Compliance of iron and folic acid supplementation and status of anaemia during pregnancy in the Eastern Terai of Nepal: findings from hospital based cross sectional study

Yadav, Krishna Deo; Yadav, Uday Narayan; Wagle, Rajendra Raj; Thakur, Dip Narayan; Dhakal, Sarmila

doi:10.1186/s13104-019-4167-6

Cited by 14 publications

(21 citation statements)

References 7 publications

(8 reference statements)

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“…Another study from the Terai region of Nepal reported about 58% IFA compliance. 17 Nationally representative study NDHS 2011 shows that 20.7% consumed IFA throughout 45 days of PNC which is lower than the present status as explored through this study. 28 Studies concluded that the compliance of IFA is worse in lower socio-economic communities.…”

Section: Original Articlecontrasting

confidence: 52%

“…29 IFA supplementation status of mothers, consumption of additional food during ANC period is also said to be responsible for LBW in Nepal. 17 Though, we were limited only on mother's compliance and therefore we are unable to comment on child survival status, impact of IFA consumptions and its economic as well as health impacts. Due to lower sample size and involving only urban women the study findings could not be generalised for wider country context and robust statistical analysis could not perform to explore the factors for IFA.…”

Section: Original Articlementioning

confidence: 99%

“…1 6 D e s p i t e I FA supplementation being a prioritised program in Nepal since 1980s, anaemia during pregnancy is still an existing public health problem and is above 40%. 17 The coverage of first-time iron distribution was high at 73% nationally with the highest coverage in Karnali province and Province five (101% and 100% respectively), but the compliance of taking 180 tablets throughout the pregnancy (45%) and 45 days post-partum (38%) is substantially low. Province three has the lowest coverage amongst all for all three indicators.…”

Section: Introductionmentioning

confidence: 97%

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Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

Bhatt

Pal

Dhami

et al. 2021

J. Nepal Paedtr. Soc.

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Introduction: Globally, iron deficiency anaemia is considered as a risk factor for maternal morbidity and mortality. It is estimated to cause 591,000 perinatal deaths and 115,000 maternal deaths annually. The World Health Organisation recommends iron supplementation to first trimester to 45 days after delivery. The Government of Nepal is supplementing Iron and Folic Acid (IFA) to pregnant and postpartum women to reduce the burden of disease and deaths, however Nepal reports low compliance and coverage. We sought to determine compliance of IFA and associated factors among postnatal mothers in Kathmandu valley. Methods: This was a cross-sectional study involving 132 mothers attending the immunisation clinic. Face to face interview was done using structured questionnaire consisting of sociodemographic information, IFA, maternal knowledge and compliance practices. Statistical analysis was done using SPSS version 23. Results: We found 68.9% compliance of iron and folic acid among the respondents. The mean age of the respondents was 27.53 ± 4.6 years (Mean ± SD). Significant association was observed between the compliance of the IFA with education,age,employment status of women and family type (p < 0.00). No significant association was observed in between the compliance of IFA and religion (p = 0.93) and delivery related complications (p = 0.143). Similarly, delivery type showed significant association with the compliance of IFA (p < 0.00). Conclusions: This study concludes that mothers from Kathmandu had better compliance and coverage of IFA than provincial as well as the national average. Private pharmacy is an important service provider for urban women.

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Section: Original Articlecontrasting

confidence: 52%

Section: Original Articlementioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

Bhatt

Pal

Dhami

et al. 2021

J. Nepal Paedtr. Soc.

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“…A recent study examined socio-demographic predictors of IFA supplementation during pregnancy in Nepal (Yadav et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

A review of the maternal iron and folic acid supplementation programme in Nepal: Achievements and challenges

Paudyal¹,

Parajuli

García-Larsen

et al. 2021

Maternal & Child Nutrition

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In the late 1990s, an estimated 75% of pregnant women in Nepal were anaemic.Although iron and folic acid (IFA) supplements were available free of charge, coverage among pregnant women was very low. In response, the Government of Nepal launched the Iron Intensification Programme (IIP) in 2003 to improve the coverage of IFA supplementation and anthelminthic treatment during pregnancy, as well as promote the utilization of antenatal care. This review examined how the IIP programme contributed to Nepal's success in increasing the consumption of IFA supplements during pregnancy. Nepal's cadre of Female Community Health Volunteers were engaged in the IIP to support the community-based distribution of IFA supplements to pregnant women and complement IFA distribution through health facilities and outreach services. As a result, the country achieved a fourfold increase in the proportion of women who took IFA supplements during pregnancy between 2001 and 2016 (from 23% to 91%) and a 12-fold increase in the proportion who took IFA supplements for at least 90 days during pregnancy (from 6% to 71%).The increase in coverage of IFA supplements accompanied an increase in the coverage of antenatal care during the same period. By 2016, the prevalence of anaemia in pregnant women decreased to 46%, highlighting the need to tackle other causes of anaemia and improve haemoglobin concentration before pregnancy, while maintaining the successful efforts to reach pregnant women with IFA supplements at the community level.

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“…[ 6 ] Anemia was 24 times more likely to occur in IFA noncompliant women during pregnancy than their counterparts and three times less likely to be found in those taking foods rich in hem-iron than their counterparts. [ 6 ] Reported literature revealed higher incidence rate of IFA supplementation among women receiving health education, privately employed, had secondary education, reported a side effect, from families with better monthly income, timing of antenatal registration, and number of antenatal care visits. [ 7 8 ] Age, residence, nonuse of contraceptive, parental divorce were found to have a statistically significant association in the earlier study.…”

Section: Introductionmentioning

confidence: 99%

Compliance to iron-folic-acid supplementation and associated factors among pregnant women: A cross-sectional survey in a district of West Bengal, India

Debi

Basu

Mondal

et al. 2020

J Family Med Prim Care

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Background: Iron-deficiency anemia is considered to be a major health problem in India. This can complicate a normal pregnancy resulting in poor maternal and fetal outcomes. Iron-folic-acid (IFA) supplementation to antenatal and postnatal mothers given through the National Health Mission (NHM) serves as a major tool to combat this problem. Aim: This study aimed to assess compliance to IFA supplement and associated factors among antenatal mothers in a district of West Bengal, India. Methods: A cross-sectional observational study was conducted among 208 pregnant mothers attending different subcenters, using multistage sampling technique. Data were collected on their demographic, obstetric profile, compliance to IFA tablets, and knowledge on various health care-related factors through direct interviews. Data were analyzed using SPSS 22.0 (licensed) considering the confidence interval to be 95%. Results: Compliance rate was 81.74%. The most common cause of noncompliance was forgetfulness (73.7%). On multivariate regression analysis, age, history of deworming, and education became the significant predictors for noncompliance to IFA. Conclusions: Compliance to IFA supplementation was better than the national average, although deworming and education can lead to a better outcome. Health workers played a pivotal role for the success of this national program.

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Compliance of iron and folic acid supplementation and status of anaemia during pregnancy in the Eastern Terai of Nepal: findings from hospital based cross sectional study

Cited by 14 publications

References 7 publications

Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

A review of the maternal iron and folic acid supplementation programme in Nepal: Achievements and challenges

Compliance to iron-folic-acid supplementation and associated factors among pregnant women: A cross-sectional survey in a district of West Bengal, India

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