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Evaluation of WHO haemoglobin colour scale & palmar pallor for screening of anaemia among children (6-35 months) in rural Wardha, India.
Indian J Med Res. 2008 Sep; 128(3):278-81.IJ

Abstract

BACKGROUND & OBJECTIVE

Anaemia is a public health problem in India, particularly in women and children. Clinical diagnosis by health workers may be inaccurate. It is therefore important to evaluate simple methods for diagnosis of anaemia in rural set up with no or minimal laboratory facilities. We carried out this study to evaluate the performance of haemoglobin colour scale and palmar pallor against filter paper cyanmethaemoglobin method as screening methods for anaemia in children 6-35 months of age.

METHODS

A total of 772 children between 6-35 months were studied from three primary health centres of Wardha district, central India, by house-to-house visit. The child was examined for presence of palmar pallor and haemoglobin estimated by haemoglobin colour scale (HCS) and filter paper cyanmethaemoglobin method independently by two persons.

RESULTS

Haemoglobin colour scale had sensitivity of 89 per cent and specificity of 97 per cent in detecting anaemia in children. Pallor had sensitivity of 73 per cent and specificity of 98 per cent. The predictive values were 99 per cent and 69 per cent for positive and negative HCS result. Similarly, the predictive values were 99 and 48 per cent for positive and negative pallor result. Correct diagnosis of anaemia was 34 and 0.1 times common if HCS test result was positive (Hb < 110.0 g/l) and negative (Hb > 110.0 g/l) for anaemia.

INTERPRETATION & CONCLUSION

HCS fulfills the requirement of field test for screening of anaemia in resource poor country. It also has acceptable precision and accuracy and hence can be used in national anaemia control programmes.

Authors+Show Affiliations

Dr Sushila Nayar School of Public Health, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Validation Study

Language

eng

PubMed ID

19052338

Citation

Sinha, N, et al. "Evaluation of WHO Haemoglobin Colour Scale & Palmar Pallor for Screening of Anaemia Among Children (6-35 Months) in Rural Wardha, India." The Indian Journal of Medical Research, vol. 128, no. 3, 2008, pp. 278-81.
Sinha N, Deshmukh PR, Garg BS. Evaluation of WHO haemoglobin colour scale & palmar pallor for screening of anaemia among children (6-35 months) in rural Wardha, India. Indian J Med Res. 2008;128(3):278-81.
Sinha, N., Deshmukh, P. R., & Garg, B. S. (2008). Evaluation of WHO haemoglobin colour scale & palmar pallor for screening of anaemia among children (6-35 months) in rural Wardha, India. The Indian Journal of Medical Research, 128(3), 278-81.
Sinha N, Deshmukh PR, Garg BS. Evaluation of WHO Haemoglobin Colour Scale & Palmar Pallor for Screening of Anaemia Among Children (6-35 Months) in Rural Wardha, India. Indian J Med Res. 2008;128(3):278-81. PubMed PMID: 19052338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of WHO haemoglobin colour scale & palmar pallor for screening of anaemia among children (6-35 months) in rural Wardha, India. AU - Sinha,N, AU - Deshmukh,P R, AU - Garg,B S, PY - 2008/12/5/pubmed PY - 2009/4/14/medline PY - 2008/12/5/entrez SP - 278 EP - 81 JF - The Indian journal of medical research JO - Indian J. Med. Res. VL - 128 IS - 3 N2 - BACKGROUND & OBJECTIVE: Anaemia is a public health problem in India, particularly in women and children. Clinical diagnosis by health workers may be inaccurate. It is therefore important to evaluate simple methods for diagnosis of anaemia in rural set up with no or minimal laboratory facilities. We carried out this study to evaluate the performance of haemoglobin colour scale and palmar pallor against filter paper cyanmethaemoglobin method as screening methods for anaemia in children 6-35 months of age. METHODS: A total of 772 children between 6-35 months were studied from three primary health centres of Wardha district, central India, by house-to-house visit. The child was examined for presence of palmar pallor and haemoglobin estimated by haemoglobin colour scale (HCS) and filter paper cyanmethaemoglobin method independently by two persons. RESULTS: Haemoglobin colour scale had sensitivity of 89 per cent and specificity of 97 per cent in detecting anaemia in children. Pallor had sensitivity of 73 per cent and specificity of 98 per cent. The predictive values were 99 per cent and 69 per cent for positive and negative HCS result. Similarly, the predictive values were 99 and 48 per cent for positive and negative pallor result. Correct diagnosis of anaemia was 34 and 0.1 times common if HCS test result was positive (Hb < 110.0 g/l) and negative (Hb > 110.0 g/l) for anaemia. INTERPRETATION & CONCLUSION: HCS fulfills the requirement of field test for screening of anaemia in resource poor country. It also has acceptable precision and accuracy and hence can be used in national anaemia control programmes. SN - 0971-5916 UR - https://www.unboundmedicine.com/medline/citation/19052338/Evaluation_of_WHO_haemoglobin_colour_scale_&_palmar_pallor_for_screening_of_anaemia_among_children__6_35_months__in_rural_Wardha_India_ L2 - https://www.who.int/reproductivehealth/publications/cancers/a92126/en/ DB - PRIME DP - Unbound Medicine ER -