Background: This study
aimed at determining the prevalence and morphological types of anaemia, among
years, who had full blood count (FBC) investigation done at the laboratory of
the Volta regional hospital. Methodology: This was a retrospective study of
archival FBC test results data for children below 5 years in the laboratory,
between1st July to 31st December 2015. The FBC results comprised of the hemoglobin (Hb)
concentration and the red blood cell indices.
Obtained data were analyzed using SPSS version 20.0. Results: A total 451
children were sampled. Anaemia prevalence in this study was 55.0% (248/451) and most of the
children suffered from moderate anaemia (42%) (104/248) with mild and severe anaemia
being 34% (84/248) and 24% (60/248) respectively. Children with microcytic
hypochromic anaemia were 52%, (130/248), while those with normocytic normochromic were 25% (63/248). Conclusion:
Anaemia was found in more than half of the children under-five years and
microcytic hypochromic anaemia was the commonest morphological type of anaemia.
There is need for a multi-disciplinary approach to elucidate the
etiology of anaemia in children under-five years.
Cite this paper
Adu-Amankwaah, J. , Allotey, E. A. , Kwasie, D. A. , Afeke, I. , Owiafe, P. K. , Adiukwu, P. C. and Ndudiri, O. V. (2018). Prevalence and Morphological Types of Anaemia among Children Under-Five Years in the Volta Regional Hospital of Ghana. Open Access Library Journal, 5, e4351. doi: http://dx.doi.org/10.4236/oalib.1104351.
McLean, E., Cogswell, M., Egli, I., Wojdyla, D. and De Benoist, B. (2009) Worldwide Prevalence of Anaemia, WHO Vitamin and Mineral Nutrition Information System, 1993-2005. Public Health Nutrition, 12, 444-454. https://doi.org/10.1017/S1368980008002401
Schellenberg, D., Schellenberg, J.R.M., Mushi, A., Savigny, D., Mgalula, L., Mbuya, C. and Cesar Gomes, V. (2003) The Silent Burden of Anaemia in Tanzanian Children: A Community-Based Study. Bulletin of the World Health Organization, 81, 581-590.
Osazuwa, F., Ayo, O.M. and Imade, P. (2011) A Significant Association between Intestinal Helminth Infection and Anaemia Burden in Children in Rural Communities of Edo State, Nigeria. North American Journal of Medical Sciences, 3, 30-34. https://doi.org/10.4297/najms.2011.330
Austin, N.I.R., Adikaibe, E.A.B., Ethelbert, O.O., Chioma, U.E. and Ekene, N.U. (2014) Prevalence and Severity of Malaria Parasitemia among Children Requiring Emergency Blood Transfusion in a Tertiary Hospital in Imo State, Nigeria. Annals of Medical and Health Sciences Research, 4, 619-623. https://doi.org/10.4103/2141-9248.139349
Okiro, E.A., Al-Taiar, A., Reyburn, H., Idro, R., Berkley, J.A. and Snow, R.W. (2009) Age Patterns of Severe Paediatric Malaria and Their Relationship to Plasmodium Falciparum Transmission Intensity. Malaria Journal, 8, 4.
Villalpando, S., Shamah-Levy, T., Ramírez-Silva, C.I., Mejía-Rodríguez, F. and Rivera, J.A. (2003) Prevalence of Anaemia in Children 1 to 12 Years of Age: Results from a Nationwide Probabilistic Survey in Mexico. Salud pública de México, 45, 490-498. https://doi.org/10.1590/S0036-36342003001000005
Ewusie, J.E., Ahiadeke, C., Beyene, J. and Hamid, J.S. (2014) Prevalence of Anaemia among Under-Five Children in the Ghanaian Population: Estimates from the Ghana Demographic and Health Survey. BMC Public Health, 14, 626.
World Health Organization (1989) Preventing and Controlling Iron Deficiency Anaemia through Primary Health Care. http://wwwwhoint/nutrition/publications/micronutrients/ anaemia_iron_deficiency/9241542497.pdf.
Leite, M.S., Cardoso, A.M., Coimbra, C.E., Welch, J.R., Gugelmin, S.A., Lira, P.C.I., Horta, B.L., Santos, R.V. and Escobar, A.L. (2013) Prevalence of Anaemia and Associated Factors among Indigenous Children in Brazil: Results from the First National Survey of Indigenous People’s Health and Nutrition. Nutrition Journal, 12, 69. https://doi.org/10.1186/1475-2891-12-69
Foote, E.M., Sullivan, K.M., Ruth, L.J., Oremo, J., Sadumah, I., Williams, T.N. and Suchdev, P.S. (2013) Determinants of Anaemia among Preschool Children in Rural, Western Kenya. The American Journal of Tropical Medicine and Hygiene, 88, 757-764. https://doi.org/10.4269/ajtmh.12-0560
Heckman, J., Samie, A., Bessong, P., Ntsieni, M., Hamandi, H., Kohler, M., Milam, B., Scriver, J. and Dillingham, R. (2010) Anaemia among Clinically Well Under-Fives Attending a Community Health Centre in Venda, Limpopo Province. SAMJ: South African Medical Journal, 100, 445. https://doi.org/10.7196/SAMJ.3579
Magesa, A.S. and Magesa, P.M. (2014) Association between Anaemia and Infections (HIV, Malaria and Hookworm) among Children Admitted at Muhimbili National Hospital. East African Journal of Public Health, 9, 96-100.
El Hioui, M., Farsi, M., Aboussaleh, Y., Ahami, T., Omar, A. and Achicha, A. (2010) Prevalence of Malnutrition and Anaemia among Preschool Children in Kenitra, Morocco. Nutritional Therapy & Metabolism, 28, p.
Orish, V.N., Ansong, J.Y., Anagi, I.B., Onyeabor, O.S., Sanyaolu, A.O. and Iriemenam, N.C. (2015) Malaria and Associated Co-Morbidity in Children Admitted with Fever Manifestation in Western Ghana: A Retrospective Study. The Journal of Infection in Developing Countries, 9, 1257-1263. https://doi.org/10.3855/jidc.6316
Meinzen-Derr, J.K., Guerrero, M.L., Altaye, M., Ruiz-Palacios, G.M. and Morrow, A.L. (2004) Duration of Exclusive Breast-feeding and Risk of Anaemia in a Cohort of Mexican Infants. In: Pickering, L.K., Mor-row, A.L., Ruiz-Palacios, G.M. and Schanler, R.J. Eds., Protecting Infants through Human Milk, Springer, Boston, 395-398. https://doi.org/10.1007/978-1-4757-4242-8_49
Luo, R., Shi, Y., Zhou, H., Yue, A., Zhang, L., Sylvia, S., Medina, A. and Rozelle, S. (2014) Anaemia and Feeding Practices among Infants in Rural Shaanxi Province in China. Nutrients, 6, 5975-5991. https://doi.org/10.3390/nu6125975
Chandyo, R.K., Henjum, S., Ulak, M., Thorne-Lyman, A.L., Ulvik, R.J., Shrestha, P.S., Locks, L., Fawzi, W. and Strand, T.A. (2016) The Prevalence of Anaemia and Iron Deficiency Is More Common in Breastfed Infants than Their Mothers in Bhaktapur, Nepal. European Journal of Clinical Nutrition, 70, 456-462.
Leal, L.P., Batista Filho, M., Lira, P.I.C.D., Figueiroa, J.N. and Osório, M.M. (2011) Prevalence of Anaemia and Associated Factors in Children Aged 6-59 Months in Pernambuco, Northeastern Brazil. Revista de Saúde Pública, 45, 457-466. https://doi.org/10.1590/S0034-89102011000300003
Brugnara, C., Zurakowski, D., DiCanzio, J., Boyd, T. and Platt, O. (1999) Reticulocyte Hemoglobin Content to Diagnose Iron Deficiency in Children. Journal of American Medical Association, 281, 2225-2230. https://doi.org/10.1001/jama.281.23.2225