Asian Journal of Medical Principles and Clinical Practice

Investigating Nutritional Anaemia Prevalence among Patients Seeking Care at Chuadanga Sadar Hospital, Bangladesh

Din Islam

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Sharmin Akter

Central Medical College, Cumilla-3500, Bangladesh.

Md. Shariful Islam

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Sazin Islam *

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Nipun Islam

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Md. Mehedi Hasan

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

Md. Jewel Rana

Department of Public Health, First Capital University of Bangladesh,Chuadanga-7200, Bangladesh.

*Author to whom correspondence should be addressed.

---

Abstract

Aim and Objective: Nutritional Anaemia is a condition resulting from inadequate intake of essential hematopoietic nutrients required for hemoglobin and red blood cell synthesis. It is often acquired through a diet lacking a sufficient quantity of bioavailable nutrients. In addition, exposure to environmental factors such as hookworm, schistosomiasis, and other parasites can cause excessive loss or competition for hematopoietic nutrients. This study aimed to determine the prevalence of nutritional Anaemia among patients receiving care at Chuadanga Sadar Hospital.

Materials and Methods: This study was conducted at the laboratory of Chuadanga Sadar Hospital in Bangladesh. A retrospective and cross-sectional study design was used, and the study population consisted of 96 non-hospitalized patients with suspected nutritional Anaemia. Blood samples were collected from eligible patients, and the Sysmex 500i automated machine was used to analyze the samples. Data on factors associated with nutritional Anaemia were collected through questionnaires and analyzed using the Statistical Package for Social Sciences (SPSS) version 20. The study found a high prevalence of nutritional Anaemia, with factors such as malnutrition and intestinal worm infection being significantly associated with the condition.

Results: This study found that iron deficiency Anaemia was prevalent among 68.0% of children and 77.2% of women, with MCV and MCH serving as useful indicators. The study also identified risk factors for nutritional Anaemia, including intestinal and blood parasites (27.6% and 12.9%, respectively), pregnancy (6.4%), prolonged menstruation (7.7%), and taking food supplements (22.9%). The sample size included 96 individuals.

Conclusion and Recommendation: This study found that iron deficiency Anaemia was prevalent among both children and women attending Chuadanga Sadar Hospital, with MCV and MCH serving as useful indicators. Risk factors for Anaemia included environmental factors such as parasitic infections, physiological status such as prolonged menstruation and pregnancy, and nutritional factors such as taking food supplements. The study highlights the need for targeted interventions to improve nutrition, access to healthcare, and prevent parasitic infections to reduce the burden of Anaemia. Limitations of the study include a small sample size and investigation of only two types of Anaemia.

Keywords: IDA, MCV, MCH, Bangladesh

---

---

---

References

Alemayehu B, Marelign T, Aleme M. Prevalence of anaemia and its associated factors among pregnant women attending antenatal care in health institutions of Arba Minch Town, GamoGofa Zone, Ethiopia: a cross-sectional study. Hindawi Publishing Corporation. 2016;1(1):1-10.

Kayiranga J. The prevalence of Anaemia and associated risk factors among pregnant women attending Kirehe and Mahama Health Centers (Unpublished memoire). INES-Ruhengeri, Musanze; 2017.

Senadheera D, Goonewardene M, Mampitiya I. Anaemia and iron deficiency in pregnant women attending an antenatal clinic in a teaching hospital in southern Sri Lanka. Ceylon Medical Journal. 2017; 62(3):1-7.

Mohammed YM, Akabat AA, Al-Shammakh AA, Abdulelah HA, Abdullatif DA. Prevalence and associated factors of Anaemia among pregnant women residing at high altitude in Yemen. American Journal of Health Research. 2017;5(4):93-98.

Maria F, Alex B, Daniel L, Israel R, Hector C, Manuel O. Prevalence of anaemia in Latin America and the Caribbean. Food and Nutrition Bulletin. 2015;36(2): 1-10.

Miruna SK, Pujitha W, Lallindra G, Carukshi A, Hemantha S, Tharanga T. The role of heamatological indices in predicting early iron deficiency among pregnant women in an urban area of Sri Lanka. BMC Hematology. 2018;18(37):1-7.

Nawal S. Prevalence of iron deficiency Anaemia etiological and prevention. European Journal of Biology and Medical Science Research. 2014;2(2): 55-60.

Gautam S, Min H, Kim H, Jeong H. Determining factors for the prevalence of Anaemia in women of reproductive age in Nepal: Evidence from recent national survey data. PLoS ONE. 2019; 14(6):1-6.

NISR. Rwanda health demographic survey (2014-2015). Kigali: National Institute Statistics of Rwanda. 2015; 45-54.

Mukankubana MA. Effect of malnutrition on Anaemia development among children under five years attending Nemba Hospital (Unpublished memoire). INES-Ruhengeri, Musanze; 2017.