Anaemia in Ugandan preschool-aged children: the relative contribution of intestinal parasites and malaria.

Green, HK, Sousa-Figueiredo, JC, Basáñez, MG, Betson, M, Kabatereine, NB, Fenwick, A and Stothard, JR (2011) Anaemia in Ugandan preschool-aged children: the relative contribution of intestinal parasites and malaria. Parasitology, 138 (12). pp. 1534-1545.

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Abstract

Anaemia is a severe public health issue among African preschool-aged children, yet little effective progress has been made towards its amelioration, in part due to difficulties in unravelling its complex, multifactorial aetiology. To determine the current anaemia situation and assess the relative contribution of malaria, intestinal schistosomiasis and infection with soil-transmitted helminths, two separate cross-sectional epidemiological surveys were carried out in Uganda including 573 and 455 preschool-aged children (≤6 years) living along the shores of Lake Albert and on the islands in Lake Victoria, respectively. Anaemia was found to be a severe public health problem in Lake Albert, affecting 68·9% of children (ninety-five percent confidence intervals (95% CI) 64·9-72·7%), a statistically significant higher prevalence relative to the 27·3% detected in Lake Victoria (95% CI: 23·3-31·7%). After multivariate analysis (controlling for sex and age of the child), the only factor found to be significantly associated with increased odds of anaemia in both lake systems was malaria (Lake Albert, odds ratio (OR)=2·1, 95% CI: 1·4-3·2; Lake Victoria, OR=1·9, 95% CI: 1·2-2·9). Thus intervention strategies primarily focusing on very young children and combating malaria appear to represent the most appropriate use of human and financial resources for the prevention of anaemia in this age group and area. Looking to the future, these activities could be further emphasised within the National Child Health Days(PLUS) agenda.

Item Type:	Article
Divisions :	Surrey research (other units)
Authors :	Name Email ORCID Green, HK Sousa-Figueiredo, JC Basáñez, MG Betson, M m.betson@surrey.ac.uk Kabatereine, NB Fenwick, A Stothard, JR
Date :	October 2011
DOI :	10.1017/S0031182011001016
Uncontrolled Keywords :	Anemia, Animals, Child, Child Welfare, Child, Preschool, Cross-Sectional Studies, Female, Humans, Infant, Infant, Newborn, Lakes, Longitudinal Studies, Malaria, Male, Malnutrition, Maternal Welfare, Pregnancy, Prevalence, Schistosomiasis mansoni, Soil, Surveys and Questionnaires, Uganda
Related URLs :	Author
Depositing User :	Symplectic Elements
Date Deposited :	17 May 2017 10:33
Last Modified :	24 Jan 2020 19:34
URI:	http://epubs.surrey.ac.uk/id/eprint/828280

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