Integrating and coordinating programs for the management of anemia across the life course

Integrating and coordinating programs for the management of anemia across the life course

Anemia is a major global public health concern with a complex etiology. The main determinants are nutritional factors, infection and inflammation, inherited blood disorders, and women's reproductive biology, but the relative role of each varies between settings. Effective anemia programming, th...

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Bibliographic Details
Published in:Annals of the New York Academy of Sciences Vol. 1525; no. 1; pp. 160 - 172
Main Authors: Mildon, Alison, Lopez de Romaña, Daniel, Jefferds, Maria Elena D., Rogers, Lisa M., Golan, Jenna M., Arabi, Mandana
Format: Journal Article
Language:English
Published: United States Wiley Subscription Services, Inc 01-07-2023
Subjects:
Adolescent
Adolescents
Anemia
Anemia - therapy
anemia programs
Child, Preschool
coordination
coverage
Female
Humans
integration
Life Change Events
Malaria
maternal and child health
multisectoral
Platforms
Pregnancy
Prenatal Care
Preschool children
Programming
Public health
Reproduction
Schools
System effectiveness
Vector-borne diseases
Women
Workplaces
coverage
maternal and child health
adolescents
integration
anemia programs
multisectoral
coordination
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Summary:Anemia is a major global public health concern with a complex etiology. The main determinants are nutritional factors, infection and inflammation, inherited blood disorders, and women's reproductive biology, but the relative role of each varies between settings. Effective anemia programming, therefore, requires evidence‐based, data‐driven, contextualized multisectoral strategies, with coordinated implementation. Priority population groups are preschool children, adolescent girls, and pregnant and nonpregnant women of reproductive age. Opportunities for comprehensive anemia programming include: (i) bundling interventions through shared delivery platforms, including antenatal care, community‐based platforms, schools, and workplaces; (ii) integrating delivery platforms to extend reach; (iii) integrating anemia and malaria programs in endemic areas; and (iv) integrating anemia programming across the life course. Major barriers to effective anemia programming include weak delivery systems, lack of data or poor use of data, lack of financial and human resources, and poor coordination. Systems strengthening and implementation research approaches are needed to address critical gaps, explore promising platforms, and identify solutions to persistent barriers to high intervention coverage. Immediate priorities are to close the gap between access to service delivery platforms and coverage of anemia interventions, reduce subnational coverage disparities, and improve the collection and use of data to inform anemia strategies and programming.
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D.L.d.R., M.A., and L.M.R. planned and designed the review. D.L.d.R., A.M., and J.M.G. searched for and acquired the data and information included in the manuscript. D.L.d.R., J.M.G., and A.M. drafted the manuscript and all authors reviewed and provided final approval of the version to be published. All authors agree to be accountable for all aspects of the work.
AUTHOR CONTRIBUTIONS
ISSN:0077-8923
1749-6632
DOI:10.1111/nyas.15002