Your search found 3 Results
New and Noteworthy in Nutrition. 2002 Sep 13; (38):6-7.The high prevalence of low hemoglobin (Hb) concentration among breastfed Indonesian infants aged 3.5 months is related to maternal anemia, according to a study by Saskia de Pee and colleagues from Helen Keller International, UNICEF and the National Institute for Health Research and Development in Jakarta. They analyzed cross-sectional data from the HKI/GOI Nutrition and Health Surveillance System in rural Java from September 1999 to February 2001. The prevalence of Hb below 110g/l was a very high 71%. Comparing infants of nonanemic mothers with a normal birth weight, normal birth weight infants of anemic mothers were 1.8 times as likely to have a low Hb; infants of nonanemic mothers but with low birth weight: 1.15 times as likely, with the highest risk for low Hb predictably being those with low birth weight and anemic mothers (3.68 times). Other risk factors included maternal stunting, a young mother, and lower maternal education. (excerpt)
Food and Nutrition Bulletin. 2003; 24 Suppl 4:S99-S103.Iron deficiency is considered to be one of most prevalent forms of malnutrition, yet there has been a lack of consensus about the nature and magnitude of the health consequences of iron deficiency in populations. This paper presents new estimates of the public health importance of iron-deficiency anemia (IDA), which were made as part of the Global Burden of Disease (GBD) 2000 project. Iron deficiency is considered to contribute to death and disability as a risk factor for maternal and perinatal mortality, and also through its direct contributions to cognitive impairment, decreased work productivity, and death from severe anemia. Based on meta-analysis of observational studies, mortality risk estimates for maternal and perinatal mortality are calculated as the decreased risk in mortality for each 1 g/dl increase in mean pregnancy hemoglobin concentration. On average, globally, 50% of the anemia is assumed to be attributable to iron deficiency. Globally, iron deficiency ranks number 9 among 26 risk factors included in the GBD 2000, and accounts for 841,000 deaths and 35,057,000 disability-adjusted life years lost. Africa and parts of Asia bear 71% of the global mortality burden and 65% of the disability-adjusted life years lost, whereas North America bears 1.4% of the global burden. There is an urgent need to develop effective and sustainable interventions to control iron-deficiency anemia. This will likely not be achieved without substantial involvement of the private sector. (author's)
Integrated management of childhood illness: conclusions. WHO Division of Child Health and Development.
BULLETIN OF THE WORLD HEALTH ORGANIZATION. 1997; 75 Suppl 1:119-28.Studies have helped improve the guidelines for the integrated management of childhood illness (IMCI) as well as the WHO/UNICEF training course for teaching those guidelines to health workers in first-level health facilities. Those guidelines can lead to the appropriate management of sick children by health workers in first-level facilities. Field studies' results on the effectiveness of the guidelines are presented and important issues to address are identified. The paper also describes the process for adapting program guidelines to specific country situations and presents the broader IMCI strategy and the status of its implementation in several countries as of May 1997. The following issues in need of further attention are discussed: the performance of lower chest wall indrawing as a sign for referral, the specificity of the clinical signs of malaria in settings of low malaria prevalence, the performance of clinical signs in detecting anemia, and the performance of the guidelines in identifying children in need of referral. Program strategy objectives are to reduce the levels of child morbidity and mortality in developing countries, and to enhance child growth and development. IMCI activities are therefore organized to improve health workers' skills, health systems, and family and community practices.