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Anemia Management in Rural Haitian Children: A Mixed Methods Study.
- Source :
- Journal of Transcultural Nursing; Nov2021, Vol. 32 Issue 6, p672-680, 9p
- Publication Year :
- 2021
-
Abstract
- Introduction: We examined factors influencing anemia outcomes in rural children following implementation of a prevention program. Method: Mixed methods study of children, parents, and clinicians utilized statistical modeling and content/ethnographic analysis. Retrospective chart abstraction evaluated treatments administered and measured hemoglobin in children aged 6 to 59 months (n = 161). Prospective interviews/questionnaires examined parent (n = 51) and clinician (n = 19) perceptions. Results: Anemia prevalence decreased by 21.2%. Predictors of increased hemoglobin were clinic visit number and age at first visit. Once anemia improved, children were likely to remain improved (P =.65). Despite favorable program perceptions, stakeholders emphasized ecological barriers, including social disadvantage and local practices. Discussion: Socioeconomic factors prevented guideline concordant behaviors. Persistent attention to intrapersonal, interpersonal, and community social determinants is a sine qua non for successfully managing the epidemic. The first step to provide culturally congruent care is to explicitly acknowledge that guideline-concordant behaviors are often complex. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANEMIA treatment
ANEMIA prevention
HEMOGLOBINS
ACQUISITION of data methodology
SOCIAL determinants of health
CONFIDENCE intervals
RESEARCH methodology
RETROSPECTIVE studies
SANITATION
HUMAN services programs
ETHNOLOGY research
MEDICAL records
QUESTIONNAIRES
DESCRIPTIVE statistics
ODDS ratio
RURAL population
LONGITUDINAL method
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 10436596
- Volume :
- 32
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Journal of Transcultural Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 152854027
- Full Text :
- https://doi.org/10.1177/1043659620986616