Antenatal care and mothers’ education improved iron-folic acid adherence at Denbiya district health centers, Northwest Ethiopia: using pills count method

Tarekegn, Missa; Wubshet, Mamo; Atenafu, Azeb; Derso, Terefe; Woretaw, Abere

doi:10.1186/s13690-019-0356-y

Cited by 16 publications

(23 citation statements)

References 19 publications

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“…Women who have a higher knowledge of anaemia were more than three times likely to be IFA adherent as compared to their counterparts of low anaemia knowledge. Similar findings have also been reported in other studies elsewhere, 27,36,38 . It is possible that having higher knowledge of anaemia enables a mother to understand the aetiology of anaemia, its prevention measures as well as the deleterious effects that the condition could cause to the mother and her unborn baby.…”

Section: Discussionsupporting

confidence: 93%

“…A large population-based study conducted among pregnant women in SSA noted higher odds of IFA compliance among women with at least four ANC visits 35 . In Ethiopia, Molla et al observed that women with at least four ANC visits were almost seven times more likely to be IFA compliant while Tarekegn et al reported higher IFA compliance among women who had attained at least 3 ANC visits, 36,37 . Generally, ANC visits correlate positively with IFA adherence.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to iron and folic acid supplementation during pregnancy among postnatal mothers seeking maternal and child healthcare at Kakamega level 5 hospital in Kenya: a cross-sectional study

2021

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Background: Maternal anaemia is a public health problem worldwide, and its aetiology is linked to iron deficiency. The high nutrient demand during pregnancy exacerbates the condition. To meet the increased nutritional demand, supplementation of iron and folic acid (IFA) is key. The supplements are provided freely to pregnant women during antenatal visits at public health facilities, however, their uptake and adherence in Kenya remain unacceptably low. Methods: A hospital-based cross-sectional study involving 241 postnatal mothers seeking maternal and child healthcare (MCH) care at Kakamega level 5 hospital was conducted. Both quantitative and qualitative data were collected. Quantitative data were collected from 241 eligible postnatal mothers, while qualitative data were obtained through key informant interviews with community health volunteers and healthcare providers. Results: There was a moderate adherence to IFA supplementation (60.6%) during pregnancy among postnatal mothers seeking MCH care at Kakamega level 5 hospital. Some of the reasons for non-adherence stated by the respondents included; IFA related side effects (41.3%), forgetfulness (37.3%) and bad smell of the IFA supplements (10.3%). Higher IFA adherence was noted among the primigravida participants (OR=2.704; 95% CI: 1.262, 5.793; p=0.010) compared to multigravida participants, and those with a higher knowledge level of anaemia (OR=3.215; 95% CI: 1.346, 7.68; p=0.009) compared to their counterparts with low anaemia knowledge. Other factors that showed correlation with IFA adherence were: IFA education, pregnancy counselling before conception and the number of antenatal care visits attained. Conclusion: There is a moderate adherence to IFA supplementation during pregnancy among mothers seeking MCH at Kakamega level 5 hospital. The greatest impediments of IFA compliance during pregnancy are IFA side effects, forgetfulness and the bad smell of the IFA tablets. Therefore, providing IFA education to pregnant mothers incorporated with probable ways of managing the IFA side effects would contribute to IFA supplementation adherence.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Adherence to iron and folic acid supplementation during pregnancy among postnatal mothers seeking maternal and child healthcare at Kakamega level 5 hospital in Kenya: a cross-sectional study

2021

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“…The association between lack of fourth visit for antenatal care and risk of developing noncompliance to IFAS during pregnancy was stated in eight studies [ 25 , 28 , 30 , 31 , 36 , 37 , 40 , 43 ]. Accordingly, the result from meta-analysis from those revealed that women who had fourth visit for ANC in pregnancy were 1.54 times more likely to have compliance to IFAS during pregnancy as compared to those had no fourth visit for ANC [OR 1.54, 95% CI (0.66,3.58.43)].…”

Section: Resultsmentioning

confidence: 99%

Compliance with Iron and Folic Acid Supplementation (IFAS) and associated factors among pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis

et al. 2021

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Background Anemia is one of the world’s leading cause of disability and the most serious global public health issues. This systematic review and meta-analysis was conducted very carefully in order to give up the pooled compliance of Iron and Folic-Acid Supplementation in Sub-Saharan Africa. Methods To conduct this brief systematic review and meta-analysis, a related literature search was done from different sources, PubMed Medline and Google Scholar Journals. Then IFA Supplementation related searching engine was used to make the work more meaningful and intensive. Moreover, we used modified Newcastle-Ottawa quality assessment scale for cross sectional studies to assess the quality of the study in terms of their inclusion. Then, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to carry out the work in a carful manner. Finally, the pooled effect size was computed using the review manager and Compressive Meta-analysis software. Results Twenty-three studies, which encompassed 24272 pregnant women, were chosen for the analysis. From those an overall prevalence of compliance with Iron and Folic Acid Supplementation (IFAS) in pregnancy in SSA was 39.2%. However, the result from meta-analysis showed that women who were counseled on IFAS in their courses of pregnancy were 1.96 times more likely to adhere to IFAS compared to those who were not counseled [OR:1.96, 95% CI (1.76-,5.93)]. Moreover, it showed that women who had knowledge of IFAS were 2.71 times more likely to have compliance with IFAS as compared to those who had no knowledge of IFAS [OR:2.71, 95% CI (1.33,5.54)]. Also it revealed that those women who had knowledge of anemia were 5.42 times more likely to have compliance with IFAS as compared with those who had no knowledge of anemia [OR5.42, 95% CI (1.52, 19.43)]. Furthermore, women who had received fourth visit for ANC were 1.54 times more likely to have compliance with IFAS as compared to those who had not received for ANC [OR 1.54, 95% CI (0.66, 3.58.43)]. Conclusions Our finding from this systematic review and meta-analysis shows the low case in prevalence of compliance to IFAS among pregnant women in SSA. Predictors for this includes: knowledge about anemia, knowledge about IFAS, counseling on IFAS and receiving fourth antenatal care visit were statistically correlated positively with compliance to IFAS. This demands careful appraisal of effect of prevention work for functioning policy, programs and plan nutrition intrusions for refining maternal dietary intake in gestation. Also dietary education intrusion requires to be planned to satisfy the needs of pregnant women. So we hope that the result of this study might be essential as a bridging stone for policy makers of Africa; exclusively for maternal and child health care. Finally, we recommended further studies to be conducted in the area of the study for more intensive and detailed suggestions.

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“…24 On the contrary, it was observed that the husband's educational status reduced the odds of good folic acid supplementation among pregnant women in Ethopia. 25,26 This observation underscores the importance of male involvement in pregnancy. Education increases knowledge and uptake of folic acid supplementation, and informed spouses can boost supplementation by providing reminders and other support to help with pill taking.…”

Section: Articlementioning

confidence: 64%

Folic acid usage and its associated factors among antenatal attendees in a tertiary health facility: Implications for child health

Obarisiagbon¹,

Ogboghodo

2020

Ann Afr Med Res

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Globally, an estimated two billion people are affected by deficiencies of essential vitamins and minerals, notably folic acid, which negatively impacts on health and economic development. Maternal folate deficiency is associated with neural tube defects. Thus, getting enough folic acid is important for the rapid cell growth of the placenta and the developing fetus. The objective of this study is to assess the practice of folic acid and its associated factors among pregnant women in University of Benin Teaching Hospital (UBTH). A descriptive cross-sectional study was carried out among 400 pregnant women attending the antenatal clinic at UBTH, selected using a systematic sampling technique. Data was obtained using a structured interviewer-administered questionnaire and analyzed with IBM SPSS version 21.0 software. The level of significance was set at P<0.05. The mean age of the respondents was 28.7 (4.2) years. Majority 348 (87.0%) of the respondents had a good practice score of folic acid usage. The factors associated with the practice of folic acid were age (P<0.01), socioeconomic status (P<0.01), and parity, (P<0.01). The determinants of folic acid intake were spouse’s level of education (P<0.001), and planned pregnancy (P<0.001). The majority of the respondents had a good practice of folic acid usage, and the determinants of practice were spouse’s level of education and planned pregnancy. Health education is encouraged to sustain the good practice of folic acid use to prevent neural tube defects.

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Antenatal care and mothers’ education improved iron-folic acid adherence at Denbiya district health centers, Northwest Ethiopia: using pills count method

Cited by 16 publications

References 19 publications

Adherence to iron and folic acid supplementation during pregnancy among postnatal mothers seeking maternal and child healthcare at Kakamega level 5 hospital in Kenya: a cross-sectional study

Adherence to iron and folic acid supplementation during pregnancy among postnatal mothers seeking maternal and child healthcare at Kakamega level 5 hospital in Kenya: a cross-sectional study

Compliance with Iron and Folic Acid Supplementation (IFAS) and associated factors among pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis

Folic acid usage and its associated factors among antenatal attendees in a tertiary health facility: Implications for child health

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