Journal of Blood Medicine (Feb 2023)

Anemia Among Women Using Family Planning at Public Health Facilities in Ambo Town, Central Ethiopia: Multi-Center Cross-Sectional Study

  • Nagari SL,
  • Egata G,
  • Mehadi A,
  • Hassen TA,
  • Raru TB,
  • Abdurke M,
  • Yuya M,
  • Abdulkadir S,
  • Berhanu H,
  • Roba KT

Journal volume & issue
Vol. Volume 14
pp. 83 – 97

Abstract

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Shalama Lekasa Nagari,1 Gudina Egata,2 Ame Mehadi,3 Tahir Ahmed Hassen,3 Temam Beshir Raru,3 Mohammed Abdurke,3 Mohammed Yuya,3 Shemsedin Abdulkadir,4 Hiwot Berhanu,3 Kedir Teji Roba3 1College of Health Sciences, Assosa University, Assosa, Ethiopia; 2College of Health and Medical Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 3College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4College of Health and Medical Sciences, Arsi University, Asella, Oromia, EthiopiaCorrespondence: Ame Mehadi, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia, Tel +251919118839, Fax +251256668081, Email [email protected]: Anemia affects more than a quarter of non-pregnant women over the globe, with Sub-Saharan Africa bearing a disproportionate share. Although the use of family planning is beneficial in reducing anemia, lack of scientific study on anemia among family planning users of reproductive-age women is notable, particularly in the study setting. The purpose of this study was to determine the extent of anemia and associated factors in women who used family planning.Methods: A cross-sectional multi-centered study was conducted from March 3 to 29, 2019, among 443 non-pregnant reproductive age (15 to 49 years) women receiving family planning services in Ambo town. Sample size was calculated using Epi-info version 7 software. Participants were selected by systematic random sampling technique. Trained data collectors collected data using a structured pretested questionnaire, as well as venous blood and stool samples. Epi-Data and SPSS were used to enter and analyze data. The effect of independent variables on the outcome variable was determined by binary logistic regression analysis with adjusted odds ratio at 95% confidence interval and 5% margin of error. P-value < 0.05 was used to declare statistical significance.Results: This study revealed 28% (95% CI:23.9%, 32.3%) magnitude of anemia. Age of 25– 35 years [AOR:2.84, 95% CI:1.74, 4.64], implantable family planning method [AOR: 0.34, 95% CI: 0.12, 0.96], no previous use of family planning [AOR:2.62, 95% CI: 1.62, 4.24], household food insecurity [AOR: 2.04, 95% CI: 1.06, 3.93], parasite infestations [AOR:2.01, 95% CI: 1.12, 3.63], and regular intake of coffee/tea within 30 minutes post meal [AOR:3.85, 95% CI:1.24, 11.92] were independently associated with anemia.Conclusion: Anemia is a moderate public health concern among reproductive-age women receiving family planning services in the study area. There are missed opportunities to address the anemia burden during family planning services. This study emphasizes the importance of nutritional screening for early detection and targeted interventions for healthcare workers in reducing missed opportunities to prevent and control anemia in vulnerable populations.Keywords: anemia, family planning, reproductive age women, Ambo, Ethiopia

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