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Research Article
Volume 5 Issue 12 - 2020
Community Based Attempts at Elimination of Anaemia in Rural Women of Reproductive Age with Nutrition Advocacy, Allopathic or Ayurvedic Medication
S Chhabra1*, Varma Shivkumar P2 and Khandekar A3
1Emeritus Professor, Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India
2Professor and Head, Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India
3Assistant Professor of Ayurveda, Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India
*Corresponding Author: S Chhabra, Emeritus Professor, Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Received: November 06, 2020; Published: November 28, 2020




Abstract

Background: Anaemia is biggest public health problem in developing countries, specially in reproductive age women. Despite several steps taken by governments, iron deficiency anaemia continues to be common.

Objective: Effectiveness of community based nutritional advice, medication to eliminate anaemia in rural women of reproductive age.

Materials and Methods: Community based study was conducted with nonpregnant women of 15 - 45 years with ≥7 gms/dl to < 11 gms/dl haemoglobin without any obvious illness which could have caused anaemia. Mother and child care was initiated in 28 villages. Anaemia was in high numbers during pregnancy. So it was decided to treat women of reproductive age before they become pregnant. There were 850 (67.08%) study subjects of 1267 tested. They were given medication with or without advocacy of nutrition. They were divided into four groups, A: Allopathic medication, An: A Allopathic medication with nutritional advocacy, B: Ayurvedic medication, Ayurvedic medication with nutritional advocacy.

Results: Total 639 (75.2%) women took medication for decided 180 days, 158 (24.7%) with moderate anaemia 481 (76.3%) mild anaemia. Compliance to free medication provided at door step was 75%. Ayurvedic medication alone was most effective (71%) Ayurvedic with nutrition (69.5%). Efficacy in A was 70.1% and An 56.4%. Nutrition advocacy with Allopathic medication reduced efficacy. No side effects were reported with Ayurvedic medication. In subjective analysis no one reported negative effect. Little more cost, little better efficacy Ayurvedic medication is good alternative.

Conclusion: Efficacy of Allopathic Ayurvedic medication was almost similar but nutrition with Allopathy reduced efficacy. Research about this aspect and noncompliance at door step is needed. To reduce anaemia possible ways of giving iron need to be found out till rural women have affordability of food with iron.

Keywords: Anaemia; Reproductive Age; Rural Community; Ayurvedic Allopathic Medication; Nutrition Advocacy

References

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Citation: S Chhabra., et al. “Community Based Attempts at Elimination of Anaemia in Rural Women of Reproductive Age with Nutrition Advocacy, Allopathic or Ayurvedic Medication”. EC Endocrinology and Metabolic Research 5.12 (2020): 22-29.

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