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Systematic Reviews
Published in: Systematic Reviews 1/2018

Open Access 01-12-2018 | Research

Prevalence of anemia among school-age children in Ethiopia: a systematic review and meta-analysis

Authors: Robel Tezera, Zekariyas Sahile, Delelegn Yilma, Equilnet Misganaw, Ermiyas Mulu

Published in: Systematic Reviews | Issue 1/2018

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Abstract

Background

Anemia continued to become a major public health problem in developing nations including Ethiopia. Especially, school children are more vulnerable for anemia and consequences of anemia. Generating accurate epidemiological data on anemia in school children is an important step for health policy maker. There are limited evidences on anemia prevalence in school-age children in Ethiopia. This study aimed to synthesize the pooled prevalence of anemia in school-age children in Ethiopia.

Methods

This systematic review and meta-analysis was followed the PRISMA guidelines. Comprehensive searched was conducted in PubMed/MEDLINE, Cochrane Library, Google Scholar, HINARI, and Ethiopian Journal of Health Development for studies published before 2016, supplemented by manual searches to identify relevant studies. Two review authors independently selected studies, extracted data, and assessed quality of studies. The Cochrane Q test and I2 test statistic were used to test heterogeneity through studies. The overall prevalence was calculated using random-effects model of DerSimonian–Laird method.

Results

From 831 obtained studies, 13 articles included in the meta-analysis. The pooled prevalence of anemia among school children in Ethiopia was 23% (95% CI 18–28%). The prevalence of anemia in male and female school-age children was 27% (95% CI 20 and 34%) and 24% (95% CI 18 and 30%), respectively.

Conclusions

This study found that prevalence of anemia was a moderate public health problem in school children. Due to the complications of anemia for school children, preventative planning and control of anemia among school children in Ethiopia is necessary.
Appendix
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Literature
1.
Benoist BD, McLean E, Egll I, Cogswell M. Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia. Geneva: WHO global database on anaemia; 2008.
2.
Adem OS, Tadsse K, Gebremedhin A. Iron deficiency aneamia is moderate public health problem among school going adolescent girls in Berahle district, afar, Northeast Ethiopia. J Food Nutr Sci. 2015;3:10–6.CrossRef
3.
Charles CV. Iron deficiency Anemia. In: Maddock PJ, editor. A public health problem of global proportions; 2012. Public Health - Methodology, Environmental and Systems Issues.
4.
World Health Organization. Iron deficiency anaemia: assessment, prevention and control. A guide for programme managers. Geneva: World Health Organization; 2001.
5.
Mathers C, Steven G, Mascarenhas M. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization; 2009.
6.
Tesfaye M, et al. Anemia and iron deficiency among school adolescents: burden, severity, and determinant factors in Southwest Ethiopia. Adolesc Health Med Ther. 2015;6:189–96.PubMedPubMedCentral
7.
Pasricha S-R, et al. Control of iron deficiency anemia in low- and middle-income countries. Blood J. 2013;121(14):2607–17.CrossRef
8.
Walter T. Effect of iron-deficiency anemia on cognitive skills and neuromaturation in infancy and childhood. Food Nutr Bull. 2003;24(4):104–10.CrossRef
9.
Grantham-McGregor S, Ani C. A review of studies on the effect of iron deficiency on cognitive development in children. J Nutr. 2001;131:649–66.CrossRef
10.
Grein. The cognitive effects of iron deficiency in non-anemic children. Nutr Noteworthy. 2001;4(1):1–6.
11.
UNICEF, Micronutrient Initiative. Vitamin and mineral deficiency: a global progress report. Ottawa: Mironutrient Initiative and UNICEF; 2004.
12.
Kassebaum NJ, et al. A systematic analysis of global anemia burden from 1990 to 2010. Blood J. 2014;123(5):615–24.CrossRef
13.
Sanou D, Ngnie-Teta I. Risk factors for anemia in preschool children in Sub-Saharan Africa. Ottawa: Research Gate; 2012. p. 171–89.
14.
Tolentino K, Friedman JF. An update on anemia in less developed countries. Am J Trop Med Hyg. 2007;77(1):44–51.PubMedCrossRef
15.
Semba RD, et al. Diarrhea and fever as risk factors for anemia among children under age five living in urban slum areas of Indonesia. Int J Infect Dis. 2008;12:62–70.CrossRefPubMed
16.
Central Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopia demographic and health survey 2016: key indicators report. Addis Ababa and Rockville: CSA and ICF; 2016.
17.
18.
H D, et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol. 2012;65(9):934–9.CrossRef
19.
Altman, D. Practical statistics for medical research. 1991.
20.
Higgins J. In: Green S, editor. Cochrane handbook for systematic reviews of interventions version 5.1.0. Southern Gate: The Cochrane Collaboration; 2011.
21.
22.
Desalegn A, Mossie A, Gedefaw L. Nutritional iron deficiency anemia: magnitude and its predictors among school age children, Southwest Ethiopia: a community based cross-sectional study. PLoS One. 2014;9(12):2–13.CrossRef
23.
Gutema B, et al. Anemia and associated factors among school-age children in Filtu Town, Somali region, Southeast Ethiopia. BMC Hematol. 2014;14(13):1–6.
24.
Chane H. Magnitude of anemia and its contributing factor among school age children in Mihur Aklil district, Gurage zone, Ethiopia. Addis Ababa: Addis Ababa University, Addis Ababa University Press; 2016. p. 80.
25.
Teji K, et al. Anaemia and nutritional status of adolescent girls in Babile District, Eastern Ethiopia. Pan Afr Med J. 2016;24(62):1–10.
26.
Herrador Z, et al. Micronutrient deficiencies and related factors in school-aged children in Ethiopia: a cross-sectional study in Libo Kemkem and Fogera Districts, Amhara Regional State. PLoS One. 2014;9(12):1–20.CrossRef
27.
Assefa S, Mossie A, Hamza L. Prevalence and severity of anemia among school children in Jimma Town, Southwest Ethiopia. BMC Hematol. 2014;14(3):2–9.
28.
Wassie TA. Study of the Association of Soil-Transmitted Helminthiasis with malnutrition and anemia among school children, Debub Achefer District, Northwest Ethiopia. Addis Ababa: Addis Ababa University, Addis Ababa University Press; 2010. p. 1–82.
29.
Mesfin F, Berhane Y, Worku A. Anemia among primary school children in Eastern Ethiopia. PLoS One. 2015;10(4):1–10.CrossRef
30.
Mahmud MA, et al. Risk factors for intestinal parasitosis, anaemia, and malnutrition among school children in Ethiopia. Pathog Glob Health. 2013;107(2):58–65.CrossRefPubMedPubMedCentral
31.
Mekasha A, Zerfu M. Prevalence of anemia among school children in Addis Ababa. Ethiop Med J. 2009;47(2):129–33.PubMed
32.
Wolde-Gebriel Z, et al. Interrelationship between vitamin A, iodine and iron status in schoolchildren in Shoa Region, Central Ethiopia. Br J Nutr. 1993;70:593–607.CrossRefPubMed
33.
Alelign T, Degarege A, Erko B. Prevalence and factors associated with undernutrition and anaemia among school children in Durbete Town, northwest Ethiopia. Arch Public Health. 2015;73(34):1–7.
34.
Best C, et al. The nutritional status of school-aged children: why should we care? Food Nutr Bull. 2010;31(3):400–17.CrossRefPubMed
35.
Ethiopian Public Health Institute. Ethiopian national micronutrient survey report. Addis Ababa: EPHI; 2016.
36.
WHO. The global prevalence of anaemia in 2011. Geneva: World Health Organization; 2015.
37.
Visser J, Herselman M. Anaemia in South Africa: the past, the present and the future. S Afr J Clin Nutr. 2013;26(4):1–2.
38.
Best C, et al. Can multi-micronutrient food fortification improve the micronutrient status, growth, health, and cognition of schoolchildren? A systematic review. Nutr Rev. 2011;69(4):186–204.CrossRefPubMed
39.
Low M, et al. Effects of daily iron supplementation in primary-school–aged children: systematic review and meta-analysis of randomized controlled trials. CMAJ. 2013;185(17):E791–802.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence of anemia among school-age children in Ethiopia: a systematic review and meta-analysis
Authors
Robel Tezera
Zekariyas Sahile
Delelegn Yilma
Equilnet Misganaw
Ermiyas Mulu
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2018
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-018-0741-6

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