Anemia In Phc

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IDA at a glance India - pervasive of all nut. def. - > 70% of preg women - > 50% of all women - >50 % of pre school - 65 – 70- % of adolescent girls

World (~ 700 million – IDA) ( thrice the number – IDS!)

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Inadequate intake

Increased demand

INSUFFICIENCY

Decreased bioavailability

Chronic blood loss

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Children - Nutritional Women - Nutritional(inc. demand)/ Menstrual causes Old – R/o GI CA, CRF

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Infants and Children Impaired motor lang and psy devpt Decreased Phy activity

Adults of both sexes Dec phy work Dec earning capacity

Increased mat. morb & mort. Inc fetal morb. & mort. Inc risk of LBW

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6 K7 (# • Medicinal Iron supplements • Infection control • Dietary modification • Fortification • Supplements – when? • AN exam •PN visit •FP visit •Child health clinic • Infection ctrl •Immunisation •Ctrl of ARI & ADD •Deworming and foot wear • Diet – Iron rich foods( green leafy veg., dates, jaggery,meat ..) • Hlth Edu – VHN, anganwadi wrkrs, mass media

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THE MOST COST EFF. APPROACH

Supplementation to entire high risk group

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