia State University Teaching Hospital Aba. JOMIP 2:58–61
go back to reference Chikwendu MC, Nkemena B, Udigwe GO, Obiechina NJA, Nnaji G (2015) A study of risk factors for anaemia in pregnancy at the first antenatal clinic visit at Nnamdi Azikiwe University Teaching Hospital, Nnewi. Trop J Obstet Gynaecol 32:14–26 Chikwendu MC, Nkemena B, Udigwe GO, Obiechina NJA, Nnaji G (2015) A study of risk factors for anaemia in pregnancy at the first antenatal clinic visit at Nnamdi Azikiwe University Teaching Hospital, Nnewi. Trop J Obstet Gynaecol 32:14–26
go back to reference Dim CC, Onah HE (2007) The prevalence of anemia among pregnant women at booking in Enugu, South Eastern Nigeria. MedGenMed 9(3):11PubMedPubMedCentral Dim CC, Onah HE (2007) The prevalence of anemia among pregnant women at booking in Enugu, South Eastern Nigeria. MedGenMed 9(3):11PubMedPubMedCentral
go back to reference Idowu OA, Mafiana CF, Dapo S (2005) Anemia in pregnancy: a survey of pregnant women in Abeokuta Nigeria. Afr Health Sci 5(4):295–9PubMedPubMedCentral Idowu OA, Mafiana CF, Dapo S (2005) Anemia in pregnancy: a survey of pregnant women in Abeokuta Nigeria. Afr Health Sci 5(4):295–9PubMedPubMedCentral
go back to reference Lamina MA (2003) Prevalence of anemia in pregnant women attending the antenatal clinic in a Nigerian University Teaching Hospital. Nig Med Pract 44(2):39–42 Lamina MA (2003) Prevalence of anemia in pregnant women attending the antenatal clinic in a Nigerian University Teaching Hospital. Nig Med Pract 44(2):39–42
go back to reference Liu X, Associates A, Levin A, Makinen M, Day J (2003) OPV vs IPV: Past and Future Choice of Vaccine in the Global Polio Eradication Program. 2003 Liu X, Associates A, Levin A, Makinen M, Day J (2003) OPV vs IPV: Past and Future Choice of Vaccine in the Global Polio Eradication Program. 2003
go back to reference Matteelli A, Donato F, Shein A (1994) Malaria and anemia in pregnant women in Urban Zanzibar Tanzania. Ann Trop Med Parasitol 88:475–83PubMed Matteelli A, Donato F, Shein A (1994) Malaria and anemia in pregnant women in Urban Zanzibar Tanzania. Ann Trop Med Parasitol 88:475–83PubMed
go back to reference Msuya SE, Hussein TH, Uriyo J, Sam NE, Stray-Pedersen B (2011) Anaemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes. Tanzan J Health Res 13(1):33–9CrossRefPubMed Msuya SE, Hussein TH, Uriyo J, Sam NE, Stray-Pedersen B (2011) Anaemia among pregnant women in northern Tanzania: prevalence, risk factors and effect on perinatal outcomes. Tanzan J Health Res 13(1):33–9CrossRefPubMed
go back to reference Niguse O, Andualem M, Gobena T (2013) Magnitude of anemia and associated risk factors among pregnant women attending antenatal care in Shalla. Ethiop J Health Sci 23(2):10–5 Niguse O, Andualem M, Gobena T (2013) Magnitude of anemia and associated risk factors among pregnant women attending antenatal care in Shalla. Ethiop J Health Sci 23(2):10–5
go back to reference Njagi JK, Magnussen P, Estambale B, Ouma J, Mugo B (2003) Prevention of anaemia in pregnancy using insecticide-treated bednets and sulfadoxine-pyrimethamine in a highly malarious area of Kenya: a randomized controlled trial. Trans R Soc Trop Med Hyg 97(3):277–82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15228241 Njagi JK, Magnussen P, Estambale B, Ouma J, Mugo B (2003) Prevention of anaemia in pregnancy using insecticide-treated bednets and sulfadoxine-pyrimethamine in a highly malarious area of Kenya: a randomized controlled trial. Trans R Soc Trop Med Hyg 97(3):277–82. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​15228241
go back to reference Nwizu EN, Iliyasu Z, Ibrahim SA, Galadanci HS (2011) Socio-demographic and maternal factors in anaemia in pregnancy at booking in Kano, Northern Nigeria. Afr J Reprod Health 15:33–41PubMed Nwizu EN, Iliyasu Z, Ibrahim SA, Galadanci HS (2011) Socio-demographic and maternal factors in anaemia in pregnancy at booking in Kano, Northern Nigeria. Afr J Reprod Health 15:33–41PubMed
go back to reference Okafor CB, Rizzuto R (1994) Women as health care providers: views of maternal practice and services in Nigeria. Stud Fam Plann 25(6):353–61CrossRefPubMed Okafor CB, Rizzuto R (1994) Women as health care providers: views of maternal practice and services in Nigeria. Stud Fam Plann 25(6):353–61CrossRefPubMed
go back to reference OlaOlorun DA, Owolabi MO, Owolabi DO (2012) Sociodemographic factors in anaemia in pregnancy in south-western Nigeria. S Afr Fam Pract 1726–426x 54(3):222–7CrossRef OlaOlorun DA, Owolabi MO, Owolabi DO (2012) Sociodemographic factors in anaemia in pregnancy in south-western Nigeria. S Afr Fam Pract 1726–426x 54(3):222–7CrossRef
go back to reference Shulman LM, Mendelson E, Anis E, Bassal R, Gdalevich M, Hindiyeh M, Kaliner E, Kopel E, Manor Y, Moran-Gilad j, Ram D, Sofer D, Somekh E, Tasher D, Weil M, Gamzu R and Grotto I (2014) Laboratory challenges in response to silent introduction and sustained transmission of wild poliovirus type 1 in Israel during 2013. J Infect Dis 210(suppl 1):S304–14. Available from: http://jid.oxfordjournals.org/lookup/doi/10.1093/infdis/jiu294 Shulman LM, Mendelson E, Anis E, Bassal R, Gdalevich M, Hindiyeh M, Kaliner E, Kopel E, Manor Y, Moran-Gilad j, Ram D, Sofer D, Somekh E, Tasher D, Weil M, Gamzu R and Grotto I (2014) Laboratory challenges in response to silent introduction and sustained transmission of wild poliovirus type 1 in Israel during 2013. J Infect Dis 210(suppl 1):S304–14. Available from: http://​jid.​oxfordjournals.​org/​lookup/​doi/​10.​1093/​infdis/​jiu294
go back to reference Van de Broek N, Munasinghe S (2006) Anaemia in pregnancy in Malawi.pdf. Malawi Med J 18(4):160–75 Van de Broek N, Munasinghe S (2006) Anaemia in pregnancy in Malawi.pdf. Malawi Med J 18(4):160–75
go back to reference WHO (1996) Revised 1990 estimate of maternal mortality: A new approach by WHo and UNICEF. Geneva, Switzerland WHO (1996) Revised 1990 estimate of maternal mortality: A new approach by WHo and UNICEF. Geneva, Switzerland
go back to reference Wimbley J, Graham DY (2011) Diagnosis and management of iron deficiency anemia in the 21st century. TherAdvGastroenterol 4(3):177–84 Wimbley J, Graham DY (2011) Diagnosis and management of iron deficiency anemia in the 21st century. TherAdvGastroenterol 4(3):177–84
Metadata
Title
Anemia in pregnancy: Factors influencing knowledge and attitudes among mothers in southeastern Nigeria
Authors
Nkechi G. Onyeneho
S. V. Subramanian
Publication date
01-08-2016
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 4/2016
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-016-0730-y

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