Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study

Abstract

the reported experiencing less side-effects and were better able to manage them compared to the control group. Conclusion Implementation a community-based approach improved maternal compliance with IFAS, awareness of IFAS side effects and their management, with better improvement being recorded in the intervention group. Hence, there is need to integrate community-based approach with antenatal distribution of IFAS to improve supplementation.

Adherence to Iron and Folic Acid Supplementation and Its Associated Factors among Pregnant Women Attending Antenatal Care at Bwindi Community Hospital, Western Uganda

“…As it emerged among the adherent pregnant women, the reported reasons for adherence were getting advice and counseling from the healthcare worker about the good effects of IFAS and knowledge about the health benefits of IFAS such as preventing anemia. These reasons had earlier been reported [5,[21][22][23] and have been described as key determinants to the antenatal care package. On the other hand, the reported reasons for IFAS nonadherence were forgetfulness,…”

Interventions to increase adherence to micronutrient supplementation during pregnancy: a systematic review

“…Adverse gastrointestinal symptoms and the secondary outcomes of interest were reported by fewer studies. Adverse effects were only reported in four studies; 28,35,37,42 hemoglobin levels were assessed in 13 studies; 26,28–32,35,36,38,39,41,43,46 serum ferritin was assessed in five studies; 28,30,32,41,44 hematocrit was assessed in two studies; 39,46 and only one study each assessed plasma folate, 45 serum transferrin, 28 erythrocyte protoporphyrin concentration, 41 total iron binding capacity, 30 urinary iodine concentration, 40 and low birth weight 39 (Tables 2 and 3).…”

“…Nguyen et al 34 assessed the effect of a multicomponent intervention that included community-based promotion events and husband education (among others), which resulted in increased adherence to both IFA and calcium supplements compared with the control group. By contrast, Kamau et al 42 used an intervention with a community-based distribution of IFA supplements by community health workers, counseling, and weekly follow up with pregnant women in their homes and did not observe significant differences in adherence between the intervention and the control group (receiving standard antenatal care). Nonetheless, the percentage of adverse side effects reported at follow up was generally much lower in the intervention group, which is probably a result of the counseling about managing and mitigating the common side effects of IFA supplements.…”

“…All studies were conducted in countries with lower-middle or upper-middle income economies. Over half of the studies were conducted in Asia (Nepal, 26 India, [27][28][29][30][31][32][33] Bangladesh, 34 Indonesia, 25,[35][36][37][38][39] and Thailand 40 ), with only two studies conducted in Africa (Senegal 41 and Kenya 42 ) and four conducted in the Middle East (Jordan 43 and Iran [44][45][46].…”

“…Adverse gastrointestinal symptoms and the secondary outcomes of interest were reported by fewer studies. Adverse effects were only reported in four studies; 28,35,37,42 hemoglobin levels were assessed in 13 studies; 26,[28][29][30][31][32]35,36,38,39,41,43,46 1.9 (-0.9, 4.8), P = 0.186 Prevalence (%) in the most marginalized women: I1: pretest 9, posttest 20.9 C: pretest 3, posttest 7.5 Adjusted DID: 7.3 (0.5, 4.1), P = 0.036 Kamau (2020) 42 Self (20.18), C: -2.14 (6.93), P = 0.42 NOTE: When available, outcome results are highlighted in green if differences (within-group and between-groups) are statistically significant, and in red when not statistically significant.…”