Compliance with Iron-folic acid (IFA) therapy among pregnant women in an urban area of South India

Mithra, Prasanna; Unnikrishnan, Bhaskaran; Rekha, T; Nithin, K; Mohan, Krishna; Kulkarni, Vaman; Holla, Ramesh

doi:10.4314/ahs.v14i1.39

Cited by 59 publications

(109 citation statements)

References 9 publications

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“…The adherence was higher among mothers who have completed primary education and above. This finding is in line with the findings of other studies in Ethiopia [26] and India [27]. Education is more likely to enhance female awareness of micronutrient deficiency and ways to overcome these deficiencies.…”

Section: Discussionsupporting

confidence: 91%

Adherence to Iron and Folic Acid Supplement and Associated Factors among Antenatal Care Attendant Mothers In Lay Armachiho Health Centers, Northwest, Ethiopia, 2017

Derso

Agegnehu

Atenafu

et al. 2018

Preprint

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Background: Iron deficiency is the leading nutrient deficiency in the world affecting the lives of more than 2 billion people, accounting to over 30% of the world's population. Pregnant women are particularly at high risk of iron and folic acid deficiency.Objective: The aim of this study was to assess Adherence to Iron and folic acid supplement during pregnancy and its associated factors among pregnant women attending antenatal care. Methods:Institution based cross-sectional study was employed from February 2016 to March 2017. Systematic random sampling technique was used to select the study participants. Data was collected using a structured and pretested interviewer-administered questionnaire. Bivariable and multivariable logistic regression analysis were used to identify associated factors with Adherence to prenatal iron and folic acid supplement among pregnant women. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance. Those variables with a p-value less than 0.05 had been considered as significant.Result: Adherence to Iron and folic acid was 28.7% with 95% C.I. (24.3, 33.6%). Educational status of mothers(AOR= 9.27 (95%CI: 2.47, 34.71), Educational status of husband (AOR= 0.31(95% CI: 0.11,0.88), Mothers who had a family size of four(AOR=3.70(1.08,12.76), Mothers who had family size of five and above (AOR= 4.88(95% CI: 1.20, 19.85),Mothers who had 2500-3500 birr household average monthly income (AOR= 0.46(95% CI: 0.24,0.89), Mothers who had registered at 17-24weeks with (AOR=0.40(95% CI: 0.22-0.74), registered at 25-28weeks (AOR=0.20(95% CI 0.10, 0.41), Mothers who had collected their iron and folic acid started at first visit at first month of pregnancy and duration of iron and folic acid is taken (AOR= 2.42(95% CI:1.05, 5.58) had significant association with iron and folic acid adherence. Conclusion and recommendation:Adherence of Iron and folic acid was relatively low. Maternal and husband education status, family size, registration time, economic status and first visit in the first month with duration of iron and folic acid taken were factors significantly associated with adherence to iron and folic acid supplement. Educating pregnant mothers, improving economic status, early ANC registration can improve adherence to iron and folic acid supplement.

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Section: Discussionsupporting

confidence: 91%

Adherence to Iron and Folic Acid Supplement and Associated Factors among Antenatal Care Attendant Mothers In Lay Armachiho Health Centers, Northwest, Ethiopia, 2017

Derso

Agegnehu

Atenafu

et al. 2018

Preprint

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“…The other study conducted in Mangalore and Pune had shown the compliance to be around 64%. 5,6 The reasons for non-compliance in our study were belonging to nuclear family, less number of antenatal visits, taking tablets from private set up and being anemic in current pregnancy. Less number of antenatal visits leading to non-compliance was similar to a study done in Pakistan.…”

Section: Discussionmentioning

confidence: 85%

“…The sample size was calculated by using anticipated 64.7% compliance to iron folic acid tablets and 7% absolute error as 192. 5 Systematic random sampling was used to select the participants. Pregnant women who refused to participate were excluded.…”

Section: Methodsmentioning

confidence: 99%

Assessment of compliance with iron-folic acid therapy during pregnancy among postnatal mothers in a tertiary care centre, Mysuru

Manasa

Chandrakumar

Prashantha

2019

Int J Community Med Public Health

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Background: Anemia is a condition where the red blood cells and their capacity to carry oxygen is not adequate to meet the physiological needs. In pregnancy iron demand is high and loss of appetite can adversely affect this condition. So, guidelines to combat anemia has provisions to provide iron in the form of iron folic acid tablets to pregnant women during antenatal and postnatal care. But compliance is still low among pregnant women who needs attention.Methods: This study included 192 postnatal mothers in Cheluvamba hospital, Mysore. Details about socio-demographic factors and number of tablets taken during antenatal period were collected using proforma. Pregnant women who had taken less than hundred tablets during antenatal period were considered non-compliant.Results: The overall compliance to iron folic tablets was 71%. The factors which were independently associated with non-compliance are nuclear family, less number of antenatal visit, tablets from private source, and anemia in current pregnancy. The reasons for non-compliance among the pregnant women who were non-compliant were inadequate counselling by health care worker followed by side effects, cost of tablets, ignorance and fear of side effects.Conclusions: Family support, adequate counselling and continuous supply of tablets free of cost would increase the compliance to tablets among pregnant women.

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“…Expanding community-based services and sources of supplements by expanding local, community-based providers delivering anaemia counselling and education services and IFAS tablets improved IFAS utilization in Indonesia [51]. Lack of clarity on benefits of IFAS during pregnancy [10] due to inadequate counselling [9] is one of the factors affecting adherence [52]. Counselling enables clients to gain understanding to take initiative and create demand for services.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have reported numerous and diverse factors that affect IFAS adherence. These include: cost of IFAS tablets, tablets stock-outs, socio-economic status, IFAS side effects [5,6], poor access and low utilization of antenatal services [7,8] as well as inadequate and poor quality of IFAS counselling [8][9][10][11], among others. Consequently, the advantages of IFAS are not fully realized, underscoring the need for diverse strategies to strengthen supplementation.…”

Section: Introductionmentioning

confidence: 99%

Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study

Kamau

2020

PLoS ONE

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Background Iron and Folic Acid Supplementation (IFAS) is recommended by World Health Organization as part of antenatal care to prevent anaemia in pregnancy. In 2010, Kenya adopted this recommendation and the current policy is to provide one combined IFAS tablet for daily use throughout pregnancy, free of charge, in all public health facilities. However, adherence remains low over the years though anaemia in pregnancy remains high. Integration of IFAS into community-based interventions has been recommended because of its excellent outcome. Using Community Health Volunteers (CHVs) to distribute IFAS has not been implemented in Kenya before. Methods Following an intervention study implementing a community-based approach for IFAS in five public health facilities in Lari Sub-County, 19 interviews were conducted among CHVs, nurses and pregnant women participating to describe their experiences. Thematic analysis of data was done using NVivo and findings described, with use of quotes. Findings The nurses, CHVs and pregnant women were all positive and supportive of communitybased approach for IFAS. They reported increased access and utilization of both IFAS and antenatal services leading to perceived reduction in anaemia and better pregnancy outcomes. Counselling provided by CHVs improved IFAS knowledge among pregnant women and consequent adherence. The increased IFAS utilization led to main challenge experienced being IFAS stock-outs. All participants recommended complementing antenatal IFAS distribution approach with community-based approach for IFAS.

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Compliance with Iron-folic acid (IFA) therapy among pregnant women in an urban area of South India

Cited by 59 publications

References 9 publications

Adherence to Iron and Folic Acid Supplement and Associated Factors among Antenatal Care Attendant Mothers In Lay Armachiho Health Centers, Northwest, Ethiopia, 2017

Adherence to Iron and Folic Acid Supplement and Associated Factors among Antenatal Care Attendant Mothers In Lay Armachiho Health Centers, Northwest, Ethiopia, 2017

Assessment of compliance with iron-folic acid therapy during pregnancy among postnatal mothers in a tertiary care centre, Mysuru

Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study

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