Anemia has substantial negative effects on the health and economic wellbeing of nations and communities. Children with anemia experience irrevocable cognitive and developmental delays and exhibit decreased worker productivity as adults.1 Globally, maternal anemia increases the risk of pre-term delivery and low birth weight, and iron-deficiency anemia underlies 115,000 maternal deaths and 591,000 perinatal deaths each year.2
Status of Policies or Strategies to Support Reductions in Anemia*
| IFA for pregnant women
IFA for women of reproductive age
IFA for adolescent girls
Iron and/or folic acid fortification legislation
Delayed cord clamping
Dietary diversity for complementary feeding
Micronutrient powders for children
Long-lasting insecticidal nets (LLINs) for household use
| Indoor residual spraying
National policy on sanitation
IPTp for pregnant women
Malaria diagnosis and treatment
Deworming for children
Deworming for pregnant women
| no policy
| policy in place
In pregnancy, infections are a key cause of anemia and can be prevented by sleeping under a bednet and taking intermittent preventive treatment (IPTp) for malaria and deworming pills. Anemia can also be prevented by taking iron folic acid (IFA) supplements.
Not enough women are taking IPTp to prevent malaria during pregnancy (18%, 2013)
Infants and Young Children
For infants and young children, delayed cord clamping, sleeping under a bednet, and exclusive breastfeeding reduce the risk of becoming anemic.
For young children, continued breastfeeding and adequate complementary feeding (including micronutrients), preventing and treating malaria, and taking deworming pills can prevent anemia and promote healthy growth.
In 2008-2009, 46% of children 6-35 months consumed foods rich in iron
Women and Adolescent Girls
For women and adolescent girls, IFA supplements and deworming help prevent anemia. Family planning delays the age at first birth.
More than one out of four (27%) married adolescent girls expressed an unmet need for family planning (2008-2009)
In households, improving basic hygiene and sanitation practices reduces the risk of infection and can help prevent anemia.
41% of households had access to an improved source of drinking water (2008-2009)
Institut National de la Statistique (INSTAT), Programme National de lutte contre le Paludisme (PNLP), Institut Pasteur de Madagascar (IPM) et ICF International. 2013. Enquête sur les Indicateurs du Paludisme (EIPM) 2013. Calverton, MD, USA: INSTAT, PNLP, IPM et ICF International.
Institut National de la Statistique (INSTAT) et ICF Macro. 2010. Enquête Démographique et de Santé de Madagascar 2008-2009. Antananarivo, Madagascar : INSTAT et ICF Macro.
Institut National de la Statistique (INSTAT) et ORC Macro. 2005. Enquête Démographique et de Santé de Madagascar 2003-2004. Calverton, Maryland, USA: INSTAT et ORC Macro.
Direction de la Démographie et des Statistiques Sociales, Institut National de la Statistique (INSTAT) [Madagascar] et Macro International Inc. 1998. Enquête Démographique et de Santé, Madagascar 1997. Calverton, Maryland, USA: INSTAT et Macro International Inc.
Profile prepared September 2015.