The impact of an integrated community-based micronutrient and health programme on anaemia in non-pregnant Malawian women
The impact of an integrated community-based micronutrient and health programme on anaemia in non-pregnant Malawian women
复制标题
DOI：
10.1017/s1368980009991820
复制
发表时间：
2010-09-01
影响因子：
3.2
通讯作者：
Simpson, Janis Randall
中科院分区：
文献类型：
--
作者：
Kalimbira, Alexander A.;MacDonald, Carolyn;Simpson, Janis Randall
目的：评估综合社区微量营养素与健康 (MICAH) 计划对参与 1996-2005 年 MICAH 计划的社区 15-49 岁马拉维农村非怀孕妇女贫血（血红蛋白 < 120 g/l）的影响。 设计：对 2000 年和 2004 年进行的两项大规模横断面调查进行前瞻性研究，作为 MICAH 计划评估和比较的一部分 地区。背景：马拉维各地的农村地区。 MICAH 计划根据马拉维广泛的直接和间接原因实施了一套全面的干预措施，以减少贫血。项目方法包括： 补充铁；饮食多样化和调整；食品强化；参与者：从回答家庭问卷的家庭中随机选择的非怀孕育龄妇女（15-49岁，n 5422），使用HemoCue（R）从指尖采血样本中测量血红蛋白。结果：2000年，MICAH和比较地区之间的血红蛋白浓度没有显着差异（平均值（SE）：117.4（0.4） v. 116.8 (0.5) g/l, P>0.05) 和相应的贫血患病率 (53.5% v. 52.9%, P>0.05)。到 2004 年，MICAH 中的 Hb 浓度显着增加，但比较区域则没有增加（平均值 (SE)：121.0 (0.4) v. 115.7 (0.6) g/l，P
Objective: To assess the impact of an integrated community-based micronutrient and health (MICAH) programme on anaemia (Hb < 120 g/l) among non-pregnant rural Malawian women aged 15-49 years from communities that participated in the 1996-2005 MICAH programme.Design: Prospective study of two large-scale cross-sectional surveys conducted in 2000 and 2004 as part of programme evaluation in MICAH and Comparison areas.Setting: Rural areas across Malawi. The MICAH programme implemented a comprehensive package of interventions to reduce anaemia, based on a broad range on direct and indirect causes in Malawi. The project approaches included: Fe supplementation; dietary diversification and modification; food fortification; and strengthening primary health care.Participants: Non-pregnant women of childbearing age (15-49 years old, n 5422), from randomly selected households that responded to a household questionnaire, had their Hb measured from finger-prick blood samples using the HemoCue (R).Results: In 2000, there was no significant difference in Hb concentration between MICAH and Comparison areas (mean (SE): 117.4 (0.4) v. 116.8 (0.5) g/l, P>0.05) and the corresponding prevalence of anaemia (53.5% v. 52.9%, P>0.05). By 2004, Hb concentration had increased significantly in MICAH but not in Comparison areas (mean (SE): 121.0 (0.4) v. 115.7 (0.6) g/l, P