Prevalence and Determinants of Anemia and Iron Deficiency Among HIV infected Children Attending Antiretroviral Therapy Center at Black Lion Tertiary Hospital, Addis Ababa, Ethiopia.
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2016-06
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Addis Ababa University
Abstract
Background: Globally, HIV epidemic remains a serious challenge especially in children. Ongoing prenatal transmission impacts the incidence of pediatric HIV, adding to the large pool of HIV infected children in developing countries. Anemia and iron deficiency is common in HIV infected children. Objectives: To assess prevalence and to identify determinants of anemia and iron deficiency among HIV infected children visiting ART center at Black Lion Hospital. Methods: Institution-based cross sectional study was conducted among consecutively selected HIV infected children (n=108) visiting ART center from January to April 2016. The data was collected using pre-tested interview questionnaires. Dietary data was collected following a 24 hour recall. Blood sample was analyzed for hemoglobin, SGOT, SGPT, ALP, urea, crieatinin, CD4+count, serum ferritin and C-RP. In addition, anthropometrics measurement and 24hour dietary recall collected to assess their nutritional status. Result: Majority of study children lived with their parents. However; substantial number 15 (13.9%) were orphans. Iron deficiency based on ferritin level was available from 108 children, of these study population were 12 (11.1%) had law ferritin levels<12mg/l indicating iron deficiency, and 19(17.6%) were anemic. Age, treatment regimen and serum SGOT level was significantly associated with anemia and iron deficiency. Conclusion and Recommendation: Iron deficiency and anemia appear to be an important nutritional problem among HIV+ children at ART center. Therefore, effective actions aimed at the prevention and controls of this deficiency are strongly recommended in this context.
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Food and Nutritionl Science