Announcement
04 Jun 2025
In the heart of sub-Saharan Africa, where communities are as vibrant as they are vulnerable, a silent crisis is growing—childhood anemia. Affecting cognitive development, energy levels, and even future economic productivity, anemia is far more than just a health condition. It's a barrier to national development.
1. Anemia: A Public Health Emergency Hidden in Plain Sight
Anemia, the most common blood disorder in children, arises when the body doesn't have enough healthy red blood cells to carry adequate oxygen to tissues. For children, especially those under five years old, this means delayed development, poor learning outcomes, frequent illness, and a higher risk of death. Globally, anemia affects about 39.8% of children aged 6–59 months, with the African region suffering the highest burden—60.2% of its children are affected.
In Mozambique, the picture is even more alarming. According to newly pooled data from two national Demographic and Health Surveys (2011 and 2022–2023), the anemia rate in children under five has risen from 69.1% to 72.9% over the past decade. That's nearly 3 out of every 4 children.
Source: Encyclopedia Scientific Infographics (https://encyclopedia.pub/image/3598)
2. What's Behind the Numbers?
You might assume the main culprit is iron deficiency—and you'd be partly right. But the causes are deeply intertwined and multifaceted. These include:
Micronutrient deficiencies, like vitamin A, B12, and folic acid
Infectious diseases, such as malaria and HIV, which are prevalent in Mozambique
Inherited blood disorders, such as sickle cell anemia
Poor dietary quality, particularly in food-insecure communities
Environmental conditions, like lack of clean water and sanitation
Social inequalities, including gender and economic disparities
These factors don't operate in isolation—they reinforce each other, making the fight against anemia particularly complex.
3. Who Is Most at Risk?
The recent study identified key groups of children at greater risk of anemia:
Children suffering from illness had a 44% higher likelihood of being anemic.
Those living in households with unimproved drinking water sources were 40% more likely to be anemic.
Children from female-headed households showed a modestly increased risk.
Conversely, children who had received vitamin A supplements were significantly less likely to be anemic.
Interestingly, children aged 6–11 months were less likely to be anemic than older children, a finding that suggests age-specific feeding practices and nutritional transitions play a crucial role.
4. Why Mozambique? Why Now?
Despite global efforts like iron supplementation, mass deworming, and food aid, Mozambique continues to rank among the top 15 countries with the highest burden of childhood anemia. The persistence of such high rates over the past decade indicates that short-term solutions and fragmented policies are simply not enough.
According to the study, about 16% of the anemia variation was attributed to differences between communities, pointing to the significant role of structural and environmental factors.
If Mozambique is to meet the Sustainable Development Goals (SDGs)—including reducing anemia by 50% in women and children by 2030—interventions must be broader and more integrated.
5. What Needs to Change?
To reduce childhood anemia, the response must shift from clinical band-aids to structural transformation:
Improve Primary Healthcare Access
Early diagnosis and consistent health monitoring for children must be expanded, particularly in rural areas where access is limited.
Ensure Food Security and Dietary Diversity
Policies should promote sustainable agriculture and local food systems that increase access to iron-rich and nutrient-dense foods.
Enhance Water, Sanitation, and Hygiene (WASH) Infrastructure
Poor sanitation and unsafe water sources fuel infection-driven anemia. WASH programs are as essential as iron supplements.
Support Female-Headed Households
Women are often primary caregivers. Programs that empower women economically and socially can have cascading benefits for child health.
Promote Nutrition Education
Awareness campaigns about dietary needs and proper child feeding practices—especially during the critical first 1000 days of life—are crucial.
6. Beyond Health: Anemia as a Development Issue
Anemia isn’t just a medical problem—it’s a developmental one. Children with anemia are more likely to underperform in school, struggle to find stable employment later in life, and remain trapped in cycles of poverty. National productivity declines when a significant portion of the future workforce is physically and cognitively stunted.
According to the World Bank, addressing malnutrition (including anemia) could raise a country’s gross domestic product (GDP) by up to 11% in Africa and Asia. The stakes are high, but so is the return on investment.
For more information about topic, you can view the online video entitled "Childhood Anemia in Mozambique".