Evidence map›Paper›PMID 40687955›Full record

ArticleBMJ public health2025

Testing and treating anaemia in pregnant women in Bangladesh: a cross-sectional survey.

Ebony Verbunt, Mohammed Imrul Hasan, Eliza M Davidson, Shamim Ahmed, Alistair R D McLean, A M Quaiyum Rahman, Mohammad Saiful Alam Bhuiyan, S M Mulk Uddin Tipu, Bidhan Krishna Sarker, Jena D Hamadani and 4 more

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Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Ebony VerbuntCentre for Health Policy, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-5711-6715
Mohammed Imrul HasanInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Eliza M DavidsonPopulation Health and Immunity division, Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.
Shamim AhmedInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Alistair R D McLeanPopulation Health and Immunity division, Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.
A M Quaiyum RahmanInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Mohammad Saiful Alam BhuiyanInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0001-9656-182X
S M Mulk Uddin TipuInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Bidhan Krishna SarkerInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Jena D HamadaniInternational Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.
Sant-Rayn PasrichaPopulation Health and Immunity division, Walter and Eliza Hall Institute of Medical Research, Melbourne, Victoria, Australia.
Cathy VaughanGender and Women's Health Unit, Nossal Institute for Global Health, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.
Meghan A BohrenGender and Women's Health Unit, Nossal Institute for Global Health, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.
Khic-Houy PrangCentre for Health Policy, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-9194-6472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Anaemia during pregnancy is a significant public health problem, disproportionately affecting women in low-and middle-income countries. In Bangladesh, anaemia affects 38.6% of pregnant women. Although much is known about the prevention of anaemia in pregnancy, it is unknown how women are tested and treated. This study therefore aimed to describe how pregnant women in Bangladesh are tested for anaemia, including variations by social and equity dimensions. We also aimed to explore how women are treated for anaemia and use of intravenous iron in pregnancy. Methods: An interviewer-administered cross-sectional survey was conducted in Narayanganj district, Bangladesh, with analysis limited to women who had previously been pregnant (n=1000). Outcomes of interest were anaemia testing, anaemia treatment, and intravenous iron use. We undertook descriptive analyses and derived estimates and 95% confidence intervals of the percentage of pregnant women tested for anaemia stratified by education, wealth, and person making decisions around women's healthcare. Results: Approximately half of women were tested for anaemia in their previous pregnancy (505/963, 52.4%), with lower testing in women with no education (15.8%, 95% CI: 6.0 to 31.3), whose husband had no education (25.6%, 95% CI: 18.2 to 34.2), or in the poorest wealth quintile (34.0%, 95% CI: 27.4 to 41.2). Pregnant women were most commonly tested for anaemia at a private health facility (393/505, 77.8%), by a medical technologist (350/505, 69.3%), using venous full blood count (484/505, 95.8%). Most women diagnosed with anaemia in their previous pregnancy received treatment (135/142, 95.1%). In any prior pregnancies, a small number of women received intravenous iron (33/985, 3.4%). Conclusion: Our study reveals the need for substantial investments to ensure all women in Bangladesh are tested for anaemia in pregnancy. This could be achieved through increasing point-of-care testing in antenatal care. However, health facilities and health workers may need to be prepared for an increase in women diagnosed with anaemia.

Indexed as

Cross-Sectional StudiesFemalePublic Health

Identifiers

PMID40687955
PMCPMC12273131

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.