Risk factors for anaemia among HIV infected children attending care and treatment clinic at Muhimbili National Hospital in Dar es Salaam, Tanzania

  • Abel N. Makubi Muhiimbili University of Health and Allied Sciences
  • Ferdinand Mugusi Department of Internal Medicine, MUHAS, Tanzania
  • Pius M. Magesa Muhimbili University of Health and Allied Sciences
  • David Roberts National Blood Transfusion Service, Oxford University UK
Keywords: Keywords, anaemia, HIV, risk factors, children, hospital, Tanzania

Abstract

There is paucity of data describing the risk factors for anaemia among HIV infected children in Tanzania. This cross sectional study was carried out to determine the contributing factors for anaemia among HIV-infected children attending Muhimbili National Hospital in Dar es Salaam. Both univariate and multivariate logistic regression analyses were performed to identify possible factors associated with anaemia in HIV-infected children.  A total of 75 (44%) patients among 167 recruited HIV-infected children aged 6 months to 59 months of  were found to be anaemic (Hg<11g/dl). Multivariate logistic regression demonstrated that not being on HAART (OR 3.40, 95%CI (1.20-9.60), having CD4% <25% (OR 2.30, 95%CI (1.20-34.60), having a history of tuberculosis (TB) (OR 3.23, 95%CI (1.10-9.70) and having hookworm infestation (OR 5.97, 95%CI (1.92-18.4) were independent risk factors for anaemia among HIV infected children. The analyses also showed that being HIV positive for ≥ 2.5 years resulted into a low risk of severe anaemia compared to being HIV positive for < 2.5 years. Taking multivitamins (OR 0.07, 95%, CI (0.020-0.30) and antihelminthics (OR 0.27, 95%CI (0.10-0.74) were also protective against anaemia in children. Similar factors (with exception of using antihelmintics) were associated with severe anaemia. In conclusion the factors associated with anaemia in HIV infected children were multifactorial in nature. Efforts to correct anaemia in HIV infected children should include use of HAART and treatment of infections such as TB and hookworms.

Published
2012-01-06
How to Cite
MakubiA. N., MugusiF., MagesaP. M., & RobertsD. (2012). Risk factors for anaemia among HIV infected children attending care and treatment clinic at Muhimbili National Hospital in Dar es Salaam, Tanzania. Tanzania Journal of Health Research, 14(1). https://doi.org/10.4314/thrb.v14i1.11
Section
Articles

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eISSN: 1821-9241
print ISSN: 1821-6404