Anemia Management in Rural Haitian Children: A Mixed Methods Study

Authors

Marc-Aurel Martial, Brigham Young UniversityFollow
Kathy A. Sward, The University Of UtahFollow
Janice M. MorseFollow
Andrew R. Wilson, The University Of UtahFollow
Cempaka S. Martial, Intermountain HealthcareFollow
Debra S. Penney, The University Of UtahFollow
Elie NicolasFollow

Keywords

anemia, social determinants of health, multilevel analysis, Haiti, disease prevention, primary, patient explanatory model, nutrition, water, sanitation, hygiene (WaSH), culturally congruent care, mixed methods

Abstract

Introduction: We examined factors influencing anemia outcomes in rural children following implementation of a prevention program. Method: Mixed methods study of children, parents, and clinicians utilized statistical modeling and content/ ethnographic analysis. Retrospective chart abstraction evaluated treatments administered and measured hemoglobin in children aged 6 to 59 months (n = 161). Prospective interviews/questionnaires examined parent (n = 51) and clinician (n = 19) perceptions. Results: Anemia prevalence decreased by 21.2%. Predictors of increased hemoglobin were clinic visit number and age at first visit. Once anemia improved, children were likely to remain improved (P = .65). Despite favorable program perceptions, stakeholders emphasized ecological barriers, including social disadvantage and local practices. Discussion: Socioeconomic factors prevented guideline concordant behaviors. Persistent attention to intrapersonal, interpersonal, and community social determinants is a sine qua non for successfully managing the epidemic. The first step to provide culturally congruent care is to explicitly acknowledge that guideline-concordant behaviors are often complex.

Original Publication Citation

Martial, M. A., Sward, K. A., Morse, J. M., Wilson, A. R., Martial, C., Penney, D. S., & Nicolas, E. (2021). Anemia management in rural Haitian children: A mixed methods study. Journal of Transcultural Nursing. https://doi.org/10.1177/1043659620986616

BYU ScholarsArchive Citation

Martial, Marc-Aurel; Sward, Kathy A.; Morse, Janice M.; Wilson, Andrew R.; Martial, Cempaka S.; Penney, Debra S.; and Nicolas, Elie, "Anemia Management in Rural Haitian Children: A Mixed Methods Study" (2021). Faculty Publications. 4914.
https://scholarsarchive.byu.edu/facpub/4914

Document Type

Peer-Reviewed Article

Publication Date

2021-01-22

Permanent URL

http://hdl.lib.byu.edu/1877/7718

Publisher

SAGE

Language

English

College

Nursing

University Standing at Time of Publication

Assistant Professor

Copyright Use Information

http://lib.byu.edu/about/copyright/