PREVALENCE OF ANAEMIA IN SCHOOL-AGED CHILDREN PRESENTING TO THE PAEDIATRIC OUTPATIENT CLINIC AT A TERTIARY CARE FACILITY
- Authors
-
-
Misbah Nargis
Author
-
Zubair Ahmad
Author
-
Maria Saeed
Author
-
- Keywords:
- Anemia, Body Mass Index, Children, Hemoglobin, Outpatients, Socioeconomic Factors, Tertiary Healthcare
- Abstract
-
Background: Anemia in children remains a critical public health concern, particularly in low-resource settings across Asia and Africa. It contributes significantly to childhood morbidity, impaired growth, delayed cognitive development, and reduced physical capacity. Globally, anemia affects 43% of children under five, with iron deficiency anemia (IDA) accounting for nearly half of the burden. Resource-constrained regions, such as South Asia, continue to carry the highest prevalence, underscoring the need for localized screening and intervention strategies.
Objective: To determine the frequency of anemia in primary school children presenting to the pediatric outpatient department of a tertiary care hospital.
Methods: This cross-sectional study was conducted at the Pediatric Outpatient Department of Sharif Medical City Hospital, Lahore, from February 15, 2018, to August 14, 2018. A total of 150 primary school children aged 5 to 11 years presenting with minor acute illnesses were enrolled after obtaining informed parental consent. Demographic data were recorded using a structured proforma. Venous blood samples (5 mL) were collected under aseptic conditions and analyzed for hemoglobin levels using an automated hematology analyzer. Anemia was defined using WHO criteria. Body mass index (BMI) was calculated and socioeconomic status was categorized. Data were analyzed using SPSS, and chi-square test was applied for associations.
Results: Among the 150 participants, the average age was calculated as years. The recorded mean haemoglobin value stood at g/dL, whereas the mean BMI was found to be kg/m². Anaemia was identified in 21 children, accounting for 14% of the total sample. Statistically significant relationships emerged when anaemia was compared against age category (), socioeconomic class (), and BMI (). In contrast, gender did not show a meaningful association with anaemia ().
Conclusion: Anemia was detected in a notable proportion of school-aged children and was significantly linked to nutritional and socioeconomic factors. Early screening and targeted public health strategies are warranted.
- Author Biographies
- References
-
1. Knappett M, Hooft A, Maqsood MB, Lavoie PM, Kortz T, Mehta S, et al. Verbal Autopsy to Assess Postdischarge Mortality in Children With Suspected Sepsis in Uganda. Pediatrics. 2023;152(5).
2. Manwani D, Doyle MH, Davidson L, Mallea M, Silver EJ, Jackson J, et al. Transition Navigator Intervention Improves Transition Readiness to Adult Care for Youth With Sickle Cell Disease. Acad Pediatr. 2022;22(3):422-30.
3. Narh CT, Der J, Ofosu A, Blettner M, Wollschlaeger D. Time trends, sociodemographic and health factors associated with discharge and length of stay of hospitalised patients with sickle cell disease in Ghana: a retrospective analysis of national routine health database. BMJ Open. 2021;11(10):e048407.
4. Morse BL, Carmichael AE, Bradford VA, Pollard AL. Sickle Cell Disease Care Planning for School Nurses. NASN Sch Nurse. 2022;37(1):48-54.
5. Cohee LM, Peterson I, Buchwald AG, Coalson JE, Valim C, Chilombe M, et al. School-Based Malaria Screening and Treatment Reduces Plasmodium falciparum Infection and Anemia Prevalence in Two Transmission Settings in Malawi. J Infect Dis. 2022;226(1):138-46.
6. Budhathoki L, Shrestha B, Phuyal N, Shrestha L. Prevalence of Anemia in Adolescent Girls attending Specific Schools of Kavrepalanchok, Nepal. JNMA J Nepal Med Assoc. 2021;59(235):284-7.
7. Rahman MJ, Rahman MM, Sarker MHR, Kakehashi M, Tsunematsu M, Ali M, et al. Prevalence and influencing factors with knowledge, attitude, and practice toward anemia among school-going adolescent girls in rural Bangladesh. PLoS One. 2024;19(11):e0313071.
8. Jutras C, Sauthier M, Tucci M, Trottier H, Lacroix J, Robitaille N, et al. Prevalence and determinants of anemia at discharge in pediatric intensive care survivors. Transfusion. 2023;63(5):973-81.
9. Khokhar J, Akbar A, Akhtar S, Layla A, Lazarte C, Abbas MA, et al. Prevalence and determinants of anemia among resident female university students from Southern Punjab, Pakistan. Women Health. 2022;62(6):488-501.
10. Kwambai TK, Kariuki S, Smit MR, Nevitt S, Onyango E, Oneko M, et al. Post-Discharge Risk of Mortality in Children under 5 Years of Age in Western Kenya: A Retrospective Cohort Study. Am J Trop Med Hyg. 2023;109(3):704-12.
11. Visser M, Van Zyl T, Hanekom SM, Baumgartner J, Van der Hoeven M, Taljaard-Krugell C, et al. Nutrient density, but not cost of diet, is associated with anemia and iron deficiency in school-age children in South Africa. Nutrition. 2021;84:111096.
12. Mok KT, Kaur S, Say YH, Bahari SS, Paratthakonkun C, Mahmudiono T, et al. Knowledge and attitudes on anemia and menstrual health among Malaysian female university students. Sci Rep. 2024;14(1):26020.
13. Hasan MM, Uddin KMK, Lokman SM, Chakma K, Pulu AC, Mannan A, et al. Knowledge and attitudes of thalassaemia among high-risk indigenous university students in Bangladesh: A pilot study. PLoS One. 2023;18(7):e0287630.
14. Mantey AA, Annan RA, Lutterodt HE, Twumasi P. Iron status predicts cognitive test performance of primary school children from Kumasi, Ghana. PLoS One. 2021;16(5):e0251335.
15. Al Hafidh NM, Al-Jammas EK, Zubeer H. Iron deficiency among primary school children in Mosul City /Northern Iraq, a cross-section study. J Pak Med Assoc. 2024;74(10 (Supple-8)):S227-s31.
16. Ngari M, Mwangome M, Ouma N, Nyaguara A, Mturi N, Obiero C, et al. Inpatient and postdischarge mortality among children with anaemia and malaria parasitaemia in Kenya: a cohort study. BMJ Glob Health. 2024;9(10).
17. Dimas-Benedicto C, Albasanz JL, Bermejo LM, Castro-Vázquez L, Sánchez-Melgar A, Martín M, et al. Impact of Iron Intake and Reserves on Cognitive Function in Young University Students. Nutrients. 2024;16(16).
18. Essawi K, Hakami S, Abdullah A, Badr D, Madkhali AA, Hakami W, et al. Impact of iron deficiency anemia on academic achievement among female university students in Saudi Arabia. Afr J Reprod Health. 2024;28(9):85-97.
19. Tan PY, Mohd Johari SN, Teng KT, Loganathan R, Lee SC, Ngui R, et al. High prevalence of malnutrition and vitamin A deficiency among schoolchildren of rural areas in Malaysia using a multi-school assessment approach. Br J Nutr. 2023;129(3):454-67.
20. Hrdy M, Goyal MK, Badolato GM, Cohen JS. Frequency of Opioid Prescription Filling After Discharge from the Pediatric Emergency Department. J Emerg Med. 2022;62(6):775-82.
21. Viola AS, Drachtman R, Kaveney A, Sridharan A, Savage B, Delnevo CD, et al. Feasibility of Medical Student Mentors to Improve Transition in Sickle Cell Disease. J Pediatr Psychol. 2021;46(6):650-61.
22. Henrici RC, Sautter CL, Bond C, Opoka RO, Namazzi R, Datta D, et al. Decreased parasite burden and altered host response in children with sickle cell anemia and severe anemia with malaria. Blood Adv. 2021;5(22):4710-20.
23. Yeargin SW, Meyer CM, Hirschhorn RM, Lane AD, Arent SM, Haggard CR. Characterization of Health and Safety Resources for Athletes With Sickle Cell Trait at NCAA Institutions. J Strength Cond Res. 2024;38(11):1967-73.
24. Chatio ST, Duah E, Ababio LO, Lister N, Egbujo O, Marfo K, et al. Barriers and facilitators to community acceptability of integrating point-of-care testing to screen for sickle cell disease in children in primary healthcare settings in rural Upper East Region of Northern Ghana. PLoS One. 2024;19(5):e0303520.
- Downloads
- Published
- 2025-02-28
- Section
- Articles
- License
-
Copyright (c) 2025 Misbah Nargis, Zubair Ahmad, Maria Saeed (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.

