Impact of Knowledge, Attitude and Practice on Iron Deficiency Anaemia Status Among Females of Reproductive Age Group (20-21-year-old) Studying in Government Home Economics College Lahore, Pakistan

  • Saadia Shahzad Assistant Professor, Department of Community Medicine, Shalamar Medical and Dental College Lahore.
  • Kiran Islam Dept. of Nutrition, Government Home Economics College, Lahore, Pakistan.
  • Sameen Azhar Dept. of Nutrition, Government Home Economics College, Lahore, Pakistan.
  • Shireen Fiza Dept. of Nutrition, Government Home Economics College, Lahore, Pakistan.
  • Wasifa Ahmed Dept. of Nutrition, Government Home Economics College, Lahore, Pakistan.
  • Zoya Murtaza Dept. of Nutrition, Government Home Economics College, Lahore, Pakistan.
Keywords: females, reproductive age group, nutrition, iron deficiency anemia, KAP study


Background: Iron deficiency anemia has emerged as a major public health issue in developed and developing countries. According to WHO 29% of all women of reproductive age group are diagnosed to have anemia. Objectives:1) to determine Hemoglobin (Hb) levels among girls 20-21-year-old by Sahli’s method 2) to identify correlation between Hb levels and KAP scores among girls 20-21-year-old. Methods cross sectional study design applied with convenient sampling technique; and sample of 150 girls 20-21 year old was taken. Standardized KAP questionnaire was developed from FAO Guidelines upon iron deficiency anemia, and administered. Hb levels were determined in laboratory by Sahli’s method and classification of anemia was made according to WHO guidelines 2011. Frequency trend of anemia was noted, and Pearson product correlation was applied to Hb levels and KAP scores for risk analysis. Results19.3% had mild, 51.3% had moderate, and 13.3% had severe anemia. Only 16% girls had normal Hb levels. 54% had good knowledge about anemia with Pearson correlation (r) = 0.092, P=0.263. 79% had positive attitude towards self-awareness of anemia as a disease but correlation (r) was found to be in inverse relation (-0.005), P= 0.95. Highly significant positive correlation was found between dietary practices and Hb levels; where 53% had shown desired dietary practices with r= 0.174, P= 0.033. Conclusions: increasing trend of iron deficiency anemia among young girls of reproductive age group was seen; mostly related to life style and behavior towards importance of taking balanced diet. Representative sample study is strongly suggested.


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1. Benoist B, McLean E, Egli I, Cogswell M. Worldwide prevalence of anemia 1993-2005 (1st ed). WHO; 2008
2. McLean E, Cogswell M, Egli I, Wojdyla D, DeBenoist B. Worldwide prevalence of anemia, WHO vitamin and mineral nutrition information system 1993-2005. Public health nutrition 2009; 12(4): 444-454
3. The global prevalence of anemia in 2011. WHO; 2015
4. Report on National Nutrition Survey. Pakistan; 2011
5. Mahan L, Escott-Stump S. krause's food and nutrition therapy (13th ed). St. Louis, Mo. Saunders/ Elsevier; 2008
6. Haemoglobin concentrations for the diagnosis of anemia and assessment of severity. Vitamin and Mineral Nutrition Information System. WHO; 2011
7. Divakaran B, Muttapillymyalil J, Sreedharan J, Shalini K. Lifestyle risk factors of non-communicable diseases: awareness among school children. Indian Journal of Cancer 2010; 47(5): 9-13
8. Elhassan M.R, Gamal H.E, Mohammad G.S. nutrition knowledge, attitude and practices among students of Ahfad University for
Women. Indian Journal of Scientific Research 2013; 4(1): 25-34.
9. Shariff M.Z, Abu Samah B, Paim L, Ismail M, Kasim M.S, Othman N, et al. Nutrition education intervention improves nutrition knowledge, attitude and practices of primary school children: a pilot study. International Electronic Journal of Health Education 2008; 11(1): 119-132
10. Patimah S, Royani I, Mursaha A, Thaha A.R. knowledge, attitude and practice of balanced diet and correlation with hypochromic microcytic anemia among adolescent girls in Maros district, South Sulawesi, Indonesia. Biomedical Research 2016; 27(1): 165-171
11. Akramipour R, Rezaei M, Rahimi Z. prevalence of iron deficiency anemia among adolescent school girls from Kermanshah, Western Iran. Hematology 2013; 13(6): 352-355
12. Pasricha S.R, Drakesmith H, Hipgrave D, Biggs B.A. control of iron deficiency anemia in low and middle-income countries. Blood 2013; 121(14): 2607-2617
13. Balci Y.I, Karabulut A, Gurses D, Covut I.E. Prevalence and risk factors of anemia among adolescents in Denizli, Turkey. Iranian journal of pediatrics 2013; 22(1): 77-81
14. Srivastava T, Negandhi H, Neogi S.B, Sharma J, Saxena R. methods for hemoglobin estimation: a review of 'what works'. J Hematol Transfus 2014; 2(3): 1028
15. Hiew C, Chin Y, Mohd N.M. development and validation of knowledge, attitude and practice on healthy life style questionnaire for Malaysian Adolescents. Journal of Nutrition and Health Sciences 2015; 2(4): 1-11
16. Sichert-Hellert W, Beghin L, De Henauw S, Grammatikaki E, Hallstrom L, Manios Y, Piccinelli R. nutritional knowledge in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutrition 2011; 14(12): 2083-2091
17. Macias Y.F, Glasauer P. guidelines for assessing nutrition related Knoeledge, Attitude, and Practices. Food and Agriculture Organization of United Nations 2014; available at:
18. Jordao R.E, Bernardi J.L, Barros Filho A.D.A. Prevalence of iron deficiency anemia in Brazil: a systematic review. Rvista Paulista de Pediatria 2009; 27(1): 90-98
19. Whitney E.N, Rolfes S.R, Crowe T, Cameron-Smith D, Walsh A. Understanding Nutrition. Cengage Learning 2011
20. Kassebaum N.J, Jasrasaria R, Naghavi M, Wulf S.K, Johns N, Lozano R, et al. A systematic analysis of global anemia burden from 1990-2010. Blood 2014; 123(5): 615-624
21. Jose S, Antony S.C, Issac B.R. Impact of knowledge, Attitude and Practice on anemia status among women in coastal Kochi, Kerala. Int. J. of Multidisciplinary and Current Research 2016; 4: available at
22. M'cormack F.A, Drolet J.C. Assessment of anemia knowledge, attitudes and behavior among pregnant women in Sierra Leone. Health Educator 2012; 44(2): 9
23. Yusoff H, Daud W.N.W, Ahmad Z. Nutrition education and knowledge, attitude and hemoglobin status of Malaysian adolescents. Southeast Asian Journal of Tropical Medicine and Public Health 2012; 43(1): 192
24. Dutta A.J, Patel P, Bansal R.K. compliance to iron supplementation among pregnant women: a cross sectional study in urban slum. National Journal of Community Medicine 2014; 5(4): 457-462
How to Cite
Shahzad S, Islam K, Azhar S, Fiza S, Ahmed W, Murtaza Z. Impact of Knowledge, Attitude and Practice on Iron Deficiency Anaemia Status Among Females of Reproductive Age Group (20-21-year-old) Studying in Government Home Economics College Lahore, Pakistan. IABCR [Internet]. 20Dec.2017 [cited 21Feb.2019];3(4):31-6. Available from: