Understanding Anemia among Women of Reproductive Age and Children in Namibia: A Comprehensive Review

Eugenia N Nangwasha
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Abstract

Anemia is one of the leading causes of death globally, not only among children and women; however, there have been records of deaths among men too. Anemia disproportionately affects young children and expecting mothers with increased morbidity and mortality. Who estimates that anemia affects 30% of women aged 15 to 49, 37% of pregnant women, and 40% of children aged 6 to 59 months globally. The goal of lowering anemia among women of reproductive age has not been met, and 25.2% of women between the ages of 15 and 49 are now affected in Namibia. Namibia with a current prevalence rate of 46.1% of children under 5 years, is a severe global public health issue. According to the morphological classification of anemia, normocytic normochromic anemia (86.3%) was the most common kind in Namibia, with a moderate frequency of iron deficiency anemia whereas the highest prevalence of vitamin b12 deficient anemia was found in some regions. Anemia indicates both poor nutrition and poor health and is often categorized based on its cause. Iron deficiency, pregnancy, antiretroviral therapy side effects, and hereditary blood abnormalities increase the risk of anemia. Depending on the hemoglobin levels in the blood, anemia can be either short-term or long-term. For pregnant women and children under the age of 5, mild anemia is defined as a level of hemoglobin concentration between 10.0 and 10.9g/dl, moderate anemia is defined as a level between 7.0 and 9.9g/dl, and severe anemia is defined as a level below 7.0g/dl. Medical professionals follow different standards such as typical treatment recommendations, World Health Organization recommendations, and reference materials while dealing with individuals who have suspected anemia.
了解纳米比亚育龄妇女和儿童中的贫血现象:全面回顾
贫血是全球死亡的主要原因之一,不仅是儿童和妇女,男性也有死亡记录。贫血对幼儿和孕妇的影响尤为严重,发病率和死亡率都会增加。据 WHO 估计,全球有 30% 的 15 至 49 岁妇女、37% 的孕妇和 40% 的 6 至 59 个月儿童受到贫血的影响。降低育龄妇女贫血率的目标尚未实现,目前纳米比亚有 25.2%的 15 至 49 岁妇女受到贫血影响。纳米比亚目前 5 岁以下儿童的患病率为 46.1%,这是一个严重的全球公共卫生问题。根据贫血的形态学分类,正常血细胞正常色素性贫血(86.3%)是纳米比亚最常见的贫血类型,缺铁性贫血的发病率中等,而维生素 b12 缺乏性贫血在某些地区发病率最高。贫血既表明营养不良,也表明健康状况不佳,通常根据其原因进行分类。缺铁、怀孕、抗逆转录病毒疗法的副作用以及遗传性血液异常都会增加贫血的风险。根据血液中的血红蛋白水平,贫血可以是短期的,也可以是长期的。对于孕妇和 5 岁以下儿童来说,轻度贫血是指血红蛋白浓度在 10.0 至 10.9 克/分升之间,中度贫血是指血红蛋白浓度在 7.0 至 9.9 克/分升之间,重度贫血是指血红蛋白浓度低于 7.0 克/分升。医务人员在处理疑似贫血患者时会遵循不同的标准,如典型治疗建议、世界卫生组织建议和参考资料。
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