International Journal of Research and Reports in Hematology

Assessing the Knowledge, Practice, and Health Beliefs of Primary School Students in Bangladesh Regarding the Prevention of Iron Deficiency Anemia

Md. Moniruzzaman Roky

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Sazin Islam *

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Sharmin Akter

Central Medical College, Cumilla-3500, Bangladesh.

Md. Mehedi Hasan

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Jewel Rana

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Waly Ullah

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

Md. Shariful Islam

Department of Public Health, First Capital University of Bangladesh, Chuadanga-7200, Bangladesh.

*Author to whom correspondence should be addressed.

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Abstract

Background: Iron deficiency anemia (IDA) is a condition where the body lacks enough hemoglobin or red blood cells, and is the leading global cause of anemia. It affects 40-50% of students in impoverished and emerging nations, compared to 6-20% in affluent nations. The main causes of IDA are poor food quality and reduced dietary iron bioavailability. Students with IDA may experience symptoms such as pale complexion, weakness, and difficulty breathing, as well as cognitive issues such as anxiety, irritability, and a decline in cognitive function. IDA can be treated with an iron-rich diet, oral iron therapy, or iron supplements. The aim of this study is to assess primary school students' knowledge, practice, and beliefs about IDA prevention and to determine the effectiveness of an education program on these factors.

Aim and Objectives: The study aims to assess the knowledge, practice, and health beliefs of primary school students regarding the prevention of iron deficiency anemia in order to understand the current state of these factors and identify potential areas for improvement.

Method: In this study, a descriptive design was used to assess the knowledge, practice, and health beliefs of primary school students in Chuadanga, Bangladesh regarding the prevention of iron deficiency anemia. A sample of 300 students was selected through a multi-stage random sampling technique and data was collected using a structured interview questionnaire. The knowledge, practice, and health beliefs of the students were scored and classified as good/average/poor, satisfactory/unsatisfactory, and positive/neutral/negative, respectively. Statistical analysis was performed using SPSS and the results were presented in the form of frequencies, percentages, means, and standard deviations.

Results: The results showed that the majority of the students were aged 11-12 years and came from families with relatively low levels of education and income, with parents primarily employed or engaged in farming or free business. The results also showed that there was a significant relationship between the knowledge of the students about iron deficiency anemia and several factors, including gender, father's and mother's education, mother's occupation, place of residence, and family income. These results suggest that students who come from more educated and urban families, and whose mothers are housewives, are more likely to have satisfactory knowledge about this health issue. Further research is needed to explore these associations and identify potential interventions to improve the knowledge of primary school students about the prevention of iron deficiency anemia.

Conclusion: The study found significant associations between the students' knowledge, practice, and health beliefs with demographic and socio-economic factors. The study recommends interventions to improve the students' knowledge, practice, and health beliefs, especially for those from disadvantaged backgrounds. It suggests educational programs, targeted health messages, and efforts to improve the availability and accessibility of iron-rich foods, providing information on causes, symptoms and consequences of iron deficiency anemia, providing iron-rich foods and supplements, collaborating with local health authorities and schools to implement programs and conducting further research to explore specific factors that influence the knowledge, practice and health beliefs of primary school students regarding iron deficiency anemia and identifying effective interventions to address these issues.

Keywords: Iron deficiency anemia, hemoglobin levels, primary school

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References

World Health Organization. Iron deficiency anemia assessment, prevention and control′: A guide for programmed managers. Geneva: WHO; 2019.

Bensley RJ, Brookins-Fisher J. Community health education methods: A practical guide (2nd Ed.). Sudbury: Jones & Bartlett; 2019.

United Nations International Children′s Fund UNICEF. Child info. Monitoring of the situation related iron deficiency anemia was of students; 2020.

Available:http: /www.childinfo.org/

Access on 18 July 2020

Soliman G, Azmi M, El Said S. Prevalence of anemia in Egypt (Al-Gharbia Governorate). Egypt J Hosp Med. 2020;28: 395-305. .

Al-Othaimeen A. Osman AK, Al Orf S. Prevalence of nutritional anemia among primary school girls in Riyadh city, Saudi Arabia. Int J Food Sic Nut. 2019;50:237-243.

Fadila A, Mona A, Fatema S, Fasila A. Prevalence and associated factors of iron deficiency anemia among Kuwait children. Bull Alex Fac Med. 2019;42:110-143.

Mohamed A, Abo-donia A. Contributing factors of iron deficiency anemia among children less than 12 years attending family health centers in Alexandria. NY Sic J. 2019;4:35.

DeOnis M. Onyango AW. Broeck J, Chumlea WC. Measurement and standardization protocols for anthropometry used in the construction of a new international growth reference. Food Nut Bull. 2019;25:S27-S36.

Skikne BS, Punnonen K, Caldron PH, Bennett MT. Improved differential diagnosis of anemia of chronic disease and iron deficiency anemia: A prospective multicenter evaluation of soluble transferring receptor and the sTfR/log ferritin index. In J Hematology. 2019;86: 923-927.

Elalfy MS, Hamdy M, Abdel Maksoud S. Pattern of milk feeding and family size as risk factors for iron deficiency anemia among poor Egyptian students 6 to 12 years old. Nut Res. 2020;32:93-99.

Champion VL. Revised susceptibility, benefits, barrier scale for mammography screening. Res Nurs Health. 1999;22:341–348.

Baker RD, Greer FR. Clinical report: diagnosis and prevention of iron deficiency and iron deficiency anemia in infants and young children (6-12 years of age). Pediatrics. 2019;126:1040-1050.

Eke N, Nkanginieme KE. Female genital mutilation: A global bug that should not cross the millennium bridge. World Journal of Surgery. 2020;10:1082–1086.

Saffari D, Shojaeizadeh A, Heydarnia M, Pakpour l. Prevalence of iron deficiency anemia between primary students suffering from iron deficiency anemia in Iraq. Sobhan Press, Tehran. 2018:9-38.