Factors influencing weekly iron folic acid supplementation programme among school children: Where to focus our attention?

Priya, S Hema; Datta, Shib Sekhar; Bahurupi, Yogesh; Narayan, K A; Nishanthini, N; Ramya,

doi:10.4103/2278-0521.182863

Cited by 20 publications

(14 citation statements)

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“…Most of the adolescent girls in this study claimed intake of the IFA tablets has helped to improve their menstruation, concentration, and performance in school. This finding agrees with the studies of Priya et al [27] and Vishal et al [15] conducted in an urban setting in India which also found improved menstruation, concentration, and performance in school as positive effects of taking IFA tablet. Girls with these positive experiences could be used as role models to share their own experiences with their colleagues in order to improve on the success of the IFAS program.…”

Section: Discussionsupporting

confidence: 92%

Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana

Dubik

Amegah²,

Alhassan

et al. 2019

Journal of Nutrition and Metabolism

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Background In Ghana, anaemia is a severe public health problem among adolescent girls. In an attempt to deal with this phenomenon, Ghana Ministry of Health in collaboration with other development partners developed and launched weekly iron and folic acid supplementation program for adolescent girls in Ghanaian junior high schools. Therefore, the main aim of this study was to determine the level of compliance with iron and folic acid supplementation (IFAS) and its associated factors among adolescent girls in the Tamale Metropolis of Ghana. Methods A cross-sectional study was conducted among 424 randomly sampled adolescent girls in the Tamale Metropolis of Ghana from April to July 2019 using an interviewer-administered structured questionnaire. Twenty school health coordinators were purposively selected to answer questions on the challenges they face in implementing the IFAS program at the school level. Bivariate logistic regression and multivariate logistic regression were used to determine associations and strength of associations, respectively, at a significant threshold of p < 0.05. Results Compliance with the IFAS was low (26.2%). Adolescent girls who were aware of anaemia (AOR = 3.57 (95% CI: 1.96, 6.51) p < 0.01), had good knowledge of anaemia (AOR = 1.82 (95% CI: 1.17, 2.81) p=0.01), and had good knowledge of the IFAS program (AOR = 2.29 (95% CI: 1.47, 3.57) p < 0.01) were significantly associated with compliance with the IFAS. The majority (60%) of the adolescent girls have ever missed taking the iron and folic acid (IFA) tablet because it was not issued to them by the teacher's concern while about 48.3% (169) of the adolescent girls are taking the tablet because it prevents anaemia. Adolescent girls perceiving the tablet as family planning medicine (88.8%) and unavailability of water in classrooms (18.8%) were cited as the major challenges by school health coordinators. Conclusion Compliance with the IFAS among adolescent girls was low. Level of education and occupation of mothers of adolescent girls, awareness on anaemia, and good knowledge of anaemia and of the IFAS program were significant predictors of compliance with the IFAS. Educating the adolescent girls on anaemia and benefits of the IFAS, constant supply of the IFA tablet, and engaging parents of the adolescent girls on the program will help improve the compliance level of the adolescent girls with the IFAS.

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Section: Discussionsupporting

confidence: 92%

Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana

Dubik

Amegah²,

Alhassan

et al. 2019

Journal of Nutrition and Metabolism

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“…Addressing these lacunae is critical in helping the nation achieve the goals set by the NNM. This would require paying attention to both demand-and supply-side barriers, including ensuring universal registration of pregnant women, addressing concerns about side effects and perceived lack of need, as seen in the consumption of iron and folic supplements, and improving the distribution, including community-based delivery of nutritionspecific intervention, including community-based delivery [47,[63][64][65][66]. Findings highlight the need for implementing programmes to promote the intake of healthy foods from an early age.…”

Section: Plos Onementioning

confidence: 99%

Proximal and contextual correlates of childhood stunting in India: A geo-spatial analysis

Gupta

Santhya

2020

PLoS ONE

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Background Globally, India is home to every third child affected by stunting. While numerous studies have examined the correlates of childhood stunting (CS) in India, most of these studies have focused on examining the role of proximal factors, and the role of contextual factors is much less studied. This study presents a comprehensive picture of both proximal and contextual determinants of CS in India, expanding the current evidence base. The present study is guided by the WHO conceptual framework, which outlines the context, causes, and consequences of CS.

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“…15 Regardless of these interventions, findings from our recent study in rural Karnataka and others studies as well, revealed gaps in community awareness of adolescent anaemia and its prevention, poor dietary behaviour, low compliance with regular IFA consumption and lack of adequate nutrition education in schools. [17][18][19][20][21] Students and teachers described a vigilance-oriented approach i.e., supervised swallowing of IFA tablets, without any meaningful communication on what they were receiving, and why. 22 In addition to addressing supply side barriers and careful programming, studies have continually highlighted a need to implement interventions to address demand-side barriers by improving awareness and changing behaviours surrounding diet and iron consumption.…”

Section: Introductionmentioning

confidence: 99%

“…22 In addition to addressing supply side barriers and careful programming, studies have continually highlighted a need to implement interventions to address demand-side barriers by improving awareness and changing behaviours surrounding diet and iron consumption. 4,16,19,[23][24][25][26][27] To this end, we conducted research to understand the extent to which adolescent awareness of and attitudes about anaemia can change through short, targeted nutritional messages delivered by teachers at school.…”

Section: Introductionmentioning

confidence: 99%

Impact of a school-based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre-post interventional study

Katageri

Salam

Ramadurg

et al. 2023

Preprint

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Objective: To understand the extent to which adolescent awareness of and attitudes about anaemia and anaemia prevention can be changed by nutrition messages received at school. Design: Mixed-methods pre–post intervention study Setting: Three Government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India Population or Sample: Students of grade six and seven and teachers involved in implementing the intervention. Methods: An education intervention was co-developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half-hour educational sessions were delivered by school teachers over seven weeks to 455 students. Pre- and post-intervention tests measured changes in adolescents’ knowledge about anaemia. In-depth interviews with teachers and focus groups with students explored reactions to the intervention. Main outcome measures: Knowledge score related to anaemia Results: The percentage of children with correct scores increased by 7.3 - 49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67±0.17(p<0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron folic acid supplements and improved sharing of messages learned with peers and families. Challenges expressed included need for further training, time limitations and hesitancy in teaching about menstruation and pregnancy. Conclusions: Educational interventions carried out for adolescents by teachers in schools are effective in improving awareness and attitude related to anaemia.

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Factors influencing weekly iron folic acid supplementation programme among school children: Where to focus our attention?

Cited by 20 publications

References 0 publications

Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana

Compliance with Weekly Iron and Folic Acid Supplementation and Its Associated Factors among Adolescent Girls in Tamale Metropolis of Ghana

Proximal and contextual correlates of childhood stunting in India: A geo-spatial analysis

Impact of a school-based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre-post interventional study

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