Impact of Nutritional Health Education on Knowledge and Practices of Mothers of Anemic Children in El Othmanyia Village – Egypt

Authors

  • Ammal M. Metwally Community Medicine Research Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Giza, Egypt
  • Carine Hanna Community Medicine Research Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Giza, Egypt
  • Yasmine S. Galal Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt
  • Rehan M. Saleh Community Medicine Research Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Giza, Egypt
  • Nihad A. Ibrahim Community Medicine Research Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Giza, Egypt
  • Nargis Albert Labib Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt

DOI:

https://doi.org/10.3889/oamjms.2020.4570

Keywords:

Iron deficiency anemia, nutrition education, knowledge, 24-hour dietary recall

Abstract

BACKGROUND: In Egypt, more than one in four children suffers from some degree of anemia.

AIM: This study was carried out to assess and improve the nutritional knowledge and risky nutritional habits of the mothers of anemic children aged 2–12 years old in El Othmanyia village.

MATERIALS AND METHODS: An interventional study was conducted among anemic children aged 2–12 years old and their mothers in El Othmanyia village, Egypt. The study passed through three stages over 1 and ½ years; pre-interventional assessment of awareness (n = 350), educational interventions targeting anemic children and their mothers, and post-interventional evaluation of change in awareness and practice.

RESULTS: The mean knowledge % score of mothers increased significantly after the intervention (82.2 ± 14.2 vs. 6.3 ± 5.8, respectively). Furthermore, the mean hemoglobin of the studied children increased significantly after the intervention (11.1 ± 0.7 vs. 10.5 ± 0.7). The percent of children with anemia decreased significantly from 100% to 40.3% after the intervention (p < 0.001).

CONCLUSION: The knowledge and practices of mothers are moving in a desirable direction after the health education intervention. Hence, nutrition education is an appropriate, effective, and sustainable approach to combat iron deficiency anemia. Recommendations: A multiple interventional strategies between different ministries to set policies and guidelines that support the healthy nutritional behavior among children are recommended.

 

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References

Al Ghwass MM, Halawa EF, Sabry SM, Ahmed D. Iron deficiency anemia in an Egyptian pediatric population: A cross-sectional study. Ann Afr Med. 2015;14(1):25-31. https://doi. org/10.4103/1596-3519.148725 PMid:25567692

The FRESH Framework. Access to Health and Nutrition Services. Focusing Resources on Effective School Health (FRESH)-Health Related School Policies, Safe Water and Sanitation, and Skills Based Health Education; 2013. https://doi. org/10.4135/9781452276250.n224

Austin AM, Fawzi W, Hill AG. Anaemia among Egyptian children between 2000 and 2005: Trends and predictors. Matern Child Nutr. 2012;8(4):522-32. https://doi. org/10.1111/j.1740-8709.2011.00339.x PMid:21951327

Egypt Demographic and Health Survey. Nutrition of Children, Youth, and Women. Ch. 12. Cairo, Egypt: Egypt Demographic and Health Survey; 2014. Available from: https://www. dhsprogram.com/pubs/pdf/fr302/fr302.pdf. [Last accessed on 2019 Oct 10].

Abdel-Rasoul GM, El Bahnasy RE, El Shazly HM, Gabr HM, Abdel-Aaty NB. Epidemiology of iron-deficiency anemia among primary school children (6–11 years), Menoufia governorate, Egypt. Menoufia Med J. 2015;28:663-9. https:// doi.org/10.4103/1110-2098.165127

Tayel D, Ezzat S. Anemia and its associated factors among adolescents in Alexandria, Egypt. Int J Health Sci Res. 20155(10):260-71.

WHO, UNICEF. Focusing on Anemia: Towards an Integrated Approach for Effective Anemia Control. Geneva: World Health Organization; 2004.

Metwally AM, Saleh RM, El-Etreby LA, Salama SI, Aboulghate A, Amer HA, et al. Enhancing the value of women’s reproductive rights through community based interventions in Upper Egypt governorates: A randomized interventional study. Int J Equity Health. 2019;18(1):146. https://doi.org/10.1186/ s12939-019-1042-y PMid:31533741

Shiha G, Metwally AM, Soliman R, Elbasiony M, Mikhail NN, Easterbrook P. An educate, test, and treat programme to reduce hepatitis C in Egypt: Results from a community-based demonstration project. Lancet Gastroenterol Hepatol. 2018;3(11):778-9. https://doi.org/10.1016/ s2468-1253(18)30139-0 PMid:30030068

Metwally AM, Saad A, Ibrahim NA, Emam HM, El-Etreby LA. Monitoring progress of the role of integration of environmental health education with water and sanitation services in changing community behaviours. Int J Environ Health Res. 2007;17(1):61- 74. https://doi.org/10.1080/09603120600937856 PMid:17365081

Metwally AM, Ibrahim NA, Saad A, Abu El-Ela M. Improving the roles of rural women in health and environmental issues. Int J Environ Health Res. 2006;16(2):133-44. https://doi. org/10.1080/09603120500539208 PMid:16546806

Kim-Gregory MT. HemoCue Hb201 Hemoglobin Procedure (LTR19555); 2008. Available from: https://www.massgeneral. org/pathology/assets/pdf/hemocuehgbprocedureltr19555.pdf. [Last accessed on 2018 August 15].

Medonic M32 Analyzer. Available from: http://www.medonic.se. [Last accessed on 2018 July 22].

EPIC-Norfolk Food Frequency Questionnaire. Available from: http://www.srl.cam.ac.uk/epic/epicffq/ffq.pdf. [Last accessed on 2018 August 12].

Nelson M, Erens B, Bates B, Church S, Boshier L. 24-Hour Recall Instructions. Kings College London; 1994. Available from: http://dapa-toolkit.mrc.ac.uk/documents/en/24h/24hr_ instructions_lidns.pdf. [Last accessed on 2018 August 12].

Nutri Survey Program. Available from: http://www.nutrisurvey. de. [Last accessed on 2018 November 18].

Council for International Organizations of Medical Sciences (CIOMS), WHO. International Ethical Guidelines for Biomedical Research Involving Human Subjects; 2002. Available from: https://www.cioms.ch/revising-2002-cioms-ethical-guidelines-biomedical-research-involving-human-subjects. [Last accessed on 2017 May 14].

Nabakwe EC, Lichtenbelt W, Ngare DK. Vitamin A deficiency and anemia in young children living in a malaria endemic district of western Kenya. East Afr Med J. 2005;82(6):300-6. https://doi. org/10.4314/eamj.v82i6.9301 PMid:16175781

El Kishawi RR, Soo KL, Abed YA, Manan WA. Anemia among children aged 2-5 years in the Gaza strip-palestinian: A cross sectional study. BMC Public Health. 2015;15:319. https://doi. org/10.1186/s12889-015-1652-2 PMid:25879619

Hashizume M, Kunii O, Sasaki S, Shimoda T, Wakai S, Mazhitova Z, et al. Anemia and iron deficiency among schoolchildren in the Aral sea region, Kazakhstan. J Trop Pediatr. 2003;49(3):172-7. https://doi.org/10.1093/tropej/49.3.172 PMid:12848209

Rojhani A, Niewiadomska-Bugaj M. Nutrition education and anaemia outcome in inner city black children. J Fam Ecol Consum Sci. 2004;32:116-27. https://doi.org/10.4314/jfecs. v32i1.52860

Gitau GN, Kimiywe JO, Waudo JN, Mbithe D. Effects of nutrition education on nutrition knowledge and iron status in primary school pupils of Gatanga district, Muranga County, Kenya. Curr Res Nutr Food Sci J. 2013;1(2):115-23. https://doi.org/10.12944/ crnfsj.1.2.02

Grover K, Choudhary M. Effectiveness of long term community based nutrition intervention for prevention and management of anaemia among adolescent girls. Asian J Dairy Food Res. 2017;36(3):235-40. https://doi.org/10.18805/ajdfr.v36i03.8961

Shet AS, Zwarenstein M, Rao A. Effect of a community health worker-delivered parental education and counseling intervention on anemia cure rates in rural Indian children: A pragmatic cluster randomized clinical trial. JAMA Pediatr. 2019;173(9):826-34. https://doi.org/10.1001/jamapediatrics.2019.2087 PMid:31329246

Amani R, Soflaei M. Nutrition education alone improves dietary practices but not hematologic indices of adolescent girls in Iran. Food Nutr Bull. 2006 27(3):260-4. https://doi. org/10.1177/156482650602700309

Kumari J, Dubey RP. Impact of nutrition education on iron deficiency anaemia among college student of Banasthali University, Rajasthan. Food Sci Res J. 2016;7(1):74-9. https:// doi.org/10.15740/has/fsrj/7.1/74-79

Gitau GN, Kimiywe JO, Waudo JN. Quality nutrition education and its impact on haemoglobin levels of school pupils of Muranga County, Kenya. Int J Adv Nutr Health Sci. 2016;4(1):155-73. https://doi.org/10.23953/cloud.ijanhs.137

Ruzita A, Wan Azdie M, Ismail M. The effectiveness of nutrition education programme for primary school children. Malays J Nutr. 2007;13(1):45-54. PMid:22692188

Otoo G, Adam Y. Effect of nutrition education with an emphasis on consumption of iron-rich foods on hemoglobin levels of pregnant women in Ghana. FASEB J. 2016;30(S1): 410.2.

Abdel-Rasoul GM, Elgendyb FM, Elrazek ML. Iron deficiency anemia among preschool children (2-6 years) in a Slum area (Alexandria, Egypt): An intervention study. Menoufia Med J. 2017;30(1):213-20. https://doi.org/10.4103/1110-2098.211534

Singh M, Rajoura OP, Honnakamble RA. Anemia-related knowledge, attitude, and practices in adolescent schoolgirls of Delhi: A cross-sectional study. Int J Health Allied Sci. 2019;8(2):144-8.

Yusoff H, Daud WN, Ahmad Z. Effectiveness of nutrition education vs. non-nutrition education intervention in improving awareness pertaining iron deficiency among anemic adolescents. Iran J Public Health. 2013;42(5):467-71. PMid:23802103

Salah El-Din EM, Elabd MA, Nassar MS, Metwally AM, Abdellatif GA, Rabah TM, et al. The interaction of social, physical and nutritive factors in triggering early developmental language delay in a sample of Egyptian children. Open Access Maced J Med Sci. 2019;7(17):2767-74. https://doi.org/10.3889/ oamjms.2019.642 PMid:31844434

El-Din EM, Rabah TM, Metwally AM, Nassar MS, Elabd MA, Shaalan A, et al. Potential risk factors of developmental cognitive delay in the first two years of life. Open Access Maced J Med Sci. 2019;7(12):2024-30. https://doi.org/10.3889/oamjms.2019.566 PMid:31406549

Kandeel WA, Rabah TM, Zeid DA, El-Din EM, Metwally AM, Shaalan A, et al. Determinants of exclusive breastfeeding in a sample of Egyptian infants. Open Access Maced J Med Sci. 2018;6(10):1818-23. https://doi.org/10.3889/oamjms.2018.359 PMid:30455755

Metwally AM, Salah El-Din EM, Shehata MA, Shaalan A, El Etreby LA, Kandeel WA, et al. Early life predictors of socio-emotional development in a sample of Egyptian infants. PLoS One. 2016;11(7):e0158086. https://doi.org/10.1371/journal. pone.0158086 PMid:27379907

Monir ZA, Khalifa AG, Metwally AM, Hamid NA, Hussien HA, Salah EM. The impact of social status and school meal on psychosocial behavior in governmental primary school children in Egypt. J Appl Sci Res. 2013;9(6):3556-5.

Salah EM, Khalifa AG, Metwally AM, Hamid NA, Hussien HA, Moneer ZM. The impact of school snacks on cognitive function of primary school children in Egypt. J Appl Sci Res. 2012;8(12):5639-50.

Kaur M, Bassi R, Sharma S. Impact of nutrition education in reducing iron deficiency anaemia in adolescent girls. Indian J Fundam Appl Life Sci. 2011;1:222-8.

Mustafa A, Maulidiana AR. The effectiveness of nutrition education about local specific food-based balanced nutrition recommendation on dietary intake level and anemia status in female adolescents at the hidayatullah arrohmah Islamic boarding school malang. In: The First International Conference on Health Profession. Dubai: KnE Life Sciences; 2019. p. 23-31. https://doi.org/10.18502/kls.v4i15.5730

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Published

2020-08-30

How to Cite

1.
Metwally AM, Hanna C, Galal YS, Saleh RM, Ibrahim NA, Labib NA. Impact of Nutritional Health Education on Knowledge and Practices of Mothers of Anemic Children in El Othmanyia Village – Egypt. Open Access Maced J Med Sci [Internet]. 2020 Aug. 30 [cited 2024 Nov. 21];8(E):458-65. Available from: https://oamjms.eu/index.php/mjms/article/view/4570

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