Objective: To develop the methods for an extended reporting of anaemia and to
measure the status of the key contextual underlying factors of anaemia.
Design: Statistical appraisal of Hb v. key influencers of anaemia in Bangladesh – the
intake of animal source food (ASF), concentration of Fe in the drinking groundwater (GWI) and the prevalence of congenital Hb disorder (CH) are conducted.
The primary data of the National Micronutrient Survey 2011–2012 and the
British Geological Survey 2001 are analysed to assess the intake of ASF and the
GWI concentration, respectively. The prevalence of thalassaemia from a national
survey is used to appraise the CH. ASF is evaluated relative to the 97·5th percentile
intake and group scores are assigned. Association of the GWI and Hb is examined
by the linear fit and the mspline fit and the group scores are allocated. Group score
is allocated for the prevalence of thalassaemia. Inflammation-adjusted ferritin is
considered to report Hb.
Setting: A nationwide survey in Bangladesh.
Participants: Preschool children (6–59 months), school-age children (6–14 years)
and non-pregnant non-lactating women (NPNLW, 15–49 years).
Results: The extended reporting to the prevalence of anaemia in Bangladeshi
preschool children, school children and women is – anaemia 33 % (ASF: 2·08;
GWI: 1·75; CH: 2), anaemia 19 % (ASF: 1·98; GWI: 1·56; CH: 2) and anaemia
26 % (ASF: 2·16; GWI: 1·58; CH: 2), respectively.
Conclusion: The extended reporting of anaemia is a useful tool to understand
the status of the key influencers of anaemia, to design the context-customised
intervention and to monitor the intervention.