What is it about?

This study investigates the spatial variation and risk factors of childhood anaemia in four contiguous sub-Saharan African countries, namely Kenya, Malawi, Tanzania and Uganda. The spatial variation is assessed according to the sampled cluster in which the child resides. The study revealed significant spatial variation within and between the counties/districts of the four countries. In addition, the study made use of an appropriate statistical method to be able to rank the performance of the districts with regard to anaemia risk.

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Why is it important?

The existence of significant spatial variation within and between the districts of the countries means that further research into the local district-specific drivers of childhood anaemia should be focused on, especially as a one size-fits-all strategy for anaemia control would not benefit these countries with such spatial variation present. The ranking of each district’s performance with regard to their impact on childhood anaemia, after controlling for known sources of individual, household, and spatial variation, allowed the worst performing districts to be identified and targeted for action, as well as the best performing districts to be identified for further investigation so as to be used as examples in the fight against childhood anaemia.

Perspectives

Anaemia is responsible for much of the morbidity and mortality in young children residing in sub-Saharan African countries. The multifactorial nature of the causes of childhood anaemia make it difficult to implement successful anaemia control programs. In addition, these causes vary spatially which then significantly influences the pattern of anaemia prevalence and risk in children within a country. Therefore, a more solid understanding of childhood anaemia in local settings is required so that control programs can be tailored for such settings. In particular, the use of spatial modelling can aid in identifying regions of high prevalence and risk, thus allowing for a more targeted application of limited resources.

Danielle Jade Roberts
University of KwaZulu-Natal

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This page is a summary of: District Effect Appraisal in East Sub-Saharan Africa: Combating Childhood Anaemia, Anemia, November 2019, Hindawi Publishing Corporation,
DOI: 10.1155/2019/1598920.
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