Building on Uganda's Progress in Reducing Anemia

28 Pages·2013·1.36 MB·English

Building on Uganda’s Progress
in Reducing Anemia: From
Evidence to Action
Jack Fiedler, Deepali Godha, Manisha Tharaney,
Jolene Wun, Alex Mokori, Sarah Ngalombi
Presentation Outline
• Anemia Situation in Uganda
• Rationale for the Anemia Landscape
Analysis
• Methods
• Findings of the Study
• National Stakeholder Meeting
• Next Steps
2
Anemia in Uganda
• Major public health
issue for many years
• Earliest national
survey in 2001:
– 71% of children <5
years
– 37% of women of
reproductive age
• 2002- National
Anemia Policy
3
Trends in Anemia in Uganda
Children (6-59m) and Non-Pregnant Women (15-49y)
6-59m Women 15-49y
80
72 73
)
%
70
(

a
i
m 60
+1%
e 50
n
A 50
41

f -32%
o 36
40
e
c -32%
n
e 30 23
l
a +14%
v
e 20
r
P -44%
10
0
2000/01 2006 2011
Women’s anemia rates have been about half the rate of children,
and have fluctuated relatively more over the 10 year period.
4
Rationale for the Analysis
• To assess the plausibility of key anemia
prevention and control programs that may
have contributed to the decline among
women and children
• To stimulate cross-program and multi-
sectoral discussion around anemia
programing
• To develop consensus about which
programs may have been the largest
contributors

5
Data: Uganda Demographic
and Health Surveys
• DATABASE: 3 Household surveys 2001,2006 and
2011 conducted by the Uganda Bureau of
Statistics (UBOS)
• SAMPLE: stratified, two-stage cluster
– 2000/01: 7,885 households
– 2006: 8,807 households
– 2011: 10,086 households
• REPRESENTATIVENESS: Provides estimates of
population and health indicators:
– Nationwide,
– By rural and urban areas
– By regions (definitions change over time)

6
Sample Analyzed
UDHS Population 2001 2006 2011
Women 15-49 years
Not pregnant at the 7988 3505 3208
time of survey
Had at least one birth 7609 3320 2918
at the time of the
survey
Children 6-59 months
Children 6-23 months 2122 2367 2218
Children 24-59 months 3561 4415 4340
7
Changes in the Prevalence of Childhood Anemia
by Region

m
90
9
81
5
78
-
6 80 72 73
n
e
r 70 63
d 62
l
i
h
C 60 52 54
50
n
i
a 50
i
m
e 40
n 31
A
f 30
o
-20 ppt -19 ppt -24 ppt -32 ppt -23 ppt
e
c 20
n
e
l
a 10
v
e
r
P 0
Central Eastern Northern Western Nationwide
2006 2011
The largest gains were in Western—where rates were already the
lowest—and in Northern Region.
Note: ppt = percentage points 8
Changes in the Prevalence of Childhood Anemia
by Mothers' Educational Attainment

m
76
80
9 74
5
- 69 2006 2011
6
70
n
e
r 59
d
60
l
hi 52
50
C
46
n 50
i 42

a
i
m
40
e
n
A
30
f
o

e
c 20
n
e
l
a
v 10
e
r
P
0
no education primary secondary higher
Educational Attainment of Mother
Differences in anemia prevalence by educational level narrowed.
The uneducated had the largest reductions.
Note: ppt = percentage points 9
Changes in the Prevalence of Childhood Anemia
by Household Wealth Quintile
90

m 80
9 2006 2011
75
5 80 73 74
-
6

n 70
e 62 61
r
d
hil 60 53 52
C

n 50
i 42

a 38
i
m 40
e
n
A 30

of -21 ppt -32 ppt -23 ppt
e 20
c
n
e
10
l
a
v
e
r 0
P
poorest poorer middle richer richest
Household Wealth Quintile
Differences in the anemia prevalence rates by household wealth grew.
The two richest quintiles’ rates fell to about 40%, others remained above 50%
Note: ppt = percentage points 10