Morphological patterns of anemia among children aged 6 to 59 months attending Maputo Central Hospital, Maputo City Province, Mozambique
 
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1
Global Health and Tropical Medicine, GHTM, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, Lisboa, Portugal
 
2
Instituto Nacional de Saúde, INS, Ministério da Saúde, MISAU, Maputo, Mozambique
 
3
Independent Consultant, Deutsche Gesellschaft fur Internationale Zusammenarbeit, Bamako, Mali
 
4
Hospital CUF Descobertas, Lisboa, Portugal
 
5
Faculdade de Ciências Medicas|NOVA Medical School, Universidade Nova de Lisboa, Lisboa, Portugal
 
 
Publication date: 2023-04-26
 
 
Popul. Med. 2023;5(Supplement):A1092
 
ABSTRACT
Background and Objective:
Globally, childhood anemia is a public health concern as it leads to poor health, physical and mental growth retardations, and increased risk of morbidity and mortality. This study aimed to access morphological patterns and associated factors of anemia among children aged 6 to 59 months at Maputo Central Hospital, Maputo City Province, Mozambique.

Methods:
A cross-sectional health-facility study was conducted from August 2020 to January 2022 among 400 children aged 6 to 59 months attending internal and external Pediatrics consultations at the Maputo Central Hospital. Data from clinical record sheets and child’s health cards on sociodemographic factors and clinical history were collected using a structured questionnaire. The cut-off values for anemia based on the mean corpuscular volume (MCV) were: microcytic (MCV 100fL). We performed descriptive analyses and chi-square tests using SPSS 28.0 software.

Results:
The magnitude of microcytic, normocytic, and macrocytic anemia was 82.2% (313/381), 17.3 %(66/381), and 0.5% (2/381), respectively. Male children were more affected by microcytic (60.0%; 186/310) and macrocytic (100.0; 2/2) anemia. Children living in rural areas were more commonly affected by microcytic (57.4%,174/303) and normocytic (59.7%, 37/62) anemia. Children whose caregivers had a secondary education level were commonly affected by microcytic (47.9%, 148/309) and normocytic (47.0%, 31/66) anemia. The child’s age was associated with morphological patterns of anemia, with higher rates of microcytic (47.9%,150/313), normocytic (69.7%, 46/66), and macrocytic (100.0%; 2/2) anemia being observed in children aged 24 to 59 months.

Conclusion:
The occurrence of microcytic and normocytic was high among male children, who were living in rural areas, whose caregivers had a secondary education level, and children aged 24 to 59 months. Macrocytic anemia was more common among male children. Helpful interventions include reinforcing the promotion of healthy eating practices and improving the capacity for diagnosing.

ISSN:2654-1459
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