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Addressing Anemia in Pregnant Women and School Children through a Field Tested Novel Strategy

Objective To introduce a protocol for improving hemoglobin (Hb), rectifying anemia in pregnant women and school children through practice of interventions. Materials and Methods  Pregnant women (n = 3,262) visiting antenatal clinics (ANCs) in two government hospitals in New Delhi were screened for Hb using a hemoglobinometer. Those anemic with Hb Girls and boys (n = 2,420) attending six schools in the national capital were inducted in the study. “Informed consents” were obtained from the parents of the recruited children and the principal of the school. The “ascent” was obtained from the children. The protocol comprised screening for Hb and testing of fluoride levels in the urine and drinking water. Diet editing and counseling were introduced to parents/mothers during parent–teacher meetings and impact of the interventions was assessed at 1, 3, and 6 months postintervention and the recorded data were evaluated and analyzed statistically. Results It was observed that 83% of pregnant women in whom anemia was corrected delivered normal birth weight infants (2.5–3.89 kg). The 17% women in whom anemia was not corrected gave birth to low birth weight infants (1.87–2.48 kg). The school children in whom the diet editing was used as an intervention showed statistically significant enhanced Hb levels. These children did not require weekly iron and folic acid supplementation. It appears that educating parents to provide nutrient-rich food for correcting anemia seems to be an important intervention. Conclusion Fluoride from water, food, beverages, use of rock salt with high F– 157 ppm in cooking and churans when withdrawn, structural changes in the gastrointestinal system was rectified, thus enhanced absorption of nutrients. The nation should have a meaningful protocol to do justice to pregnant women and school children afflicted with anemia.