African Health Sciences
Makerere University Medical School
Vol. 20, No. 3, 2020, pp. 1035-1044
Bioline Code: hs20079
Full paper language: English
Document type: Study
Document available free of charge
African Health Sciences, Vol. 20, No. 3, 2020, pp. 1035-1044
© Copyright 2020 - Rabiu OR et al.
Contributions of malaria, helminths, HIV and iron deficiency to anaemia in pregnant women attending ante-natal clinic in SouthWest Nigeria|
Rabiu, Olawunmi R; Dada-Adegbola, Hannah; Kosoko, Ayokulehin M; Falade, Catherine O; Arinola, Olatunbosun G; Odaibo, Alexander B & Ademowo, Olusegun G
Background: Iron deficiency is a dominant source of anaemia in many settings. To evaluate the key cause of anaemia in the
study area, the prevalence of anaemia due to major public health diseases was compared with anaemia due to iron deficiency.
Methods: Pregnant women were recruited from ante-natal (n=490) and HIV clinics (n=217) with their personal data documented
using a questionnaire. Microscopy of Giemsa-stained thick smears was used for detection of malaria parasites while
helminths in stools were detected using direct smear method. Haematocrit values were determined by capillary method. Serum
ferritin levels were determined using enzyme-linked immunosorbent assay. Data was analysed using SPSS version 22.0.
Results: The mean age of the recruited women was 28.6±5.4 years old. There were 68.1% cases of anaemia of which
35.5% was due to infections only predominantly HIV and malaria, 14.9% from unknown sources while anaemia due to iron
deficiency only was 7.1%.
Conclusion: It can safely be inferred that malaria and HIV predispose to anaemia than iron deficiency in the study area.
Although pregnant women are dewormed and given IPTp for helminths and malaria treatment respectively, there should
be complementary routine malaria screening at ANC visits for those with HCT values <33% and those infected with HIV.
Iron deficiency anaemia; antenatal care; Plasmodium; helminth; pregnant women; HIV.