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Arch Argent Pediatr. 2018 Feb 1;116(1):21-27. doi: 10.5546/aap.2018.eng.21.

The perspective of primary health care pediatricians regarding childhood anemia and iron supplementation.

[Article in English, Spanish; Abstract available in Spanish from the publisher]

Author information

1
Centro Rosarino de Estudios Perinatales, Rosario, Santa Fe, Argentina. ysguassero@crep.org.ar.
2
Facultad de Ciencias Médicas, Universidad Nacional de Rosario, Rosario, Santa Fe, Argentina.
3
Centro de Estudios de Estado y Sociedad (CEDES), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET).

Abstract

in English, Spanish

INTRODUCTION:

Iron deficiency anemia is common in low- and middle-income countries. According to the evidence, the impact of ferrous sulfate supplementation in the pediatric population is low. Our objective was to analyze the perspective of pediatricians regarding anemia and iron supplementation.

POPULATION AND METHODS:

Qualitative, exploratory study. Semi-structured interviews were conducted with primary health care pediatricians from Rosario. Three core inquiry concepts were included: importance of this problem, clinical practice, and representations about iron supplementation. The analysis consisted in the systematization of the information collected by transcribing the recorded interviews and notes.

RESULTS:

A total of 32 interviews were conducted. All interviewees considered anemia was a relevant problem. At present, anemia is associated with a poor-quality diet. Based on the findings, pediatric practice follows national standards. There is consensus that low adherence is a barrier for the clinical management of iron deficiency anemia. Pediatricians described concepts that are potentially beneficial for the local setting, including workshops on anemia and free provision of more flavorful iron supplements.

CONCLUSIONS:

Iron deficiency anemia was considered a severe problem. In the primary health care setting, outstanding interventions included workshops and access to more flavorful iron supplements.

KEYWORDS:

Interview; Iron deficiency anemia; Pediatrics; Primary health care; Qualitative analysis

PMID:
29333808
DOI:
10.5546/aap.2018.eng.21
[Indexed for MEDLINE]
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