Effectiveness of primary level antenatal care in decreasing anemia at term in Tanzania.
In Tanzania the prevalence of anemia in pregnancy is high inspite of a high antenatal attendance and an established national policy of routine hematinic supplementation and malaria chemosuppression to all pregnant women, free of cost in all antenatal clinics.
To assess the effectiveness of reinforcing existing antenatal clinic routines for prevention and treatment of anemia in pregnancy, combined with individual and community health education.
A prospective controlled intervention study in two antenatal clinics at primary level.
At booking (median 24 weeks), 1045 women were screened for anemia and followed-up to late pregnancy (gestational age >=34 weeks).
In addition to hematinic and malaria prophylaxis, extra interventions at the study clinic included retraining of staff, group and individual counselling of women and community health education in the area.
There was a significant overall increase in median Hb from 10.1 g/dl at booking to 10.6 g/dl in late pregnancy, and prevalence of anemia (Hb <=10.5 g/dl) was reduced from 60% at booking to 47%, at both clinics, with 57% reduction in the proportion with severe anemia (Hb<7.0 g/dl).
Severely anemic women increased their median Hb by 3.2 g/dl during antenatal care.
No additional effect was observed from an individual and community information program. (...)
Mots-clés Pascal : Anémie ferriprive, Tanzanie, Afrique, Gestation terme, Soin santé primaire, Prénatal, Traitement, Prévention, Prospective, Etude longitudinale, Homme, Femelle, Hémopathie, Sidéropénie
Mots-clés Pascal anglais : Iron deficiency anemia, Tanzania, Africa, Term pregnancy, Primary health care, Prenatal, Treatment, Prevention, Prospective, Follow up study, Human, Female, Hemopathy, Sideropenia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0408112
Code Inist : 002B19A01. Création : 22/03/2000.