000			02091nam a22002297a 4500
008			130125t2012 vau||||| |||| 00| 0 eng d
022			_a1932-5037
082			_221 _a050/M13
085			_aAI 050/M13
089			_221 _aAI 050/M13
100			_aM'Cormack, Fredanna.
245			_aSocio-ecological factors affecting pregnant women's anemia status in Freetown, Sierra Leone/
246			_aAmerican Journal of Health Education.
300			_a5 figs.; 3 tables; refs.
362			_avol. 43, no. 6 (November/December 2012): 327-340.
520			_aSierra Leone has high maternal mortality. Socio-ecological factors are considered contributing factors to this high mortality. Anemia is considered to be a direct cause of 4% maternal deaths and an indirect cause of 20-40% of maternal deaths. The current study explores socio-ecological contributing factors to the anemia status of 171 pregnant Sierra Leone women. A structural questionnaire framed around the Modified Ecological Model for Health Behavior and Health Promotion was distributed to women visiting five health care facilities in Freetown, Sierra Leone. Participants were more likely to have anemia in the second and third trimester than the first trimester (X2 =6.12; X2=6.33). Participants indicating economic difficulties were likely to have anemia. Seventy-seven percent of participants had anemia (hemoglobin <11.0g/dL). Findings indicate that poverty, time of intervention, and socio-cultural factors have an impact on anemia. In addition, use of radio communication is beneficial to deliver health messages to the masses. Developing and implementing comprehensive programs that consider socio-cultural factors are necessary to raise awareness and address misconceptions about anemia causes, prevention, and treatment. These programs must be multi-sectored and include participants, health care workers, government, non-governmental agencies and community.
650			_2 _aPREGNANCY.
700			_aDrolet, Judy.
942			_2ddc _cPER
999			_c2768 _d2768
040			_cLearning Resource Center