Anemia-related survey data can inform programmatic decision-making. You can collect hemoglobin data alongside data about conditions known to cause anemia, to inform public health anemia control programs. Quantifying the contributions of multiple anemia causes that often overlap with one another can be complex. Examining prevalence estimates of conditions known to cause anemia (e.g., inherited blood disorders, infectious diseases, or micronutrient deficiencies) is a first step in understanding the ecology of the anemia.
A frequent next step is to examine the bivariate associations between the risk factors and anemia (the outcome), and then build multivariable models predicting likely causes of anemia controlling for the overlap and interrelation between these conditions. Accounting for confounding and correlation amongst exposure variables is important to prevent overestimation of attribution of risk factors in regression models, Therefore, measurement of multiple underlying risk factors for anemia within surveys is also useful.
Integrating and Coordinating Programs for the Management of Anemia Across the Life Course
Literature Review published by Ann N Y Acad Sci in
This narrative review describes the determinants of anemia and outlines opportunities for comprehensive anemia programming, systems strengthening, and implementation research approaches for preschool children, adolescent girls, and pregnant and nonpregnant women of reproductive age
The Role of Modelling to Inform Context-Specific Anaemia Programming
Journal Article published by Lancet Glob Health in
Using the example of a microsimulation study to estimate net benefits and cost-effectiveness of micronutrient powder programmes for young children, this paper proposes the use of modeling tools to evaluate benefits, risks, and costs of interventions, often in the absence of comprehensive information about all three.
Data Needed to Respond Appropriately to Anemia When It Is a Public Health Problem
Journal Article published by Ann N Y Acad Sci in
This narrative review describe the importance of measuring iron and other etiologic indicators to better understand the proportion of anemia that is responsive to interventions, taking into consideration the measurement of indicators of inflammation to interpret iron biomarkers, and assessing nonmodifiable genetic blood disorders associated with…
Predictors of Anemia in Preschool Children: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project
Journal Article published by The American Journal of Clinical Nutrition in
This study used cross-sectional data from 16 surveys to evaluate predictors of anemia in preschool children (6-59 months of age) by country and infection-burden category. Findings indicate that iron deficiency, malaria, breastfeeding, stunting, underweight, inflammation, low socioeconomic status, and poor sanitation were each associated with…
Predictors of Anemia in Women of Reproductive Age: Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) Project
Journal Article published by The American Journal of Clinical Nutrition in
This study used data from 10 cross-sectional, nationally representative data to assess the associations between anemia and multiple proximal (e.g., iron and vitamin A deficiencies, inflammation, malaria, and body mass index) and distal risk factors (e.g., education status, household sanitation and hygiene, and urban or rural residence) in…
The Proportion of Anemia Associated with Iron Deficiency in Low, Medium, and High Human Development Index Countries: A Systematic Analysis of National Surveys
Systematic Review published by Nutrients in
This article presents findings from a meta-analysis assessing the proportion of anemia that is attributable to iron deficiency. Data from 23 countries was pooled for pre-school children and non-pregnant women of reproductive age and the proportion of anemia attributable to iron deficiency was estimated by region, inflammation exposure, anemia…
Technical Report published by World Health Organization in
This WHO report describes estimates of the prevalence of anemia for the year 2011 in preschool-age children (6–59 months) and women of reproductive age (15–49 years), by pregnancy status and by regions of the United Nations and WHO, as well as by country.