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Factors associated with early pregnancy anemia in rural Sri Lanka: Does being ‘under care’ iron out socioeconomic disparities?

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  • Gayani Shashikala Amarasinghe
  • Thilini Chanchala Agampodi
  • Vasana Mendis
  • Suneth Buddhika Agampodi

Abstract

Globally, more than a third of pregnant women are anemic, and progress in its prevention and control is slow. Sri Lanka is a lower-middle-income country with a unique public health infrastructure that provides multiple interventions across the lifecycle for anemia prevention, despite which anemia in pregnancy remains a challenge. Studying the factors associated with maternal anemia in this context would provide unique information on challenges and opportunities encountered as low-and-middle-income countries attempt to control anemia by improving health care coverage. All first-trimester pregnant women registered for antenatal care in the Anuradhapura district between July 2019 to September 2019 were invited to participate in the baseline of a cohort study. Interviewer-administered and self-completed questionnaires were used. Anemia was defined using a full blood count. A hierarchical logistic regression model was built to identify factors associated with anemia. Out of 3127 participants, 451 (14.4%) were anemic. According to the regression model (Chi-square = 139.3, p

Suggested Citation

  • Gayani Shashikala Amarasinghe & Thilini Chanchala Agampodi & Vasana Mendis & Suneth Buddhika Agampodi, 2022. "Factors associated with early pregnancy anemia in rural Sri Lanka: Does being ‘under care’ iron out socioeconomic disparities?," PLOS ONE, Public Library of Science, vol. 17(10), pages 1-14, October.
    • Handle: RePEc:plo:pone00:0274642
    DOI: 10.1371/journal.pone.0274642
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