Scientific title |
Adjusted protocol for assessment of anemia among under-5 children (6-59 months) and non-pregnant and non- lactating women (15-49 years) in the national micronutrient survey 2019-2020, Bangladesh’ |
Public title |
Prevalence of anaemia in children and non pregnant non lactating women in Bangladesh |
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Background |
Anemia remains a major public health problem in developing countries, including Bangladesh.
To support additional analysis on the completed National Micronutrient Survey(NMS) among under-5 children and non pregnant non lactating (NPNL) women aged 15-49 years in eight divisions in Bangladesh, a sub study has been requested by the Government to support estimating the national prevalence of anemia and etiology of anemia among the study population of the NMS 2019-2020 in NPNL women and under- 5 children. The sub study delayed due to the pandemic.
The sub study will obtain information through analysis of already collected blood samples (collected and stored -main study) and triangulate with already available data from the main study to obtain a comprehensive picture of anaemia in Bangladesh. |
Objectives |
1. To estimate the proportion of different types of anemia (Iron Deficiency Anemia, Folate Deficiency Anemia, Vitamin B12 Deficiency Anemia, beta thalassemia) utilizing the data collected in the main NMS
2. To explore the relationship of anemia with
a. Different micronutrient deficiencies (Iron, Folate, Vitamin B12, Zinc)
b. Infection status
c. Sociodemographic factors
d. Dietary pattern and diversity
e. Food insecurity |
Study Methods |
This study will be built on the National micronutrient Survey, 2020-21. The original NMS, 2020-21 is a cross-sectional study where multiple indicator cluster survey 2014(MICS) sampling frame used for sampling procedure.
Stored blood samples will be additionally analysed for inflammatory markers(CRP) and Thalassemia. Data will be analyzed using this information and the information obtained from the main study |
Expected outcomes and use of results |
1. Proportion of different types of anemia including anemia due to micronutrient deficiencies, hemogloglobinopathies and infection among under- 5 children and NPNL women
2. Assessment of the relationship of anemia with micronutrient status (Iron, Folate, Vitamin B12, Zn, vitamin D)
3. Status of sociodemographic factors and its relationship with anemia status.
4. Assessment of the relationship of anemia with infection status using infection markers (CRP)
5. Proportion of children having poor or inadequate IYCF practices (previously collected data) and its relationship with anaemia.
6. Proportion of underweight and overweight status of children in Bangladesh (data available from the main study), and association with anaemia.
7. Dietary pattern of NPNL women and uner-5 children (data from the main study) and associations with anaemia (and micronutrient) status
8. Proportion of food insecurity at the household level and its relationship with with anaemia. |
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Keywords |
Anemia, Micronutrient, NPNL women, under-5 children, Beta Thalassemia |