Factors associated with high compliance/feasibility during iron and folic acid supplementation in a tribal area of Madhya Pradesh, India

Abstract

Objective: To study the feasibility of iron and folic acid (IFA) supplementation among tribal adolescent girls and identify factors associated with high compliance. Design: Intervention study with IFA supplementation among tribal adolescent girls of Bijadandi block, Mandla district, Madhya Pradesh, India. Girls (n 274) from twelve villages randomly selected out of 100 potential villages received daily tablets containing iron (III) hydroxide polymaltose complex equivalent to 100 mg of elemental Fe and 350 mg of folic acid (commercially available as Feritas tablets, marketed by Intas Pharmaceutical Ltd, India). IFA was given for 100 d and supervised by school teachers and anganwadi workers. Compliance was measured using cards and interviews. Setting: Community-based iron supplementation programme. Subjects: Tribal adolescent girls aged 12-19 years. Results: In total 233 girls completed the study. Prevalence of anaemia was reduced from 94 % at baseline to 69 % after the intervention. Compliance rate (.80 tablets) was 89 %. Minor side-effects were reported by three girls, yet they consumed .80 tablets. Factors associated with compliance included fasting during the local festival (x 2 5 72?74, df 3; P , 0?0001) and counselling (x 2 5 72?74, df 3; P , 0?0001). Other qualitative factors like social mobilization, timely supply of tablets, quality of tablets (blister pack) and availability of teachers and anganwadi workers were also associated with the compliance and feasibility. Conclusions: High compliance indicates that IFA supplementation with tablets is feasible among the tribal adolescent girls of Bijadandi block, Mandla district.

Compliance with iron folic acid and associated factors among pregnant women through pill count in Hawassa city, South Ethiopia: a community based cross-sectional study

“…Even though, this finding is inconsistent with the study done in Mangalore India, Mozambique,Vietnam and Madhya Pradesh India 64.7,79,85 and 89% respectively [21–24]. This difference could be explained by sociocultural differences of study groups, study setting and the way of assessing compliance with IFA in different ways.…”

Compliance with Iron and folic acid supplementation (IFAS) and associated factors among pregnant women: results from a cross-sectional study in Kiambu County, Kenya

“…This is consistent with evidence where health education on IFAS accompanied by clear instructions on its intake improved compliance [ 35 , 37 ]. Studies show increased awareness, appropriate counselling, effective communication, and health education on IFAS among pregnant women have tremendous improvement on its compliance [ 38 , 39 ] necessitating targeted and focused information, training and counselling on importance of IFAS during pregnancy [ 28 ]. This leads to improved compliance and effective supplementation [ 40 ].…”

A Community based Study of Anaemia Burden using Hemocue 201 in Eastern India

“…(20,21,22 )Studies conducted among adolescent girls by Sevaraj K et al, Chakma T et al observed consumption of IFA tablets up to 60.6%, 89% respectively which were much higher as compared to our study. (23,24)…”

“…(1,2) According to the report of "The Global prevalence of Anaemia in 2011, Geneva", anaemia affects around 800 million children and women. (3) A worldwide systemic analysis indicated that the global prevalence of anaemia among non-pregnant women was 29% (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), pregnant women 38% (34-43) and children 43% (38-47) with highest prevalence in South Asia (non-pregnant women 53% , pregnant women 53% and children 70%). (4) In South Asia, India has a high burden of anaemia where more than half of the women (51%) of reproductive age suffer from anaemia (Global Nutrition Report 2017).…”