Poster Topical Area: Community and Public Health Nutrition

Location: Auditorium

Poster Board Number: 65

P06-044 - High burden of anemia among in school and out of school adolescent girls : Implication for initiation of WIFA Supplementation program in Ethiopia

Monday, Jun 11
8:00 AM – 3:00 PM

Objective: This study was planned determine the magnitude of anemia and identify possible delivery channels with an aim to guide design of intervention modalities to address anaemia among adolescent girls in Ethiopia.



Methods: The study employed a community based cross sectional design. The study was conducted on weekends to capture both in school and out of school adolescents. Data was collected from a total 1323 adolescent girls. We performed anaemia testing using HemoCue B-Haemoglobin analyser. We applied a complex survey data analysis method to estimate the level of anemia. We ran a logistic regression model to evaluate predictors of anemia.

Results: The overall anaemia prevalence among adolescent girls in the studied districts was 38.3% [95%CI: 26.7, 51.4], 24.0 % [95%CI: 20.2, 28.5] and 25.2% [95%CI: 16.8, 35.9] respectively. We found that four out of ten (43.5 percent) adolescents have heard about the term anaemia. The great majority; 1,150 (86.9 percent) reported that they are willing to take IFA to improve physical performance and learning and work capacity. The channels that were most commonly chosen in order of preference were: (1) the health facilities (78.7%), (2) school clubs (12.0%), (3) at home (8.5 %), (6) girls club (3.9%), and (6) the youth centers (1.9%). The multivariate model indicated that the risk of anemia is higher among adolescents in their early adolescence period (10-14 years) (Adjusted Odds Ratio (AOR); 1.98; 95% CI; 1.03, 3.82] and among adolescents who lived in moderately food insecure households (AOR 1.48; 95% CI; 1.05-2.09).

Conclusions: In conclusion, the prevalence of anemia among adolescent girls was found to be a moderate public health significance problem. According to the WHO set criteria for IFA supplementation for adolescents, the districts could be candidates for intermittent iron supplementation program. However, choosing delivery channels need to take into consideration on adolescent's schooling as they need to be accessible to adolescents who are not in school. Furthermore, the differing views among adolescents on delivery channels highlight the need to pay attention to the differences between school based and health facility based distribution of IFA. We recommend further implementation research to test the effectiveness of the different delivery channels.





Funding Source: The WHO Ethiopia Country Office, Ethiopia

CoAuthors: Bilal Shikur Endris – School of Public Health, College of Health Sciences, Addis Ababa University, Ethiopia; Getahun Teka Beyene – World Health Organization (WHO) Ethiopia Country office, Addis Ababa, Ethiopia; Hana Nekatebeb Bekele – World Health Organization (WHO) Ethiopia Country office, Addis Ababa, Ethiopia

Seifu H. Gebreyesus


ADDIS ABABA UNIVERSITY
Addisababa, Adis Abeba, Ethiopia