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Interventional Strategies for Control of Anemia among Rural Young Women in Coimbatore


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1 Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, Tamil Nadu, India
     

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Anaemia is the most common micro-nutrient deficiency disorder in the world. The prevalence of anaemia is higher in developing countries than in developed countries. Anaemia affects half a billion women of reproductive age worldwide. India had always been the country with the highest prevalence of anaemia and the home of the largest number of anaemic individuals in the world. A cross sectional community based study was conducted to estimate the prevalence of anaemia among 700 young women in the age group of 19-35 years hailing from different rural areas of Karamadai from Coimbatore district and to assess their iron nutriture. Data on anthropometric measurements, biochemical investigations and dietary details were recorded using a pre-designed, pre-tested proforma. Data were analyzed statistically using mean, standard deviation and ANOVA. Hemoglobin estimation (Cyanmet haemoglobin method) revealed that the prevalence of anaemia among rural women (N = 580) and it was reported that 84.83% of the rural young women were moderately anaemic and 14.83% were mild anaemic. A subsample of 85 moderate anaemic subjects were divided into Group 1 (Nutrition Education + Food supplement intervention), Group 2 (Nutrition Education+Kitchen garden intervention) and Group 3 (Nutrition Education intervention) and subjected to respective intervention for four months. Biochemical analysis revealed significant increase (p≤0.01) in haemoglobin level among the subjects in Group 1, Group 2 and Group 3 after intervention further showing that the majority of rural women improved from moderate to mild level of anaemia and from mild level to normal level of hemoglobin after intervention. Therefore the intervention measures are more effective when they are integrated with other approaches namely better nutritional practices, fortification, dietary modification, infection control, public health measures and income generation programmes. Nutrition education must be made an integral part to all the strategies.

Keywords

Anaemia, Cyanmethaemoglobin, Nutrition Education, Food Supplement, Intervention, Kitchen Garden.
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  • WHO, The global prevalence of anaemia in Geneva: World Health Organization; 2015.
  • Patil, S.V., Prakash Mahadeo Durgawale., Satish Vasant Kakade and Shruti Dighe, et al. An assessment of interventional strategies for control of anemia among adolescent girls in an urban slum of Karad, Dist. Satara and Maharashtra.US National Library of Medicine enlisted journal- ISSN 0974-1143. Al. Ameen. J. Med. Sci., 2014, 7(3), 195-200.
  • Kanchan Lata., Monika Agarwal., Singh, J.V., Anish Khanna and Singh V.K. et al. Burden of anaemia among Non Pregnant Non Lactating (NPNL) married women of reproductive age in urban slums of lucknow, Uttar Pradesh- A community based cross-sectional study. Int. J. Multidiscip. Res. Dev., 2015.
  • Viteri, F.E. Iron Supplements for the control of iron deficiency in populations at risk, Nutr. Rev., 2005, 19(10), 116-118.
  • Narayanasamy, S. and Premakumari, S. Effect of micro nutrient supplementation on the nutritional and immune status of school going children with iron deficiency anaemia, Int. J. Nutr. Metabol., 2010, 2(3), 45-55.
  • Maurice, E., Shils., James, A. and Moshe shike, et al. Modern Nutrition in Health and Disease, Lea and Febiger Publishing Company, 2007, 185-210, 759-769.
  • IIPS DLHS-2 - District Level Household and Facility Survey. http://rchiips.org/PRCH-2.html accessed on 28 March 2017.
  • IIPS District Level Household and Facility Survey (DLHS-4) 2014 https://data.gov.in/.../district-level-household-and-facility-survey-dlhs-4 accessed on 28 March 2017.
  • RGI: CAB State Fact Sheets, 1.www.http://www.censusindiagov.in/2011census/hh-series.cab.htmlaccessedon 28.3.2017.
  • Kalaivani, K. and Prema Ramachandran. Combating the triple burden of malnutrition: World Health assembly targets for 2025. Bulletin of Nutrition Foundation of India. 2017, 38, (3).
  • NIN, Estimation Methods of Haemoglobin, Proceedings of NIN, Hyderabad, 1993, 4, 32-35.
  • Gopalan, C., Sastri, R.B.V. and Balasubramaniam S.C. et al. Nutritive Value of Indian Foods, NIN Hyderabad, ICMR, 1989, 11-18.
  • Gopalan, C., Ramasatri, B.V. and Balasubramanian S.C. et al. Nutritive Value of Indian Foods. National Institute of Nutrition, Hyderabad, 2012.
  • ICMR, Nutrient Requirements and Recommended Dietary Allowances for Indians, A Report of the Expert Group of the Indian Council of Medical Research, 2010, 254-255.
  • WHO, IDD and their Control and Global Progress in their Elimination, Assessment of Iron Deficiency Disorders and Monitoring their Elimination, Edn, 3, World Health Organization, Geneva, Switzerland, 2007.
  • World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. VMNIS, 2011, 1-6.
  • NNMB (National Nutrition Monitoring Bureau), Technical Report no: 24, Indian Council of Medical Research, Hyderabad, 2006.
  • Sujatha, K. and Kowsalya, S. Community based approach for combating anaemia among adolescent girls in rural areas of Coimbatore district. Research project, conducted at Avinashilingam Institute for Home Science Higher Education for Women funded by the Science and Society Programme of Department of Science and Technology Science for Equity, Empowerment and Development (SEED) Division. 2015.
  • Bass, L.J. and McClung, J.P. Iron nutrition and the female athlete counter measures for the prevention of poor iron status, J. Evid. Based. Complementary. Altern. Med., 2011, 16(3), 195-200.
  • Cooper, M.J., Cockell, K.A. and Abbé, M. et al. The iron status of canadian adolescent and adults. Canadian. J. Dietet. Practice. Res., 2007, 67(3), 130-180.
  • Mridula, D., Mishra, C.P. and Srivastava, P., et al. Risk status of under five children of ICDS and Non-ICDS areas of varanasi city. Ind. J. Prev. Soc. Med., 2013, 44, 3-4.

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  • Interventional Strategies for Control of Anemia among Rural Young Women in Coimbatore

Abstract Views: 356  |  PDF Views: 3

Authors

K. Sujatha
Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, Tamil Nadu, India
S. Kowsalya
Department of Food Science and Nutrition, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore - 641 043, Tamil Nadu, India

Abstract


Anaemia is the most common micro-nutrient deficiency disorder in the world. The prevalence of anaemia is higher in developing countries than in developed countries. Anaemia affects half a billion women of reproductive age worldwide. India had always been the country with the highest prevalence of anaemia and the home of the largest number of anaemic individuals in the world. A cross sectional community based study was conducted to estimate the prevalence of anaemia among 700 young women in the age group of 19-35 years hailing from different rural areas of Karamadai from Coimbatore district and to assess their iron nutriture. Data on anthropometric measurements, biochemical investigations and dietary details were recorded using a pre-designed, pre-tested proforma. Data were analyzed statistically using mean, standard deviation and ANOVA. Hemoglobin estimation (Cyanmet haemoglobin method) revealed that the prevalence of anaemia among rural women (N = 580) and it was reported that 84.83% of the rural young women were moderately anaemic and 14.83% were mild anaemic. A subsample of 85 moderate anaemic subjects were divided into Group 1 (Nutrition Education + Food supplement intervention), Group 2 (Nutrition Education+Kitchen garden intervention) and Group 3 (Nutrition Education intervention) and subjected to respective intervention for four months. Biochemical analysis revealed significant increase (p≤0.01) in haemoglobin level among the subjects in Group 1, Group 2 and Group 3 after intervention further showing that the majority of rural women improved from moderate to mild level of anaemia and from mild level to normal level of hemoglobin after intervention. Therefore the intervention measures are more effective when they are integrated with other approaches namely better nutritional practices, fortification, dietary modification, infection control, public health measures and income generation programmes. Nutrition education must be made an integral part to all the strategies.

Keywords


Anaemia, Cyanmethaemoglobin, Nutrition Education, Food Supplement, Intervention, Kitchen Garden.

References