Early home-based recognition of anaemia via general danger signs, in young children, in a malaria endemic community in north-east Tanzania.

Abstract:

BACKGROUND:Ethnographic studies from East Africa suggest that cerebral malaria and anaemia are not classified in local knowledge as malaria complications, but as illnesses in their own right. Cerebral malaria 'degedege' has been most researched, in spite of anaemia being a much more frequent complication in infants, and not much is known on how this is interpreted by caretakers. Anaemia is difficult to recognize clinically, even by health workers. METHODS:Ethnographic longitudinal cohort field study for 14 months, with monthly home-visits in families of 63 newborn babies, identified by community census, followed throughout April - November 2003 and during follow-up in April-May 2004. Interviews with care-takers (mostly mothers) and observational studies of infants and social environment were combined with three haemoglobin (Hb) screenings, supplemented with reports from mothers after health facility use. RESULTS:General danger signs, reported by mothers, e.g. infant unable to breast-feed or sit, too weak to be carried on back - besides of more alarming signs such as sleeping all time, loosing consciousness or convulsing - were well associated with actual or evolving moderate to severe anaemia (Hb

journal_name

Malar J

journal_title

Malaria journal

authors

Ringsted FM,Bygbjerg IC,Samuelsen H

doi

10.1186/1475-2875-5-111

subject

Has Abstract

pub_date

2006-11-20 00:00:00

pages

111

issn

1475-2875

pii

1475-2875-5-111

journal_volume

5

pub_type

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