BACKGROUND Anemia is the most common hematologic disorder of children in the globe. There are fragmented and inconclusive study findings on under-five anemia in Ethiopia. Understanding the distribution of anemia is an important step for program planners and policymakers. Therefore, this systematic review was aimed to assess the pooled prevalence of anemia and associated factors with dietary diversity, food security, stunted, and deworming in Ethiopia. METHODS We searched through African journals of online, Google Scholar, CINHAL, PubMed, Web of Science, Cochrane library, and Scopus. Reviewers used standardized format to extract the data. The data was exported to Stata version 11 software for analysis after extracted by Microsoft excel. The DerSimonian-Laird random-effect model was used to assess the pooled prevalence of under-five anemia. Variation between studies (heterogeneity) was assessed by I2 statistic test. Publication bias was assessed by the Egger test. RESULT From 561 studies, 16 articles were included in this review. The pooled prevalence of under-five anemia in Ethiopia was 44.83%. In subgroup analysis, the higher pooled prevalence of anemia was observed from children's age less than 2 years old (50.36%) (95% CI 39.53, 61.18). Poor dietary diversity OR = 1.71 (1.10, 2.68), stunting OR = 2.59 (2.04, 3.28), food insecurity OR = 2.87 (1.25, 6.61), and not dewormed OR = 2.34 (1.77, 3.09) were predictors of under-five anemia. CONCLUSION The magnitude of under-five anemia in this study was extremely high. Therefore, increased coverage of supplementation and fortification programs, periodic deworming, feeding diversified food, supplement food for those who are stunted, and securing food in the households may all alleviate under-five anemia.

中文翻译：

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埃塞俄比亚五岁以下儿童贫血及其与饮食多样性、粮食安全、发育迟缓和驱虫的相关因素：系统评价和荟萃分析。


背景贫血是全球儿童最常见的血液疾病。关于埃塞俄比亚五岁以下儿童贫血的研究结果不完整且不确定。了解贫血的分布对于规划者和政策制定者来说是重要的一步。因此，本系统评价的目的是评估埃塞俄比亚贫血的汇总患病率以及与饮食多样性、粮食安全、发育不良和驱虫相关的因素。方法 我们检索了非洲在线期刊、Google Scholar、CINHAL、PubMed、Web of Science、Cochrane 图书馆和 Scopus。审阅者使用标准化格式来提取数据。数据经Microsoft Excel提取后导出至Stata 11版软件进行分析。 DerSimonian-Laird 随机效应模型用于评估五岁以下贫血的汇总患病率。通过 I2 统计检验评估研究之间的变异（异质性）。发表偏倚通过 Egger 测试进行评估。结果 本综述纳入了 561 项研究中的 16 篇文章。埃塞俄比亚五岁以下儿童贫血的汇总患病率为 44.83%。在亚组分析中，2岁以下儿童的贫血合并患病率较高（50.36%）（95% CI 39.53, 61.18）。饮食多样性差 OR = 1.71 (1.10, 2.68)、发育迟缓 OR = 2.59 (2.04, 3.28)、粮食不安全 OR = 2.87 (1.25, 6.61) 和未驱虫 OR = 2.34 (1.77, 3.09) 是五岁以下儿童的预测因素贫血。结论 本研究中五岁以下儿童贫血的严重程度极高。因此，扩大补充和强化计划的覆盖范围、定期驱虫、喂养多样化食物、为发育迟缓者补充食物以及确保家庭粮食安全都可以缓解五岁以下贫血症。