Assessment of Knowledge, Attitude and Practice Levels Regarding Anaemia Among Pregnant Women in Putrajaya, Malaysia
DOI:
https://doi.org/10.3923/pjn.2018.578.585Keywords:
Anaemia, attitude, knowledge, practice, pregnant womenAbstract
Objective: This study aimed to determine knowledge, attitude and practice levels regarding anaemia among pregnant women in Putrajaya. This study was also conducted to identify the associations between knowledge, attitude and practice and socio-demographic and antenatal characteristics. Methodology: A total of 370 pregnant women participated in this study. Socio-demographic information and antenatal characteristics and knowledge, attitude and practice in relation to anaemia were collected using questionnaires. The Sysmex Haematology Analyser was used to measure the Full Blood Count (FBC). Results: The mean age and haemoglobin level of respondents were 30.2±4.2 years of age and 12.1±4.8 g dL–1, respectively. The median for the total knowledge score was 84.2 and the mean score for attitude and practice were 72.4±6.7 and 69.9±13.1, respectively. The subjects’ knowledge score was higher among the group of second trimester (p<0.05), the number of children three or more (p<0.01) and a pregnancy distance of one to two years (p<0.001). The attitude score was higher among the working subjects (p<0.05) but there was no significant difference in practice scores according to sociodemographic and antenatal characteristics (p>0.05). Knowledge had a moderate and significant relationship with attitude (r = 0.317, p<0.01) but no significant relationship with practice. Meanwhile, attitude had a significant positive and moderate relationship with practice (r = 0.330, p<0.01). Conclusion: Positive attitude regarding anaemia influences the high level of knowledge and good practice concerning this condition. Increasing the level of awareness of anaemia among pregnant women is seen as an important step in improving knowledge, attitude and practice levels regarding anaemia.
References
Levy, A., D. Fraser, M. Katz, M. Mazor and E. Sheiner, 2005. Maternal anemia during pregnancy is an independent risk factor for low birthweight and preterm delivery. Eur. J. Obstet. Gynecol. Reprod. Biol., 122: 182-186.
WHO., ‎2011. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. World Health Organization, Geneva.
WHO., 2015. The global prevalence of anemia in 2011. World Health Organization, Geneva.
Costantine, M.M., 2014. Physiologic and pharmacokinetic changes in pregnancy. Front. Pharmacol., Vol. 5.
Bakhtiar, U.J., Y. Khan and R. Nasar, 2007. Relationship between maternal hemoglobin and perinatal outcome. Rawal Med. J., 32: 102-104.
Heshmat, R., B. Azemati, A.A. Keshtkar, F. Salehi and Z. Abdollahi et al., 2009. Comparison of knowledge, attitude and practice of Urban and rural households toward iron deficiency anemia in three provinces of Iran. Iran. J. Public Health, 38: 83-90.
Moradi, F., S. Mohammadi, A.A. Kadivar and S.J. Masoumi, 2007. Knowledge and practice of pregnant women in Fars province about intake of iron supplements. Acta Med. Iranica, 45: 301-304.
MoH., 2014. Annual reports of arrivals and antenatal care and postanal visit. Ministry of Health Malaysia, Putrajaya.
Scheafer, R.L., W.M. Mendenhall and R.L. Ott, 2006. Elementary Survey Sampling. 5th Edn. Duxbury Press, New York.
Khan, Y.H., A. Sarriff, A.H. Khan and T.H. Mallhi, 2014. Knowledge, Attitude and Practice (KAP) survey of osteoporosis among students of a tertiary institution in Malaysia. Trop. J. Pharm. Res., 13: 155-162.
Gliem, J.A. and R.R. Gliem, 2003. Calculating, interpreting and reporting Cronbach's alpha reliability coefficient for likert-type scales. Proceedings of the Midwest Research-to-Practice Conference in Adult, Continuing and Community Education, October 8-10, 2003, The Ohio State University, Columbus, OH., USA., pp: 82-88.
El-Uri, F.I. and N. Malas, 2013. Analysis of use of a single best answer format in an undergraduate medical examination. Qatar Med. J., 1: 3-6.
Lopez, L.B., C.R. Ortega-Soler and M.L. de Portela, 2004. Pica during pregnancy: A frequently underestimated problem. Arch. Latinoam. Nutr., 54: 17-24.
Mohammed, A.A., G.M. Spiekermann-Brouwer, A.K. Traore, R.J. Stoltzfus and C. Garza, 2006. Determinants of anemia among pregnant women in Mali. Food Nutr. Bull., 27: 3-11.
Aggett, P.J., J.W. Erdman, I.A. Macdonald and S.H. Zeisel, 2012. Present Knowledge in Nutrition. 10th Edn. Wiley-Blackwell, Washington, DC.
Sharma, J.B., 2003. Nutritional anemia during pregnancy in non industrial countries. Progress Obstet. Gynecol., 15: 103-122.
Daba, G., F. Beyene, H. Fekadu and W. Garoma, 2013. Assessment of knowledge of pregnant mothers on maternal nutrition and associated factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. J. Nutr. Food Sci., Vol. 3.
Manaf, Z.A., N. Johari, L.Y. Mei, N.S. Yee, C.K. Yin and L.W. Teng, 2014. Nutritional status and nutritional knowledge of Malay pregnant women in selected private hospitals in Klang valley. Malays. J. Health Sci., 12: 53-62.
Baby, A., J. Venugopal, R. D’silva, S. Chacko, P.V. Vineesha and T.V. Kumary, 2014. Knowledge on management of anemia during pregnancy: A descriptive study. Arch. Med. Health Sci., 2: 140-144.
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