Socio-cultural related factors contributing to anaemia in children under the age of five years at the paediatric ward in Nakaseke general hospital, Nakaseke district. A cross-sectional study.
DOI:
https://doi.org/10.71020/p1tzsb78Keywords:
Anaemia, Children under five, Socio-cultural factors, Food taboos, Household, decision-making, Complementary feeding, Nakaseke General HospitalAbstract
Background:
The study aimed to determine the socio-cultural related factors contributing to anaemia in children under the age of five years at the paediatric ward in Nakaseke General Hospital, Nakaseke district.
Methodology:
The study employed a descriptive cross-sectional design at Nakaseke General Hospital, targeting caretakers of children under five diagnosed with anaemia. A sample of 80 respondents was selected using simple random sampling, with participants approached, consented, and enrolled using folded-paper selection. Data were collected via pretested, self-administered, structured questionnaires in Luganda, guided by trained research assistants. Quantitative data were analyzed in Microsoft Excel and presented in tables, charts, and graphs. Ethical clearance, informed consent, confidentiality, and adherence to SOPs were ensured throughout the study.
Results:
Among the 80 respondents, 55 (68.7%) were female, and 25 (31.3%) were male. Most were aged 26–35 years (35; 43.8%), followed by 14–25 years (20; 25.0%), 36–45 years (15; 18.7%), and 46+ years (10; 12.5%). Household sizes were 1–4 members (30; 37.5%), 5–8 members (40; 50.0%), and 8+ members (10; 12.5%), with 45 (56.3%) living in rural areas. Half were married (40; 50.0%), 25 (31.3%) single, 10 (12.5%) divorced, and 5 (6.2%) widowed. Regarding education, 30 (37.5%) had secondary, 25 (31.3%) primary, 15 (18.7%) tertiary, and 10 (12.5%) never attended school. Socio-culturally, 35 (43.8%) reported fathers as primary decision-makers on family income, 30 (37.5%) said both parents shared decisions, and 15 (18.7%) said mothers decided alone. Food taboos were practiced in 25 (31.3%) of households, mainly restricting fish (8; 10.0%), chicken (7; 8.7%), eggs (5; 6.3%), and fruits (3; 3.8%).
Conclusion:
Male-dominated decisions, poor feeding practices, and food taboos reduced children’s dietary diversity and increased anaemia.
Recommendation:
Community and religious leaders should discourage food taboos and promote joint parental decision-making on child nutrition.
References
1. Al-Kassab-Cordova, A., Mendez, M., & Miranda, J. J. (2022). Socioeconomic inequalities and anemia prevalence among children under five years in Peru. Public Health Nutrition, 25(4), 789-798.
2. Frumence, G., Kibusi, S., & Nyamhanga, T. (2023). Exploration of perceived socio-cultural factors contributing to undernutrition among under-fives in the Southern Highlands of Tanzania. BMC Public Health, 23, Article 565.
3. https://doi.org/10.3389/ijph.2023.1605294
4. Ketema, M., Birhanu, Z., & Fekadu, Y. (2022). Use of traditional healers to treat child malnutrition: A qualitative study of health-seeking behavior in eastern Ethiopia. Journal of Nutritional Disorders and Therapy, 12(3), 78-90.
5. Seun Anjorin, S., Adebayo, A., & Oladipo, O. (2021). Early marriage and its association with anemia among children under five in sub-Saharan Africa. BMC Public Health, 21, Article 1023.
6. Tadesse, A., Hailu, T., & Abebe, M. (2022). Determinants of anemia among under-five children in Africa: A systematic review. Journal of Nutrition and Health Sciences, 9(1), 12-25. https://doi.org/10.1155/2022/1382940
7. Tugume, P., Namusoke, F., & Kizza, R. (2024). Unravelling taboos and cultural beliefs associated with hidden hunger among pregnant and breastfeeding women in Buyende District, Eastern Uganda. Uganda Journal of Nutrition, 12(1), 30-42. https://doi.org/10.1186/s13002-024-00682-z
8. Yahaya, I., Olanrewaju, T., & Adekunle, T. (2021). Household food insecurity and nutrient adequacy of under-five children in Ibadan, Southwestern Nigeria. African Journal of Food, Agriculture, Nutrition and Development, 21(3), 18234-18249.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Joseph Wabomba, Moses Ojale, George Masete

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in any of our journals retain the copyright to their work but agree to grant Burundi Publishing the right of first publication. All articles are published under a Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This promotes transparency and fosters wide dissemination of the research.