Economic Effects of Dietary Supplements on Maternal Anaemic Disorder in Nigeria

Authors

  • Uzoamaka Jude Chiobi University of Nigeria
  • Chukwuebuka Angela Chiobi University of Nigeria image/svg+xml

DOI:

https://doi.org/10.25159/2957-3645/16767

Keywords:

probit model, Nigeria, dietary supplements, maternal anaemic disorder

Abstract

Anaemia remains a leading contributor to the high mortality rate among women of reproductive age in Nigeria. This undermines progress towards the United Nations development goal of reducing maternal mortality by 2030, despite substantial public expenditure on the health sector. This study examines the economic effects of dietary supplements on maternal anaemic disorders in Nigeria. The study uses a probit model estimated through the maximum likelihood technique and is based on data from the 2018 Nigeria Demographic and Health Survey. The findings reveal that dietary supplements have a statistically insignificant effect on maternal anaemia, although the direction of the effect indicates a reduction in the likelihood of anaemia among mothers who use dietary supplements. Specifically, the probability that dietary supplements reduce maternal anaemic disorder is approximately 0.5% lower, on average, for mothers who take dietary supplements compared to those who do not. The study recommends that the government and relevant stakeholders strengthen health management information systems to better sensitise mothers to the benefits of dietary supplement use before, during and after pregnancy. It also recommends to further subsidise these supplements to enhance affordability among women of reproductive age.

Author Biography

Chukwuebuka Angela Chiobi, University of Nigeria

Economics

Lecturer

 

References

Adeboye, T. E., Bodunde, I. O., & Okekunle, A. P. (2022). Dietary iron intake and odd of iron deficiency anaemia among pregnant women in Ifako-Ijaiye, Lagos, Nigeria: A cross-sectional study. Pan African Medical Journal, 42, 23. https://doi.org/10.11604/pamj.2022.42.23.29965

Ajepe, A. A., Okunade, K. S., Sekumade, A. L., Daramola, E. S., Beke M. O., Ijasan, O., Olowoselu, O. F., & Afolabi, B. B. (2020). Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria. PLoS ONE, 15(1). https://doi.org/10.1371/journal.pone.0227965

Alyson, M. C., Campbell-Stennett, D., Yatich, N., & Jolly, P. E. (2010). Predictors of anemia among pregnant women in Westmoreland, Jamaica. Health Care for Women International, 31(7), 585–598, https://doi.org/10.1080/07399331003710541

Assefa, E. (2021). Multilevel analysis of anemia levels among reproductive age groups of women in Ethiopia. Sage Open Medicine, 9, 0987375. https://doi.org/10.1177/2050312120987375

Ayensu, J., Annan, R, Lutterodt, H., Edusei, A., & Peng, L. S. (2020). Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the Ashanti region of Ghana. PLOS One, 15, e0226026. https://doi.org/10.1371/journal.pone.0226026

Berhe, B., Berhe, B., Mardu, F., Legese, H., Gebrewahd, A., Gebremariam, G., Tesfay, K., Kahsu, G., Negash, H., & Adhanom, G. (2019). Prevalence of anemia and associated factors among pregnant women in Adigrat General Hospital, Tigrai, Northern Ethiopia. BMC Research Notes, 12, 310. https://doi.org/10.1186/s13104-019-4347-4

Blumfield, M. L., Hure, A. J., Macdonald-Wicks, L., Smith, R., & Collins, C. E. (2013). Micronutrient intakes during pregnancy in developed countries: A systematic review and meta-analysis. Nutrition Reviews, 71(2), 118–132. http://doi.org/10.1111/nure.12003

Chiobi, C. J., Chiobi, U. A., Omeje, A. N., Mobosi, I. A., Ugwu, M. O., & Ugwu, N. S. (2025). Assessment of the dietary supplements effects on maternal underweight in Nigeria. Kesmas, 20(3), 237–244. https://doi.org/10.7454/kesmas.v20i3.2092

Cook, R. L., O’Dwyer, N. J, Parker, H. M., et al., (2017). Iron deficiency anemia, not iron deficiency, is associated with reduced attention in healthy young women. Nutrients 2017; 9(11): 1216; https://doi.org/10.3390/nu9111216

Delil, R., Tamiru, D., & Zinab, B. (2018). Dietary diversity and its association with anemia among pregnant women attending public health facilities in South Ethiopia. Ethiopian Journal of Health Sciences, 28(5), 5. https://doi.org/10.4314/ejhs.v28i5.14

Dickinson, A. (2011). History and overview of DSHEA. Filoterapia, 82(1), 5–10. https://doi.org/10.1016/j.fitote.2010.09.001

Federal Ministry of Health. (2009). National guideline for control and prevention of micronutrient deficiencies. Family Health Department, FMOH.

Gona, P. N., Gona, C. M., Chikwasha, V., Haruzivishe, C., Mapoma, C. C., & Roa, S. R. (2021). Intersection of HIV and anemia in women of reproductive age: A 10-year analysis of three Zimbabwe demographic health surveys, 2005–2015. BMC Public Health, 21, 41. https://doi.org/10.1186/s12889-020-10033-8

Gonaid, M. H., El-Sanousi, S., & Kadi, H. (2022). Prevalence and determinants of anemia during pregnancy at Hodeida city, (Yemen) during the year 2021. International Journal of Health Sciences and Research, 12(3), 23–31. https://doi.org/10.52403/ijhsr.20220304

Grum, T., Brhane, E., Hintsa, S., & Kahsay, G. (2018). Magnitude and factors associated with anemia among pregnant women attending antenatal care in public health centers in central zone of Tigray region, Northern Ethiopia: A cross sectional study. BMC Pregnancy and Childbirth, 18, 433. https://doi.org/10.1186/s12884-018-2063-z

Habyarimana, F., Zewotir, T., & Ramroop, S. (2020). Prevalence and risk factors associated with anemia among women of childbearing age in Rwanda. African Journal of Reproductive Health, 24(2), 141–151. https://doi.org/10.29063/ajrh2020/v24i2.14

Hakizimana, D., Nisingizwe, M. P., Logan, J., & Wong, R. (2019). Identifying risk factors of anemia among women of reproductive age in Rwanda – A cross-sectional study using secondary data from the Rwanda demographic and health survey 2014/2015. BMC Public Health, 19(1), 1662. https://doi.org/10.1186/s12889-019-8019-z

Holmes, J. H., Lehman, A., Hade, E., Ferketich, A. K., Gehlert, S., Rauscher, G. H., Abrams, J., & Bird, C. E. (2008). Challenges for multilevel health disparities research in a transdisciplinary environment. American Journal of Preventive Medicine, 35(2), 182–192. https://doi.org/10.1016/j.amepre.2008.05.019

Idemili-Aronu, N., Igweonu, O., & Onyeneho, N. (2022). Uptake of iron supplements and anemia during pregnancy in Nigeria. Journal of Public Health, 44(1), 111–120. https://doi.org/10.1093/pubmed/fdaa168

Izugbara, C., Wekesah, F. M., & Adedini, S. A. (2016). Maternal health in Nigeria: A situation update. Technical report. African Population and Health Research Center. https://doi.org/10.13140/RG.2.1.1291.9924

Kibret, K. T., Chojenta, C., D’Arcy, E., & Loxton, D. (2019). Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: A multilevel and spatial analysis. BMJ Open, 9(4), e027276. https://doi.org/10.1136/bmjopen-2018-027276

Kilpatrick, S. J. (2014). Anaemia and pregnancy. In R. K. Creasy, R. Resnik, M. F. Greene, J. D. Iams, C. J. Lockwood, T. R. Moore & M. F. (Ed.). Creasy and Resnik’s maternal–fetal medicine: Principles and practice (7th ed., pp. 918–931). Elsevier Saunders.

Kinyoki, D., Osgood-Zimmerman, A. E., Bhattacharjee, N. V., Local burden of disease anaemia collaborators, Kassebaum, N. J., & Hay, S. I. (2021). Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018. Nature Medicine, 27(10), 1761–1782. https://doi.org/10.1038/s41591-021-01498-0

Kumari S., Garg, N., Kumar, A., Guru, P. K. I., Ansari, S., Anwar, S., Singh, K. P., Kumari, P., Mishra, P. K., Gupta, B. K., Nehar, S., Sharma, A. K. , Raziuddin, M., & Sohail, M. (2019). Maternal and severe anaemia in delivering women is associated with risk of preterm and low birth weight: A cross sectional study from Jharkhand, India. One Health, 8, 100098. http://doi.org/10.1016/j.onehlt.2019.100098

Lebso, M., Anato, A., & Lotha, E. (2017). Prevalence of anemia and associated factors among pregnant women in southern Ethiopia: A community based cross-sectional study. PLOS One, 12, e0188783. https://doi.org/10.1371/journal.pone.0188783

Liu, H., Zhang, S., Zou, H., Pan, Y., Yang, Q., Ouyang, Y., Luo, J., & Lin, Q. (2019). Dietary supplement use among Chinese primary school students: A cross-sectional study in Hunan province. International Journal of Environmental Research and Public Health, 16(3), 374. https://doi.org/10.3390/ijerph16030374

McClure, E. M., Meshnick, S. R., Mungai, P., Malhotra, I., King, C. L., Goldenberg, R. L., Hudgens, M.G., Siega-Riz, A. M., & Dent, A. E. (2014). The association of parasitic infections in pregnancy and maternal and fetal anemia: A cohort study in coastal Kenya. PLOS Neglected Tropical Diseases, 8, e2724. https://doi.org/10.1371/journal.pntd.0002724

Mondal, B., Tripathy, V., & Gupta, R. (2006). Risk factors of anaemia during pregnancy among the Garo of Meghalaya, India. Journal of Human Ecology, 14, 27–32. http://krepublishers.com/06-Special%20Volume-Journal/JHE-00-Special%20Volumes/JHE-14-Eco-Cul-Nut-Hlth-Dis-Web/JHE-SI-14-04-027-032-Mondal-B/JHE-SI-14-04-027-032-Mondal-B-Abstract.pdf

Msuya, S. E., Hussein, T. H., Uriyo, J., Sam, N. E., & Stray-Pedersen, B. (2011). Anaemia among pregnant women in northern Tanzania: Prevalence, risk factors and effect on perinatal outcomes. Tanzania Journal of Health Research, 13(1), 33–39. https://doi.org/10.4314/thrb.v13i1.60881

Nankinga, O., & Aguta, D. (2019). Determinants of anemia among women in Uganda: Further analysis of the Uganda demographic and health surveys. BMC Public Health, 19(1), 1757. https://doi.org/10.1186/s12889-019-8114-1

National Committee on Food and Nutrition. (2016). National policy on food and nutrition. NCFN. https://faolex.fao.org/docs/pdf/nig184608.pdf

National Population Commission & ICF International. (2014). Nigeria demographic and health survey 2013. NPC and ICF. https://dhsprogram.com/pubs/pdf/fr293/fr293.pdf

National Population Commission & ICF International. (2019). Nigeria demographic and health survey 2018. NPC and ICF. https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf

Nik Rosmawati, N., Mohd Nazri, S., & Mohd Ismail, I. (2012). The rate and risk factors for anemia among pregnant mothers in Jerteh Terengganu, Malaysia. Journal of Community Medicine and Health Education, 2(5), 2161. https://doi.org/10.4172/2161-0711.1000150

Obai, G., Odongo, P., & Wanyama, R. (2016). Prevalence of anaemia and associated risk factors among pregnant women attending antenatal care in Gulu and Hoima regional hospitals in Uganda: A cross sectional study. BMC Pregnancy Childbirth, 16, 76. https://doi.org/10.1186/s12884-016-0865-4

Ogbuabor, D. C., Ogbuabor, A. O., & Ghasi, N. (2022). Determinants of anaemia prevalence in women of reproductive age in Nigeria: A cross-sectional study using secondary data from Nigeria demographic and health survey 2018. Women’s Health, https://doi.org/10.1177/17455057221142961

Okube, O. T., Mirie, W., Odhiambo, E., Sabina, W., & Habtu, M. (2016). Prevalence and factors associated with anaemia among pregnant women attending antenatal clinic in the second and third trimesters at Pumwani Maternity Hospital, Kenya. Open Journal of Obstetrics and Gynecology, 6(1), 16–27 https://doi.org/10.4236/ojog.2016.61003

Omeje, A. N., Ileme, O. P., & Chiobi, C. J. (2023). Healthcare access and cost among pregnant women: Evidence from Nigeria demographic and health survey data. Seybold Report, 18(10), 117–137. https://doi.org/10.5110/77.1085

Parisi, F., Laoreti, A., & Cetin, I. (2014). Multiple micronutrient needs in pregnancy in industrialized countries. Annals of Nutrition and Metabolism, 65(1), 13–21. http://doi.org/10.1159/000365794

Picciano, M. F. (2003). Pregnancy and lactation: Physiological adjustments, nutritional requirements and the role of dietary supplements. Journal of Nutrition, 133(6), 1997s–2002s. https://doi.org/10.1093/jn/133.6.1997S

Rahman, M. M., Abe, S. K., Rahman, M. S., Kanda, M., Narita, S., Bilano, V., Ota, E., Gilmour, S., & Shibuya, K. (2016). Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis, American Journal of Clinical Nutrition, 103(2), 495–504. https://doi.org/10.3945/ajcn.115.107896

Shander, A., Goodnough, L. T., Javidroozi, M., Auerbach, M., Carson, J., Ershler, W. B., Ghiglione, M., Glaspy, J., & Lew, I. (2014). Iron deficiency anemia – Bridging the knowledge and practice gap. Transfusion Medicine Reviews, 28(3), 156–166. https://doi.org/10.1016/j.tmrv.2014.05.001

Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social determinants of health discussion paper 2 (policy and practice). WHO. https://www.afro.who.int/sites/default/files/2017-06/SDH_conceptual_framework_for_action.pdf

Teshale A. B., Tesema GA, Worku MG., Yeshaw, Y., & Tessema, Z. T. (2020). Anemia and its associated factors among women of reproductive age in eastern Africa: A multilevel mixed-effects generalized linear model. PLOS One, 15(9), e0238957. https://doi.org/10.1371/journal.pone.0238957

United Nations Children’s Fund. (2022). UNICEF programming guidance: Prevention of malnutrition in women before and during pregnancy and while breastfeeding. UNICEF. https://www.unnutrition.org/library/publication/unicef-programming-guidance-prevention-malnutrition-women-and-during-pregnancy

United Nations Development Programme. (2011, 11 November). A social determinants approach to maternal health. Discussion Paper. UNDP. https://www.undp.org/publications/social-determinants-approach-maternal-health

World Health Organization. (2015). The global prevalence of anaemia in 2011. WHO. https://apps.who.int/iris/bitstream/handle/10665/177094/9789241564960_eng.pdf

World Health Organization. (2001). The global prevalence of anaemia in 2001. WHO. https://apps.who.int/iris/bitstream/handle/10665/177094/9789241564960_eng.pdf

World Health Organization. (2019). World health statistics: Monitoring health for the SDGs. WHO. https://digitallibrary.un.org/record/3868814?ln=en

Wu, G., Imhoff-Kunsch, B., & Girard, A. W. (2012). Biological mechanisms for nutritional regulation of maternal health and fetal development. Paediatric and Perinatal Epidemiology, 26(s1), 4–26. https://doi.org/10.1111/j.1365-3016.2012.01291.x

Xiang, C., Luo, J., Yang, G., Sun, M., Liu, H., Yang, Q., Ouyang, Y., Xi, Y., Yong, C., Khan, M. J., & Lin, Q. (2022). Dietary supplement use during pregnancy: Perceptions versus reality. International Journal of Environmental Research and Public Health, 19(7), 4063. https://doi.org/10.3390/ijerph19074063

Published

2026-03-02

How to Cite

Chiobi, U. J., & Chiobi, C. A. (2026). Economic Effects of Dietary Supplements on Maternal Anaemic Disorder in Nigeria. Social and Health Sciences, 19 pages . https://doi.org/10.25159/2957-3645/16767

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Articles