ArticleBMJ open2021
Spatio-temporal distribution and associated factors of anaemia among children aged 6-59 months in Ethiopia: a spatial and multilevel analysis based on the EDHS 2005-2016.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 10 citations in OpenAlex.
- Spatial variability of child survival in Ethiopia: evidence from nationally representative surveys.Journal of health, population, and nutrition · 2025Article
- Mapping the covariate-adjusted spatial effects of childhood anemia in Ethiopia using a semi-parametric additive model.Frontiers in pediatrics · 2025Article
- Prevalence of and factors associated with childhood anaemia in remote villages of the Peruvian Amazon: a cross-sectional study and geospatial analysis.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2023Article
- Unimproved source of drinking water and its associated factors: a spatial and multilevel analysis of Ethiopian demographic and health survey.BMC public health · 2023Article
- Spatial variation and attributable risk factors of anaemia among young children in Uganda: Evidence from a nationally representative survey.PLOS global public health · 2023Article
- Bayesian spatio-temporal modelling of child anemia in Ethiopia using conditional autoregressive model.Scientific reports · 2022Article
- Bayesian spatio-temporal modelling and mapping of malaria and anaemia among children between 0 and 59 months in Nigeria.Malaria journal · 2022Article
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4 authors at 3 institutions in 1 country.
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Abstract
objectivesAnaemia is a global public health problem with major health and socioeconomic consequences. Though childhood anaemia is a major public health problem in Ethiopia, there is limited evidence on the spatio-temporal variability of childhood anaemia over time in the country. Therefore, this study aimed to assess the spatio-temporal distribution and associated factors of childhood anaemia using the Ethiopian Demographic and Health Survey (EDHS) data from 2005 to 2016.
designSurvey-based cross-sectional study design was employed for the EDHS.
settingData were collected in all nine regions and two city administrations of Ethiopia in 2005, 2011 and 2016.
participantsThe source population for this study was all children in Ethiopia aged 6-59 months. A total of 21 302 children aged 6-59 months were included in this study. OUTCOME MEASURE: The outcome variable was child anaemia status.
resultsThe prevalence of anaemia declined from 53.9% in 2005 to 44.6% in 2011, but it showed an increase in 2016 to 57.6%. The spatial analysis revealed that the spatial distribution of anaemia varied across the regions. The spatial scan statistics analysis indicated a total of 22 clusters (relative risk (RR)=1.5, p<0.01) in 2005, 180 clusters (RR=1.4, p<0.01) in 2011 and 219 clusters (RR=1.4, p<0. 0.01) in 2016, significant primary clusters were identified. The child's age, mother's age, maternal anaemia status, wealth index, birth order, fever, stunting, wasting status and region were significant predictors of childhood anaemia.
conclusionsIn this study, childhood anaemia remains a public health problem. The spatial distribution of childhood anaemia varied significantly across the country. Individual-level and community-level factors were associated with childhood anaemia. Therefore, in regions with a high risk of childhood anaemia, individual-level and community-level factors should be intensified by allocating additional resources and providing appropriate and tailored strategies.
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