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Regional Disparities in the Decline of Anemia and Remaining Challenges among Children in Tanzania: Analyses of the Tanzania Demographic and Health Survey 2004–2015

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  • Bruno F. Sunguya

    (School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es salaam 11103, Tanzania
    These two authors equally contribute to this article.)

  • Si Zhu

    (School of Public Health, Fudan University, Shanghai 200032, China
    Global Health Institute, Fudan University, Shanghai 200032, China
    Key Laboratory of Health Technology Assessment, National Health Commission, Shanghai 200032, China
    These two authors equally contribute to this article.)

  • Linda Simon Paulo

    (School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es salaam 11103, Tanzania)

  • Bupe Ntoga

    (Tanzania Food and Nutrition Center, Dar es salaam 11101, Tanzania)

  • Fatma Abdallah

    (Tanzania Food and Nutrition Center, Dar es salaam 11101, Tanzania)

  • Vincent Assey

    (Tanzania Food and Nutrition Center, Dar es salaam 11101, Tanzania)

  • Rose Mpembeni

    (School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es salaam 11103, Tanzania)

  • Jiayan Huang

    (School of Public Health, Fudan University, Shanghai 200032, China
    Global Health Institute, Fudan University, Shanghai 200032, China
    Key Laboratory of Health Technology Assessment, National Health Commission, Shanghai 200032, China)

Abstract

The burden of child anemia is on the decline globally but remains prevalent in low- and middle-income countries, including Tanzania. Evidence suggests regional variation and a slow pace of decline even in areas with high food production. The factors behind such decline and remaining challenges behind child anemia remain understudied in Tanzania. This secondary data analysis utilized data including 7361 and 7828 children from the Tanzania Demographic and Health Surveys (TDHS) conducted in 2004–2005 and 2015–2016 separately to examine the decline of child anemia and regional variation thereof. We used a geographic information system (GIS) to visualize the changes and differences between regions and the two study periods, and used regression analyses to examine the recent determinants of child anemia. Anemia has declined among children under five in Tanzania by 42% over a one-decade period, but remained high in relatively high food-producing regions. The risk of anemia is still higher among boys compared to girls (AOR = 1.39, p = 0.005), 41% higher among children lived in households with more than three under-five children compared to those households with only one child ( p = 0.002); lower among children whose mothers were educated ( p < 0.001) or had first given birth when aged over 25 ( p = 0.033); and 34% less among children in the wealthiest households ( p < 0.001). Efforts are needed to address social determinants of health, especially targeting women’s empowerment through decreasing the number of children and encouraging child spacing, and poverty reduction, particularly in high food producing regions.

Suggested Citation

  • Bruno F. Sunguya & Si Zhu & Linda Simon Paulo & Bupe Ntoga & Fatma Abdallah & Vincent Assey & Rose Mpembeni & Jiayan Huang, 2020. "Regional Disparities in the Decline of Anemia and Remaining Challenges among Children in Tanzania: Analyses of the Tanzania Demographic and Health Survey 2004–2015," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3492-:d:359227
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    References listed on IDEAS

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    1. Mark E. McGovern & Aditi Krishna & Victor M. Aguayo & S.V. Subramanian, 2017. "A Review of the Evidence Linking Child Stunting to Economic Outcomes," CHaRMS Working Papers 17-03, Centre for HeAlth Research at the Management School (CHaRMS).
    2. Angesom Gebreweld & Neima Ali & Radiya Ali & Temesgen Fisha, 2019. "Prevalence of anemia and its associated factors among children under five years of age attending at Guguftu health center, South Wollo, Northeast Ethiopia," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-13, July.
    3. Qiping Yang & Tong Yuan & Lina Yang & Jiaojiao Zou & Meimei Ji & Yefu Zhang & Jing Deng & Qian Lin, 2019. "Household Food Insecurity, Dietary Diversity, Stunting, and Anaemia among Left-Behind Children in Poor Rural Areas of China," IJERPH, MDPI, vol. 16(23), pages 1-13, November.
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    1. Eunice Turawa & Oluwatoyin Awotiwon & Muhammad Ali Dhansay & Annibale Cois & Demetre Labadarios & Debbie Bradshaw & Victoria Pillay-van Wyk, 2021. "Prevalence of Anaemia, Iron Deficiency, and Iron Deficiency Anaemia in Women of Reproductive Age and Children under 5 Years of Age in South Africa (1997–2021): A Systematic Review," IJERPH, MDPI, vol. 18(23), pages 1-17, December.

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