of Dietary diversity and other intervention in prevalence and determinants of
anaemia amongst tea tribe adolescent girls.
A community based
before after intervention study was conducted covering 16 tea estates of
Dibrugarh District, Assam.
socio-demographic, environmental, anthropometry, history of present and past
illness, clinical examination and laboratory investigation including
haemoglobin, serum ferritin, haemoglobin typing and routine stool examination
and dietary survey using 24 hour recall method and food frequency
questionnaire. Interventions given were dietary diversification, health
promotion by monthly NHED, cooking demonstration, cooking competition and
kitchen garden promotion and counselling to improve IFA compliance and remove
barriers and directly observed weekly IFA supplementation. SPSS and EpiInfo
software, used to calculate of rates, ratios, chi-square test, Fisher Exact
test and multiple logistic regression analysis.
Enrolments were 802,
with mean age, 14.8 years. Anaemia prevalence was 96.3% with median serum
ferritin, 22.9 ng/ml. Prevalence of Sickle cell anaemia was,12% and
helminthiasis 84.20%, night blindness (5.6%), weakness (62.1%), loss of
appetite (37.5%), gum bleeding (23.6%), loose motion (13%), loss of weight
(9.9%), menstrual problem (19.3%) was common. Following intervention mean haemoglobin
difference was 1.48 gm/dl with 13.5% difference in prevalence. Significant
association found with worm infestation, lower serum ferritin, insanitary
water-sanitation facility and extra salt use, indicating infection, infestation
and iron deficiency as major cause of anaemia. Dietary diversification found
High anaemia prevalence
requires urgent attention. Implementation of different intervention in an
integrated manner was found effective.
diversification, Anaemia, tea tribe, adolescent girls, Iron folic acid
supplementation (IFA), Assam.
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