Skip to main content

Interventional Strategies for Prevention of Nutritional Anemia

  • Chapter
  • First Online:
Nutritional Anemia in Preschool Children
  • 665 Accesses

Abstract

Iron supplementations are the iron formulations in the form of tablets, syrups, capsules or injections recommended by physicians to prevent and/or treat iron deficiency anemia. It is the effective technique to combat iron deficiency anemia among vulnerable population in developing countries. Iron and folic acid (IFA) supplementation has been advocated as a measure to resolve the nutritional deficiency in the target population at a national level. Food fortification is the food enrichment method with the micronutrients. It might help improve the micronutrient status of the target population provided the fortified foods should be easily accessible and affordable and must be available at the local distribution network. Dietary pattern and selection of foods from the food groups should be so as to balance the presence of iron absorption inhibitors and enhancers. Albendazole, an antihelminthic drug, is suggested for deworming of children. Infants up to 6 months of age should be fed on breast milk. It provides immunity to the child and reduces the prevalence of diarrhoeal episodes. Hand washing, defecation in latrines and safe and proper disposal of human excreta are other good practices that help prevent and/or minimize diarrhoeal episodes in children.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Albonico M, Bickle Q, Haji HJ, Ramson M, Khatib KJ, Montresor A, Savioli L, Taylor M (2002) Evaluation of the efficacy of pyrantel-oxantel for the treatment of soil-transmitted nematode infections. Trans R Soc Trop Med Hyg 96:685–690

    Article  CAS  PubMed  Google Scholar 

  • Albonico M, Bickle Q, Ramsan M, Montresor A, Savioli L, Taylor M (2003) Efficacy of mebendazole and levamisole alone or in combination against intestinal nematode infections after repeated targeted mebendazole treatment in Zanzibar. Bull World Heath Organ 81:343–352

    CAS  Google Scholar 

  • Albonico M, Montresor A, Crompton DW, Savioli L (2006) Intervention for the control of soil-transmitted helminthiasis in the community. Adv Parasitol 61:312–348

    Google Scholar 

  • Amadi B (2001) Intestinal and systemic infection, HIV, and mortality in Zambian children with persistent diarrhoea and malnutrition. J Pediatr Gastroenterol Nutr 32:550–554

    Article  CAS  PubMed  Google Scholar 

  • Barreto M, Genser B, Strina A, Teixeira MG, Assis AMO, Rego RF (2007) Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies. Lancet 370:1622–1628

    Article  PubMed  PubMed Central  Google Scholar 

  • Barreto ML, Genser B, Strina A, Teixeira MG, Assis AM, Rego RF, Teles CA, Prado MS, Matos S, Alcântara-Neves NM (2010) Impact of a citywide sanitation program in Northeast Brazil on intestinal parasites infection in young children. Environ Health Perspect 118(11):1637–1642

    Article  PubMed  PubMed Central  Google Scholar 

  • Bern C, Martines J, de Zoyza I, Glass RI (1992) The Magnitude of global problem of diarrhoeal disease: a ten year update. Bull World Health Organ 70(6)

    Google Scholar 

  • Boschi-Pinto C, Velebit L, Shibuya K (2008) Estimating child mortality due to diarrhoea in developing countries. Bull World Health Organ 86:710–717

    Article  PubMed  PubMed Central  Google Scholar 

  • Bull FC, Holt CL, Kreuter MW, Clark EM, Scharff D (2001) Understanding the effects of printed health education materials: which features lead to which outcomes? J Health Commun 6:265–279

    Article  CAS  PubMed  Google Scholar 

  • Bundy DA, Wong MS, Lewis LL, Horton J (1990) Control of geohelminths by delivery of targeted chemotherapy through schools. Trans R Soc Trop Med Hyg 81:115–120

    Article  Google Scholar 

  • Cairncross S, Blumenthal U, Kolsky P, Moraes L, Tayeh A (1996) The public and domestic domains in the transmission of disease. Tropical Med Int Health 1:27–34

    Article  CAS  Google Scholar 

  • Centers for Disease Control and Prevention (1992) The management of acute diarrhea in children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep 41(RR-16):001

    Google Scholar 

  • Chan L, Kan SP, Bundy DA (1992) The effect of repeated chemotherapy on the prevalence and intensity of Ascaris lumbricoides and Trichuris trichiura infection. Southeast Asian J Trop Med Public Health 23(2):228–234

    CAS  PubMed  Google Scholar 

  • Chokephaibulkit K (2001) Intestinal parasitic infections among human immunodeficiency virus infected and -uninfected children hospitalized with diarrhoea in Bangkok, Thailand. Southeast Asian J Trop Med Public Health 32:770–775

    CAS  PubMed  Google Scholar 

  • Claeson M, Merson MH (1990) Global progress in the control of diarrheal diseases. Pediatr Infect Dis J 9:345–345

    Article  CAS  PubMed  Google Scholar 

  • Cohen MB (1991) Etiology and mechanisms of acute infectious diarrhea in infants in the United States. J Pediatr 118:S34–S39

    Article  CAS  PubMed  Google Scholar 

  • Fernando MA, Balasuriya S (1976) Prevalence of soil-transmitted helminths in the Hindagala community health project area. Ceylon Med J 21(3):177–183

    CAS  PubMed  Google Scholar 

  • Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM Jr (2005) Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis 5:42–52

    Article  PubMed  Google Scholar 

  • Fosberg BC, Petzold MG, Tomson G, Allebeck P (2007) Diarrhoea case management in low- and middle-income countries—an unfinished agenda. Bull World Health Organ 85:42–48

    Article  Google Scholar 

  • Gangarosa RE, Glass RI, Lew JF, Boring JR (1985) Hospitalization involving gastroenteritis in United States,1985: the special burden of disease among the elderly. Am J Epidemiol 135:281–290

    Article  Google Scholar 

  • Glass RI, Lew JF, Gangarosa RE, LeBaron CW, Ho MS (1991) Estimates of morbidity and mortality rates for diarrheal diseases in American children. J Pediatr 118:S27–S33

    Article  CAS  PubMed  Google Scholar 

  • Henry FJ (1988) Re-infection with Ascaris lumbricoides after chemotherapy: a comparative study in three villages with varying sanitation. Trans R Soc Trop Med Hyg 82:460–464

    Article  CAS  PubMed  Google Scholar 

  • Henry FJ, Huttly SR, Ahmed MU, Alam A (1993) Effect of chemotherapy in slums and villages in Bangladesh. Southeast Asian J Trop Med Public Health 24:307–312

    CAS  PubMed  Google Scholar 

  • Hirschhorn N (1980) The treatment of acute diarrhea in children: an historical and physiological perspective. Am J Clin Nutr 33:637–663

    CAS  PubMed  Google Scholar 

  • Ho MS, Glass RI, Pinsky PF (1988) Diarrheal deaths in American children – are they preventable? JAMA 260:3281–3285

    Article  CAS  PubMed  Google Scholar 

  • Hong SH, Misek DE, Wang H, Puravs E, Hinderer R, Giordano TJ (2006) Identification of a specific vimentin isoform that induces an antibody response in pancreatic cancer. Biomark Insights 1:175–183

    PubMed  Google Scholar 

  • Hotez PJ, Bottazzi ME, Franco-Paredes C, Ault SK, Periago MR (2008) The neglected tropical diseases of Latin America and the Caribbean: a review of disease burden and distribution and a roadmap for control and elimination. PLoS Negl Trop Dis 24:2–300

    Google Scholar 

  • Kabatereine NB, Tukahebwa E, Kazibwe F, Namwangye H, Zaramba S, Brooker S, Stothard JR, Kamenka C, Whawell S, Webster JP (2006) Progress towards countrywide control of schistosomiasis and soil-transmitted helminthiasis in Uganda. Trans R Soc Trop Med Hyg 100(3):208–215

    Article  PubMed  Google Scholar 

  • Korkes F, Kumagai FU, Belfort RN, Szejnfeld D, Abud TG, Kleinman A, Florez GM, Szejnfeld T, Chieffi PP (2009) Relationship between intestinal parasitic infection in children and soil contamination in an urban slum. J Trop Pediatr 55(1):42–45

    Article  PubMed  Google Scholar 

  • Kosek M, Bern C, Guerrant R (2003) The global burden of diarrhoeal disease as estimated from studies published between 1992 and 2000. Bull World Health Organ 81:197–204

    PubMed  PubMed Central  Google Scholar 

  • Kreuter MW, Wray RJ (2003) Tailored and targeted health communication: strategies for enhancing information relevance. Am J Health Behav Suppl 3:S227–S232

    Article  Google Scholar 

  • Kreuter MW, Oswald DL, Bull FC, Clark EM (2000) Are tailored health education materials always more effective than non-tailored materials? Health Educ Res 15(3):305–315

    Article  CAS  PubMed  Google Scholar 

  • Mascarini-Serra L (2011) Prevention of soil-transmitted helminth infection. J Glob Infect Dis 3(2):175–182

    Article  PubMed  PubMed Central  Google Scholar 

  • Mascarini-Serra LM, Telles CA, Prado MS, Mattos SA, Strina A, Alcantara-Neves NM, Barreto ML (2010) Reductions in the prevalence and incidence of geohelminth infections following a city-wide sanitation program in a Brazilian Urban Centre. PLoS Negl Trop Dis 4(2):e588

    Article  PubMed  PubMed Central  Google Scholar 

  • Ministry of Health and Family Welfare, Government of India (2013) Guidelines for control of iron deficiency anemia: national iron + initiative. MoHFW, New Delhi

    Google Scholar 

  • Molla AM, Rahaman M, Sarker SA (1981) Stool electrolyte content and purging rates in diarrhea caused by rotavirus, enterotoxigenic E. coli and V. cholerae in children. J Pediatr 98:835–838

    Article  CAS  PubMed  Google Scholar 

  • Moraes LR, Cairncross S (2004) Environmental interventions and the pattern of geohelminth infections in Salvador, Brazil. Parasitology 129(Pt 2):223–232

    Article  CAS  PubMed  Google Scholar 

  • Moraes LR, Cancio JA, Cairncross S, Huttly S (2003) Impact of drainage and sewerage on diarrhoea in poor urban areas in Salvador, Brazil. Trans R Soc Trop Med Hyg 97(2):153–158

    Article  CAS  PubMed  Google Scholar 

  • Moraes LR, Cancio JA, Cairncross S (2004) Impact of drainage and sewerage on intestinal nematode infections in poor urban areas in Salvador, Brazil. Trans R Soc Trop Med Hyg 98:197–204

    Article  CAS  PubMed  Google Scholar 

  • Murray CJL, Lopez AD, Mathers CD, Stein C (2001) The global burden of disease 2000 project: aims, methods and data sources. Geneva WHO

    Google Scholar 

  • Narain K, Medhi GK, Rajguru SK, Mahanta J (2004) Cure and reinfection patterns of geohelminthic infections after treatment in communities inhabiting the tropical rainforest of Assam, India. Southeast Asian J Trop Med Public Health 35(3):512–517

    CAS  PubMed  Google Scholar 

  • O’Cathain A, Walters SJ, Nicholl JP, Thomas KJ, Kirkham M (2002) Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice. Br Med J 324:643

    Article  Google Scholar 

  • Pierce NF, Hirschhorn N (1977) Oral fluid is a simple weapon against dehydration: how it works and how to use it. WHO Chron 31:87–93

    CAS  PubMed  Google Scholar 

  • Pizarro D, Posada G, Villavicencio N (1983) Oral rehydration in hypernatremic and hyponatremic diarrheal dehydration: treatment with oral glucose/electrolyte solution. Am J Dis Child 137:730–734

    Article  CAS  PubMed  Google Scholar 

  • Ram PK (2008) Declines in case management of diarrhoea among children less than five years old. Bull World Health Organ 86:161–240

    Article  Google Scholar 

  • Rohde JE, Northrup RS (2008) Taking science where disease is. CIBA Found Symp 42:339–358

    Google Scholar 

  • Sack DA, Rhoads M, Molla A (1982) Carbohydrate malabsorption in infants with rotavirus diarrhea. Am J Clin Nutr 36:1112

    CAS  PubMed  Google Scholar 

  • Soeripto N (1991) Reinfection and infection rates of soil-transmitted-helminths in Kemiri Sewu, Yogyakarta, Indonesia. Southeast Asian J Trop Med Public Health 22(2):216–221

    CAS  PubMed  Google Scholar 

  • Sorensen E, Ismail M, Amarasinghe DK, Hettiarachchi I, Dassenaieke CT (1994) The effect of the availability of latrines on soil-transmitted nematode infections in the plantation sector in SriLanka. Am J Trop Med Hyg 51:36–39

    Article  CAS  PubMed  Google Scholar 

  • Steinmann P, Yap P, Utzinger J, Du ZW, Jiang JY, Chen R, Wu FW, Chen JX, Zhou H, Zhou XN (2015) Control of soil-transmitted helminthiasis in Yunnan province, People’s Republic of China: experiences and lessons from a 5-year multi-intervention trial. Acta Trop 141(Pt B):271–280

    Article  PubMed  Google Scholar 

  • Stephenson LS, Holland CV, Cooper ES (2000) The public health significance of Trichuris trichiura. Parasitology 121(Suppl):S73–S95

    Article  PubMed  Google Scholar 

  • Stoltzfus RJ, Dreyfuss ML (1998) Guidelines for the use of iron supplements to prevent and treat iron deficiency anemia. International Nutritional Anemia Consultative Group (INACG), ILSI PRESS, Washington, DC

    Google Scholar 

  • Synder JD, Merson MH (1982) The magnitude of global problem of acute diarrhoeal disease: A review of acute surveillance data. Bull World Health Organ 10:605–613

    Google Scholar 

  • Thea D, Qazi S (2008) Neonatal mortality—4 million reasons for progress. Lancet 371:1893–1895

    Article  PubMed  Google Scholar 

  • Viteri F (1995) Iron deficiency in children: new possibilities for its control. Int Child Health 6:49–62

    Google Scholar 

  • Walsh DC, Rudd RE, Moeykens BA, Moloney TW (1993) Social marketing for public Health. Health Aff 12:104–119

    Article  CAS  Google Scholar 

  • Warren KS, Bundy DA, Anderson RM, Davis AR, Henderson DA, Jamison DT (1993) Helminth infections. In: Jamison DT, Mosley WH, Measham AR, Bobadilla JL (eds) Disease control priorities in developing countries 2001. Oxford University Press, Oxyford, pp 131–160

    Google Scholar 

  • World Health Organization (2005) The treatment of diarrhea: a manual for physicians and other senior health workers. WHO Press, Geneva

    Google Scholar 

  • World Health Organization (2010) WHO recommendations on the management of diarrhoea and pneumonia in HIV-infected infants and children: integrated management of childhood illness (IMCI). WHO, Geneva. Available at: http://www.unicef.org/aids/files/hiv_diarrhoea_and_pneumonia.pdf

  • World Health Organization, Dept. of Nutrition for Health and Development (2001) Iron deficiency anemia assessment, prevention and control, a guide for programme managers. WHO, Geneva

    Google Scholar 

  • World Health Organization Model Formulary (2004) Based on the 13th model list of essential medicines. WHO, Geneva, pp 82–85

    Google Scholar 

  • Ziegelbauer K, Speich B, Mäusezahl D, Bos R, Keiser J, Utzinger J (2012) Effect of sanitation on soil-transmitted helminth infection: systematic review and meta-analysis. PLoS Med 9(1):e1001

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

Gupta, A. (2017). Interventional Strategies for Prevention of Nutritional Anemia. In: Nutritional Anemia in Preschool Children. Springer, Singapore. https://doi.org/10.1007/978-981-10-5178-4_14

Download citation

Publish with us

Policies and ethics