Prevalence and Determinants of Anaemia among Children Aged 6–59 Months in an Urban Area of Western Uttar Pradesh: A Community-Based Cross-Sectional Study
Keywords:
Anaemia; Under-five children; Complementary feeding; Iron supplementationAbstract
Background: Anaemia remains a major public health problem among under-five children. In India, 67.1% of children aged 6–59 months are anaemic as per NFHS-5. This study estimated the prevalence of anaemia and its associated socio-demographic, nutritional, and maternal factors among children aged 6–59 months in an urban area of Western Uttar Pradesh. Materials & Methods: A community-based cross-sectional study was conducted in the urban field practice area of UHTC, Department of Community Medicine, LLRM Medical College, Meerut, Uttar Pradesh, from October 2024 to September 2025. A total of 200 children aged 6–59 months were selected using multistage random sampling. Data were obtained using a pretested questionnaire. Haemoglobin estimation was done using a digital haemoglobinometer, and anaemia was classified according to WHO criteria. Data were analysed using Epi Info version 7.2.5. The chi-square test was applied, and p<0.05 was considered statistically significant. Results: The prevalence of anaemia was 54.0%. Among anaemic children, 62.0% had moderate and 38.0% had mild anaemia. Higher prevalence was observed among children aged 24–35 months. Significant associations were found with inappropriate complementary feeding (p=0.017) and maternal iron–folic acid consumption during pregnancy (p=0.018). No significant association was observed with gender, socioeconomic status, or exclusive breastfeeding. Conclusions: Anaemia remains highly prevalent among under-five children. Strengthening complementary feeding practices and maternal iron supplementation is essential to reduce childhood anaemia.
Downloads
References
1. World Health Organization. Global anemia estimates, 2021 edition. World Health Organization, Geneva (2021).
2. International Institute for Population Sciences (IIPS) & Ministry of Health and Family Welfare (MoHFW). National Family Health Survey (NFHS-5), 2019–21: India Fact Sheet. IIPS, Mumbai (2021).
3. Kliegman, R. M., St. Geme, J. W., Blum, N. J., Shah, S. S., Tasker, R. C. & Wilson, K. M. Nelson Textbook of Pediatrics. 21st edn. Elsevier, Philadelphia (2020).
4. Ministry of Health and Family Welfare. Anemia Mukt Bharat: Intensified National Iron Plus Initiative (I-NIPI) Strategy Document. Government of India, New Delhi (2018).
5. Gupta, D., Mishra, S., Singh, M., Sharma, S., Agarwal, A., & Mittal, S. (2020). Anemia among 6 - 59 months children in a rural area of Bareilly district: a cross sectional study. International Journal Of Community Medicine And Public Health, 7(2), 673–677. https://doi.org/10.18203/2394-6040.ijcmph20200447
6. Chungkham HS, Marbaniang SP, Narzary PK. "Childhood Anemia in India: an application of a Bayesian geo-additive model". BMC Pediatr. 2021 Nov 30;21(1):529. doi: 10.1186/s12887-021-03008-0. PMID: 34847925; PMCID: PMC8630875.
7. Kumar A, Gulati BK, Sahu D, Ranjan V, Rao MVV. Socioeconomic determinants of anaemia in preschool children in Uttar Pradesh:
evidence from NFHS-4 survey. Int J Community Med Public Health 2020;7:4461-6.
8. Mandal, Subhadip1; Behera, Jagannath2; Shit, Bichitra1; Paul, Sankar3. Regional Disparity of Anemia among Children and Its Determinants: A Study of National Family Health Survey-5. Indian Journal of Public Health 68(3):p 450-453, Jul–Sep 2024. | DOI: 10.4103/ijph.ijph_943_23
9. Kishore, Surekha1; Singh, Mahendra1,; Jain, Bhavna1; Verma, Neha1; Gawande, Kanchan1; Kishore, Sanjeev2; Aggarwal, Pradeep1; Verma, Shikhar K.3. A study to assess prevalence of anaemia among beneficiaries of Anaemia Mukt Bharat Campaign in Uttarakhand. Journal of Family Medicine and Primary Care 9(3):p 1691-1694, March 2020. | DOI: 10.4103/jfmpc.jfmpc_941_19
10. Chandran V, Kirby RS. An Analysis of Maternal, Social and Household Factors Associated with Childhood Anemia. Int J Environ Res Public Health. 2021 Mar 17;18(6):3105. doi: 10.3390/ijerph18063105. PMID: 33802946; PMCID: PMC8002610.
11. Dewey KG. Increasing Iron Intake of Children through Complementary Foods. Food and Nutrition Bulletin. 2007;28(4_suppl4):S595-S609. doi:10.1177/15648265070284S412
12. Azizah FDD, Pamungkasari EP, Murti B (2023). Meta-Analysis the Effect of Exclusive Breastfeeding on Anemia in Children Under Five. J Matern Child Health. 08(02): 237-246. https://doi.org/10.26911/thejmch.2023.08.02.11.
13. Liu X, Liu X, Yang Z, Li Z, Zhang L, Zhang Y, Liu J, Ye R, Li N. The Association of Infant Birth Sizes and Anemia under Five Years Old: A Population-Based Prospective Cohort Study in China. Nutrients. 2024 Jun 7;16(12):1796. doi: 10.3390/nu16121796. PMID: 38931151; PMCID: PMC11206821.
14. Nisar, Y. B., Dibley, M. J., & Aguayo, V. M. (2016). Iron-Folic Acid Supplementation During Pregnancy Reduces the Risk of Stunting in Children Less Than 2 Years of Age: A Retrospective Cohort Study from Nepal. Nutrients, 8(2), 67. https://doi.org/10.3390/nu8020067
15. Yarlini Balarajan, S.V. Subramanian, Wafaie W. Fawzi,Maternal Iron and Folic Acid Supplementation Is Associated with Lower Risk of Low Birth Weight in India1–3, The Journal of Nutrition,Volume 143, Issue 8,2013, Pages 1309-1315, ISSN 0022 3166, https://doi.org/10.3945/jn.112.172015.
16. Abioye AI, McDonald EA, Park S, Ripp K, Bennett B, Wu HW, Pond-Tor S, Sagliba MJ, Amoylen AJ, Baltazar PI, Tallo V, Acosta LP, Olveda RM, Kurtis JD, Friedman JF. Maternal anemia type during pregnancy is associated with anemia risk among offspring during infancy. Pediatr Res. 2019 Sep;86(3):396-402. doi: 10.1038/s41390-019-0433-5. Epub 2019 May 26. PMID: 31129681; PMCID: PMC6702090.
Downloads
Published
Data Availability Statement
The data supporting the findings of this study are available from the corresponding author upon reasonable request.
Issue
Section
License
Copyright (c) 2026 Arjun Singh (Corresponding Author); Neelam S. Gautam, Sanjeev Kumar, Seema Jain, Ganesh Singh (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
