Risk Factors of Anemia in Children Age 6 Months to 5 Years Presenting to Qazi Hussain Ahmad Medical Complex

Authors

  • Ibadullah Department of Peads Medicine, Qazi Hussain Ahmad Medical Complex, Nowshera, Pakistan
  • Irfan Khan Department of Peads Medicine, Qazi Hussain Ahmad Medical Complex, Nowshera, Pakistan
  • Mahnoor Qayyum Department of Peads Medicine, Lady Reading Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i6.1933

Keywords:

Anemia, Risk Factors, Children, Socioeconomic Status, Maternal Education, Breastfeeding, Morbidity, Qazi Hussain Ahmad Medical Complex

Abstract

Background: Anemia in children is a significant public health problem, particularly in developing countries, where it adversely affects physical, cognitive, and social development. This study aims to identify the key risk factors contributing to anemia in children aged 6 months to 5 years presenting to Qazi Hussain Ahmad Medical Complex, Nowshera. Methods: This cross-sectional study was conducted over six months, including 135 children with anemia. ‘Participants were recruited using a non-probability consecutive sampling technique’. ‘Data were collected through structured interviews with mothers, focusing on maternal, socioeconomic, and child-related factors’. Information on maternal age, education, inter-pregnancy intervals, breastfeeding practices, socioeconomic status, and recent child morbidity (e.g., diarrhea) was recorded. Data were analyzed using IBM SPSS version 23, with chi-square tests applied to evaluate the association between risk factors and anemia severity. A p-value ≤ 0.05 was considered statistically significant. Results: The most prevalent risk factors for anemia were poor socioeconomic status (59.3%), low maternal education (55.6%), and poor breastfeeding practices (44.4%). Other significant factors included short inter-pregnancy intervals (37.0%), younger maternal age (<24 years; 31.1%), and recent diarrhea episodes (22.2%). These factors were significantly associated with the severity of anemia, with p-values ≤ 0.05 for all associations. Conclusion: The economic status of the family, maternal factors, and the child’s health all influence the occurrence of anemia in early childhood. Public health initiatives of the government, in combination with the educational campaigns directed towards mothers and better overall health facilities, can greatly mitigate the childhood anemia burden.

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References

1. Organization WH. Guideline on haemoglobin cutoffs to define anaemia in individuals and populations: World Health Organization; 2024.

https://doi.org/10.1007/s13312-024-3234-9

2. Kebede D, Getaneh F, Endalamaw K, Belay T, Fenta A. Prevalence of anemia and its associated factors among under-five age children in Shanan gibe hospital, Southwest Ethiopia. BMC pediatrics. 2021;21:1-9.

https://doi.org/10.1186/s12887-021-03011-5

3. Veda M, Jyoti B, Prabha G. Tackling the Immediate Implications of Anaemia in Women and Children.

https://doi.org/10.47857/irjms.2024.v05i02.0583

4. Kumar SB, Arnipalli SR, Mehta P, Carrau S, Ziouzenkova O. Iron deficiency anemia: efficacy and limitations of nutritional and comprehensive mitigation strategies. Nutrients. 2022;14(14):2976.

https://doi.org/10.3390/nu14142976

5. Stevens GA, Paciorek CJ, Flores-Urrutia MC, Borghi E, Namaste S, Wirth JP, et al. National, regional, and global estimates of anaemia by severity in women and children for 2000–19: a pooled analysis of population-representative data. The Lancet Global Health. 2022;10(5):e627-e39.

https://doi.org/10.1016/s2214-109x(22)00084-5

6. Sundararajan S, Rabe H. Prevention of iron deficiency anemia in infants and toddlers. Pediatric research. 2021;89(1):63-73.

https://doi.org/10.1038/s41390-020-0907-5

7. Mboya IB, Mamseri R, Leyaro BJ, George J, Msuya SE, Mgongo M. Prevalence and factors associated with anemia among children under five years of age in Rombo district, Kilimanjaro region, Northern Tanzania. F1000Research. 2023;9:1102.

https://doi.org/10.12688/f1000research.24707.3

8. Mbunga BK, Mapatano MA, Strand TA, Gjengedal ELF, Akilimali PZ, Engebretsen IMS. Prevalence of anemia, iron-deficiency anemia, and associated factors among children aged 1–5 years in the rural, malaria-endemic setting of Popokabaka, Democratic Republic of Congo: A cross-sectional study. Nutrients. 2021;13(3):1010.

https://doi.org/10.3390/nu13031010

9. Seifu BL, Tesema GA. Individual-and community-level factors associated with anemia among children aged 6–23 months in sub-Saharan Africa: evidence from 32 sub-Saharan African countries. Archives of Public Health. 2022;80(1):183.

https://doi.org/10.1186/s13690-022-00950-y

10. Aliyo A, Jibril A. Assessment of anemia and associated risk factors among children under-five years old in the West Guji Zone, southern Ethiopia: Hospital-based cross-sectional study. PLoS One. 2022;17(7):e0270853.

https://doi.org/10.1371/journal.pone.0270853

11. Chandran V, Kirby RS. An analysis of maternal, social and household factors associated with childhood anemia. International Journal of Environmental Research and Public Health. 2021;18(6):3105.

https://doi.org/10.3390/ijerph18063105

12. Mutonhodza B, Dembedza MP, Lark MR, Joy EJ, Manzeke‐Kangara MG, Njovo H, et al. Anemia in children aged 6–59 months was significantly associated with maternal anemia status in rural Zimbabwe. Food Science & Nutrition. 2023;11(3):1232-46.

https://doi.org/10.1002/fsn3.3157

13. Keokenchanh S, Kounnavong S, Midorikawa K, Ikeda W, Morita A, Kitajima T, et al. Prevalence of anemia and its associated factors among children aged 6–59 months in the Lao People’s Democratic Republic: A multilevel analysis. PloS one. 2021;16(3):e0248969.

https://doi.org/10.1371/journal.pone.0248969

14. Tesema GA, Worku MG, Tessema ZT, Teshale AB, Alem AZ, Yeshaw Y, et al. Prevalence and determinants of severity levels of anemia among children aged 6–59 months in sub-Saharan Africa: A multilevel ordinal logistic regression analysis. PloS one. 2021;16(4):e0249978.

https://doi.org/10.1371/journal.pone.0249978

15. Takele WW, Baraki AG, Wolde HF, Desyibelew HD, Derseh BT, Dadi AF, et al. Anemia and contributing factors in severely malnourished infants and children aged between 0 and 59 months admitted to the treatment centers of the Amhara region, Ethiopia: a multicenter chart review study. Anemia. 2021;2021(1):6636043.

https://doi.org/10.1155/2021/6636043

16. Fentaw W, Belachew T, Andargie A. Anemia and associated factors among 6 to 59 months age children attending health facilities in Kombolcha town, Northeast Ethiopia: a facility-based cross-sectional study. BMC pediatrics. 2023;23(1):209.

https://doi.org/10.1186/s12887-023-04031-z

17. Mruts KB, Gebremedhin AT, Tessema GA, Scott JA, Pereira G. Interbirth interval and maternal anaemia in 21 sub-Saharan African countries: a fractional-polynomial analysis. Plos one. 2022;17(9):e0275155.

https://doi.org/10.1371/journal.pone.0275155

18. Hassen TA, Harris ML, Shifti DM, Beyene T, Khan MN, Feyissa TR, et al. Effects of short inter-pregnancy/birth interval on adverse perinatal outcomes in Asia-Pacific region: A systematic review and meta-analysis. Plos one. 2024;19(7):e0307942.

https://doi.org/10.1371/journal.pone.0307942

19. Del Castillo L, Cardona-Castro N, Whelan DR, Builes JP, Serrano-Coll H, Arboleda M, et al. Prevalence and risk factors of anemia in the mother–child population from a region of the Colombian Caribbean. BMC Public Health. 2023;23(1):1533.

https://doi.org/10.1186/s12889-023-16475-0

20. Sunardi D, Bardosono S, Basrowi RW, Wasito E, Vandenplas Y. Dietary determinants of anemia in children aged 6–36 months: A cross-sectional study in Indonesia. Nutrients. 2021;13(7):2397.

https://doi.org/10.3390/nu13072397

21. Melese M, Birhan TA, Simegn W, Adugna DG, Diress M, Getawa S, et al. Prevalence of diarrhea, intestinal parasites, and associated factors among under-five children in Dabat District, Northwest Ethiopia: multicenter cross-sectional study. Environmental Health Insights. 2023;17:11786302231174744.

https://doi.org/10.1177/11786302231174744

22. Ranjha AA, Qureshi EMA, Ranjha HA, Abeer M, Ranjha M. Frequency of Iron Deficiency Anemia and Its Association with Persistent Diarrhea, Weight and Parasitic Infestation in Children, 1-2 Years of Age in Semi-Rural Area of District Sialkot, Pakistan: Iron Deficiency Anemia and its Association. Pakistan Journal of Health Sciences. 2023:88-93.

https://doi.org/10.54393/pjhs.v4i03.460

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Published

2025-06-30

How to Cite

Ibadullah, Khan, I., & Qayyum, M. (2025). Risk Factors of Anemia in Children Age 6 Months to 5 Years Presenting to Qazi Hussain Ahmad Medical Complex. Indus Journal of Bioscience Research, 3(6), 886-890. https://doi.org/10.70749/ijbr.v3i6.1933