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Comparison of Haemoglobin Concentrations From Venous and From Finger-Pricked Capillary Blood in a Region With a High Prevalence of Anaemia in Ethiopia.

Created on 14 Sep 2025

Authors

Desalegn Kuche, Masresha Tessema, Kaleab Baye, Zeweter Abebe, Ramadhani Noor, Teshome Assefa, Alemayehu Hussen, Meseret Woldeyohannes, Stanley Chitekwe, Barbara J Stoecker

Published in

Maternal & child nutrition. Pages e70109. Sep 14, 2025. Epub Sep 14, 2025.

Abstract

This cross-sectional study was conducted in the Somali Regional State in Ethiopia. The purpose of the study was to compare haemoglobin (Hb) concentrations from venous and finger-pricked capillary blood using the HemoCue 301 as well as estimating anaemia prevalence. Participants were non-pregnant women of reproductive age (WRA), 18-49 years old (n = 884). Blood was collected by trained laboratory technologists using standard protocols. Venous blood was transferred from the EDTA-coated vacutainer to a HemoCue microcuvette. An automatic safety lancet was used to obtain capillary blood, and a microcuvette was filled with the third drop. Both venous and capillary blood were analysed immediately in the field using the same HemoCue analyser. The mean (±SD) Hb concentration was 11.6 ± 2.2 g/dL for venous blood and 11.4 ± 2.3 g/dL for capillary blood. The mean Hb difference was 0.2 ± 0.8 g/dL (p < 0.0001). After adjustment for altitude, anaemia prevalence was estimated. Both blood collection methods confirmed anaemia prevalence as a severe public health problem; the prevalence was 66.6% from venous and 70.7% from capillary blood. Using venous Hb as the standard, the sensitivity of capillary Hb was 94.9%, and its specificity was 77.5% in identifying anaemia. The differences in anaemia estimates using venous and capillary blood have the potential to impact both public health strategies and programme evaluations.

PMID:
40946224
Bibliographic data and abstract were imported from PubMed on 14 Sep 2025.

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