Anemia issue and challenges. Presenter - Akash Ranjan Moderator- Dr Ranjan Solanki. Anemia- The number of Red Blood Cells, and consequently their Oxygen carrying capacity, is insufficient to meet the body’s physiological need. Diagnosis:.
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Presenter - AkashRanjan
Anemia- The number of Red Blood Cells, and consequently their Oxygen carrying capacity, is insufficient to meet the body’s physiological need
Source: : Haemoglobin concentration for the diagnosis of anaemia any assessment of severity. WHO
South- East Asia Region:
Source: WHO Global Database on Anaemia
Source: NFHS-2, NFHS-3
Source: NFHS 3
*National Nutrition Monitoring Bureau Survey (NNMBS), 2006
Source: NFHS-3, 2005-06
The WHO 2002 Report titled “Preventing Risks and Promoting Healthy Life”, mentioned iron deficiency as one of the top 10 preventable risks to disease disability and death in the world today.
Impact of Anaemia on
Results in to Because that
Raise ability to
care for family
More energy and better health
More work capacity
so more income
In 1990, Dr B S NarsingaRao (Former Director of NIN ) suggested “Iron dosage to anaemic pregnant women should be 120 mg/day,improve the appearance of the tablet, Better linkages between the ICDS and the health system, selected groups at risk & need to augment dietary intake of iron
Aim- To decrease the incidence of anemia among the
vulnerable sections of the population
What is important and needs to be emphasized is that universal intervention need not wait until this screening, and that screening is done primarily with the aim of finding children afflicted with severe anaemia that may not be corrected with the current program and would need specific treatment.
2013: Taking cognizance of ground realities the MoHFWtook a policy decision to develop the National Iron+ Initiative.
The campaign has been built around benefits of IFA supplementation and healthy eating
ASHAs and ANMs will screen children from 6 months up to 5 years of age for signs of anaemia throug opportunistic screening at
• Immunisation sessions
• House-to-house visits by ASHAs for biweekly IFA supplementation
• Sick child coming to health facility (SC/PHC)
1. Guideline for Control of Iron Deficiency Anaemia, National Iron+ Initiative. In: Division A, editor. New Delhi: Ministery of Health and Family Welfare, Government of India; 2013.
2. Iron Deficiency Anaemia Assessment, Prevention and Control: A guide for Programme managers. Geneva: World Health Organization; 2001.
3. WHO. Guideline: Daily iron and folic acid supplementation in pregnant women. Geneva, World Health Organization, 2012
4. WHO. Guideline: Intermittent iron and folic acid supplementation in non-anaemic pregnant women. Geneva, World Health Organization, 2012
5. WHO. Guideline: Intermittent iron and folic acid supplementation in menstruating women. Geneva, World Health Organization, 2011
6. WHO. Guideline: Intermittent iron supplementation in preschool and school-age children. Geneva, World Health Organization, 2011
7.Vijayaraghavan K, Brahmam GN, Nair KM, Akbar D, Rao NP. Evaluation of national nutritional anemia prophylaxis programme. Indian journal of pediatrics. 1990 Mar-Apr;57(2):183-90. PubMed PMID: 2246014.
9. Sood SK, Ramachandran K, Mathur M, et al. WHO sponsored collaborative studies on nutritional anaemia in India. Q J Med. 1975; 44:241–258.
10. ICMR (1989); Report of a Task Force Studies on the evaluation of National Anaemia Prophylaxis Programme.
11. Kotecha PV, Nutritional Anemia in Young Children with Focus on Asia and India. Indian J Community Med. 2011 Jan-Mar; 36(1): 8-16
12. Hyderabad, India: Indian Council of Medical Research; 2003. NNMB. National Nutrition Monitoring Bureau: Prevalence of Micronutrient Deficiencies: NNMB Technical Report No. 22, National Institute of Nutrition.
We need to bridge the gap between our desire to control/ reduce the anemia and our lack of action and apathy toward implementing an effective program in anemia control.