PMID- 37596564
OWN - NLM
STAT- MEDLINE
DCOM- 20230821
LR  - 20231122
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 23
IP  - 1
DP  - 2023 Aug 18
TI  - Key drivers of reversal of trend in childhood anaemia in India: evidence from 
      Indian demographic and health surveys, 2016-21.
PG  - 1574
LID - 10.1186/s12889-023-16398-w [doi]
LID - 1574
AB  - AIM: Recent National Family Health Survey results portray striking improvements 
      in most population and health indicators, including fertility, family planning, 
      maternal and child health, gender treatment, household environments, and health 
      insurance coverage of the Pradhan Mantri Jan Arogya Yojana (PM-JAY), with all 
      India resonance. However, the prevalence of any anaemia (< 11 g/dl) among 
      children under age five has exhibited a reversed trajectory in recent years. 
      Therefore, the present study explores key drivers of the reversal of the trend in 
      the prevalence of childhood anaemia between 2015 and2021. METHODS: Data of four 
      rounds of the National Family Health Survey (NFHS) were used to show the overall 
      trend of anaemia among children. However, for the analysis of key drivers of the 
      reversal trend of childhood anaemia, only the recent two rounds (NFHS-4 & NFHS-5) 
      were used. Descriptive, bivariate multivariable analysis and Fairlie 
      decomposition model were used to explore the drivers of the reversal of the trend 
      in childhood anaemia. RESULTS: During the past two decades, India has seen a 
      decline in the prevalence of childhood anaemia (NFHS-2 to NFHS-4). However, a 
      reversal of trend was observed recently. The prevalence of anaemia among children 
      aged 6-59 months increased from 59 percent in NFHS-4 to 67 percent in NFHS-5. In 
      addition, the prevalence of mild anaemia increased from 23.3 percent in NFHS-2 to 
      28.7 percent in NFHS-5. However, the prevalence of moderate and severe anaemia 
      declined considerably from NFHS-2 (40 percent and 4.1 percent) to NFHS-4 (28.7 
      percent and 1.6 percent), but showed an increase in the prevalence in NFHS-5 
      (36.3 percent and 2.2 percent). Among others, mothers' educational attainment, 
      anaemia status and socio-economic status emerge as the key drivers of the change 
      in the prevalence of childhood anaemia. CONCLUSION: These findings may have vital 
      implications for the ongoing Anaemia Mukt Bharat Programme, one of the 
      government's dream projects in India.
CI  - (c) 2023. BioMed Central Ltd., part of Springer Nature.
FAU - Singh, S K
AU  - Singh SK
AUID- ORCID: 0000-0003-0824-9073
AD  - Department of Survey Research and Data Analytics, International Institute for 
      Population Sciences, Mumbai, India. sksingh31962@gmail.com.
FAU - Lhungdim, H
AU  - Lhungdim H
AD  - Department of Public Health & Mortality Studies, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Shekhar, Chander
AU  - Shekhar C
AD  - Department of Fertility Studies, International Institute for Population Sciences, 
      Mumbai, India.
FAU - Dwivedi, L K
AU  - Dwivedi LK
AD  - Department of Survey Research and Data Analytics, International Institute for 
      Population Sciences, Mumbai, India.
FAU - Pedgaonkar, S
AU  - Pedgaonkar S
AD  - Department of Family & Generations, International Institute for Population 
      Sciences, Mumbai, India.
FAU - James, K S
AU  - James KS
AD  - International Institute for Population Sciences, Mumbai, India.
LA  - eng
PT  - Journal Article
DEP - 20230818
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Humans
MH  - *Anemia/epidemiology
MH  - Asian People
MH  - Child Health
MH  - Demography
MH  - India/epidemiology
MH  - Infant
MH  - Child, Preschool
PMC - PMC10436448
OTO - NOTNLM
OT  - Childhood anaemia
OT  - India
OT  - Key drivers
OT  - Reversal of trends
OT  - Under-five children
COIS- The authors declare that they have no conflict of interest.
EDAT- 2023/08/19 11:41
MHDA- 2023/08/21 06:42
PMCR- 2023/08/18
CRDT- 2023/08/18 23:36
PHST- 2022/06/19 00:00 [received]
PHST- 2023/07/25 00:00 [accepted]
PHST- 2023/08/21 06:42 [medline]
PHST- 2023/08/19 11:41 [pubmed]
PHST- 2023/08/18 23:36 [entrez]
PHST- 2023/08/18 00:00 [pmc-release]
AID - 10.1186/s12889-023-16398-w [pii]
AID - 16398 [pii]
AID - 10.1186/s12889-023-16398-w [doi]
PST - epublish
SO  - BMC Public Health. 2023 Aug 18;23(1):1574. doi: 10.1186/s12889-023-16398-w.