Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T11:59:10.436Z Has data issue: false hasContentIssue false

Prevalence of anaemia among 6- to 59-month-old children in India: the latest picture through the NFHS-4

Published online by Cambridge University Press:  20 May 2019

Susmita Bharati*
Affiliation:
Indian Statistical Institute, Kolkata, India
Manoranjan Pal
Affiliation:
Indian Statistical Institute, Kolkata, India
Premananda Bharati
Affiliation:
Indian Statistical Institute, Kolkata, India
*
*Corresponding author. Email: susmitabharati60@gmail.com

Abstract

India is the highest contributor to child anaemia among developing countries. To see the latest picture of child anaemia in India, data for 6- to 59-month-old children were taken from the fourth round of the National Family Health Survey conducted in 2015–16 (NFHS-4). The study sample consisted of 1,37,347 children. The dependent variable was the anaemia status of the child. The objectives of the study were to assess (i) the distribution of anaemia prevalence by child age group, (ii) the prevalence of child anaemia by zone and state and (iii) the relation of child anaemia prevalence with social, demographic and economic variables, including maternal nutritional status and low birth weight. The study found that in India in 2015–16, 56% of 6- to 59-month-old children were anaemic – a decrease of only 13.5 percentage points since the NFHS-3 study conducted in 2005–06. It is well known that iron supplementation is necessary for child growth and brain development. This study suggests that, in addition, the socioeconomic conditions of households in India need to be improved to prevent child anaemia. Low birth weight and low maternal nutritional status are also responsible for the high prevalence of anaemia among children in India.

Type
Research Article
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Agaoglu, L, Torun, O, Unuvar, E, Sefil, Y and Demir, D (2007) Effects of iron deficiency anemia on cognitive function in children. Arzneimittelforschung 57(6A), 426430.Google ScholarPubMed
Akhzer, A (2018) 2015–16 National Family Health Survey report: anaemia among kids aged 6–59 months highest in Chandigarh. The Indian Express, 12 January 2008. URL: https://indianexpress.com/article/cities/chandigarh/national-family-health-survey-anaemia-kids-highest-chandigarh-5021402/.Google Scholar
Behrman, RE, Kleigman, RM and Nelson, (1994) Essentials of Pediatrics: Hematology, 2nd Edition. WB Saunders, Philadelphia.Google Scholar
Dey, S, Gosawmi, S and Dey, T (2013) Identifying predictors of childhood anaemia in north-east India. Journal of Health and Population Nutrition 31, 462470.Google ScholarPubMed
Doherty, CP (2007) Host–pathogen interactions: the role of iron. Journal of Nutrition 137, 13411344.CrossRefGoogle Scholar
Dubey, AP (1994) Iron deficiency anemia epidemiology, diagnosis and clinical profile. In Sachdev, HPS and Choudhury, P (eds) Nutrition in Children: Developing Country Concerns. Cambridge Press, New Delhi, pp. 217235.Google Scholar
FAO/WHO (1988) Food and Nutrition Series, 23. Requirements of Vitamin A, Iron, Folate and Vitamin B12. Report of a Joint FAO/ WHO Expert Consultation. FAO, Rome.Google Scholar
Gragnolati, M, Shekar, M, Gupta, MD, Bredenkamp, C and Lee, YK (2005) India’s Undernourished Children: A Call for Reform and Action. Health, Nutrition and Population, World Bank, Washington, DC.Google Scholar
IIPS and ICF (2007) National Family Health Survey (NFHS-3), 2005–06: India. International Institute for Population Sciences (IIPS), Mumbai. URL: https://dhsprogram.com/pubs/pdf/frind3/frind3-vol1andvol2.pdf.Google Scholar
IIPS and ICF (2017) National Family Health Survey (NFHS-4), 2015–16: India. International Institute for Population Sciences (IIPS), Mumbai.Google Scholar
Katzman, R, Novack, A and Pearson, H (1972) Nutritional anemia in an inner-city community. Relationship to age and ethnic group. Journal of the American Medical Association 222, 670673.CrossRefGoogle Scholar
Lokeshwar, MR, Mehta, M, Mehta, N, Shelke, P and Babar, N (2011) Prevention of iron deficiency anemia (IDA): how far have we reached? Indian Journal of Pediatrics 78, 593602.Google ScholarPubMed
Lozoff, B, Brittenham, GM, Wolf, AW, McClish, DK, Kuhnert, PM, Jimenez, E, et al. (1987) Iron deficiency anemia and iron therapy: effects on infant developmental test performance. Pediatrics 79, 981995.Google ScholarPubMed
More, S, Shivkumar, VB, Gangane, N and Shende, S (2013) Effects of iron deficiency on cognitive function in school going adolescent females in rural area of central India. Anemia 2013. URL: https://www.ncbi.nlm.nih.gov/pubmed/24386560.CrossRefGoogle Scholar
NIH (2011) Your Guide to Anemia. NIH Publication No. 11–7629. US Department of Health and Human Services, National Institute of Health.Google Scholar
Okam, MM, Koch, TA and Tran, MH (2017) Iron supplementation, response in iron-deficiency anemia: analysis of five trials. American Journal of Medicine 130(8), e1991.e8.CrossRefGoogle ScholarPubMed
Osorio, MM (2002) Determinant factors of anaemia in children. Journal de Pediatria 78(4), 269278.CrossRefGoogle ScholarPubMed
Pablo, VS, Windom, R and Pearson, HA (1985) Disappearance of iron deficiency anemia in a high risk infant population given supplemental iron. New England Journal of Medicine 313, 12391240.Google Scholar
Pasricha, SR, Black, J, Muthayya, S, Shet, A, Bhat, V, Nagaraj, S, et al. (2010) Determinants of anemia among young children in rural India. Pediatrics 126, e140e149.CrossRefGoogle ScholarPubMed
Seidelman, J, Zuo, R, Udayakumar, K and Gellad, ZF (2016) Caught on capsule: iron-deficiency anemia due to hookworm infection. American Journal of Medicine 129(2), 167169.CrossRefGoogle ScholarPubMed
Stekel, A (1984) Iron requirements in infancy and childhood. In Stekel, A (ed.) Iron Nutrition in Infancy and Childhood. Nestlé Nutrition Workshop Series, 4, Nestlé, Raven Press, New York, pp. 110.Google Scholar
Tariq, H, Kamal, MU, Reddy, P, Bajantri, B, Niazi, M, Matela, A, et al. (2017) Anemia, intractable vomiting, chronic diarrhea and syndrome of inappropriate antidiuretic secretion: a diagnostic dilemma: disseminated strongyloidosis in a patient with newly diagnosed HTLV infection-case report and review of literature. Medicine (Baltimore) 96(52), e9229.CrossRefGoogle Scholar
WHO (2008) Worldwide Prevalence of Anaemia 1993–2005: WHO Global Database on Anaemia. WHO, Geneva.Google Scholar
WHO (2015) The Global Prevalence of Anaemia in 2011. WHO, Geneva.Google Scholar
WHO (2014) WHO Global Nutrition Targets 2025: Anaemia Policy Brief. URL: https://www.who.int/nutrition/topics/globaltargets_anaemia_policybrief.pdf (accessed 23 February 2019).Google Scholar
WHO (1998) Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation on Obesity. World Health Organization, Geneva.Google Scholar
Wikipedia (2019) Anemia. URL: https://en.wikipedia.org/wiki/Anemia (accessed 23 February 2019).Google Scholar
Zhang, Q, Qin, G, Liu, Z, Li, Z, Li, J, Varma, DS, et al. (2018) Dietary balance index-07 and the risk of anemia in middle aged and elderly people in southwest China: a cross sectional study. Nutrients 10, 162.CrossRefGoogle ScholarPubMed
Zhao, A, Zhang, Y, Peng, Y, Li, J, Yang, T, Liu, Z and Wang, P (2012) Prevalence of anemia and its risk factors among children 6–36 months old in Burma. American Journal of Tropical Medicine and Hygiene 87, 306311.CrossRefGoogle ScholarPubMed