High Adherence to Iron/Folic Acid Supplementation during Pregnancy Time among Antenatal and Postnatal Care Attendant Mothers in Governmental Health Centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: Hierarchical Negative Binomial Poisson Regression

Abstract

BackgroundIron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron/Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence are very limited. Therefore, the current study was conducted to assess the adherence and to identify factors associated with a number of Iron/Folic Acid uptake during pregnancy time among mothers attending antenatal and postnatal care follow up in Akaki kality sub city.MethodsInstitutional based cross-sectional study was conducted on a sample of 557 pregnant women attending antenatal and postnatal care service. Systematic random sampling was used to select study subjects. The mothers were interviewed and the collected data was cleaned and entered into Epi Info 3.5.1 and analyzed by R version 3.2.0. Hierarchical Negative Binomial Poisson Regression Model was fitted to identify the factors associated with a number of Iron/Folic Acid uptake. Adjusted Incidence rate ratio (IRR) with 95% confidence interval (CI) was computed to assess the strength and significance of the association.ResultMore than 90% of the mothers were supplemented with at least one Iron/Folic Acid supplement from pill per week during their pregnancy time. Sixty percent of the mothers adhered (took four or more tablets per week) (95%CI, 56%—64.1%). Higher IRR of Iron/Folic Acid supplementation was observed among women: who received health education; which were privately employed; who achieved secondary education; and who believed that Iron/Folic Acid supplements increase blood, whereas mothers who reported a side effect, who were from families with relatively better monthly income, and who took the supplement when sick were more likely to adhere.ConclusionAdherence to Iron/Folic Acid supplement during their pregnancy time among mothers attending antenatal and postnatal care was found to be high. Activities that would address the above mentioned factors were highly recommended to ensure the sustainability of mothers’ adherence to the supplement.

Drug utilization pattern among pregnant women attending maternal and child health clinic of tertiary hospital in eastern Ethiopia: Consideration of toxicological perspectives

“…Study conducted in Addis Ababa [19] was somewhat in similar pattern of iron/folate utilization with the present study. The lower value observed in rural districts might be, in part, related to low health service coverage, distance from healthcare settings and awareness about the importance of such supplements for pregnant women.…”

Compliance to Iron-Folic Acid Supplementation and Its Association with the Number of ANC Visits in Ethiopia: Systematic Review and Meta-Analysis

“…en 21 full-text articles were accessed based on inclusion criteria [16,17,[35][36][37][38][39][40][41][42][43][44][45]. Finally, 12 studies which ful lled the inclusion criteria [16][17][18][19][20][21][22][23][24][25][26][27] were included in the meta-analysis ( Figure 1). e eligible twelve studies were published from 2014 to 2018. e total sample size in the current review was 6229.…”

“…ree of the studies were from the Tigray region [17,20,25]; two studies from the Amhara region [18,19], one from Addis Ababa [22], one from Dire Dawa [27], two from the Oromia region [21,26], and three from the Southern Nations, Nationalities Peoples' Region [16,24,25]. Moreover, ve studies were conducted in the community and seven of them form health facilities (Table 1).…”

“…In Ethiopian context, different studies have been conducted to determine the prevalence of compliance with IFA supplementation and associated factors [16][17][18][19][20][21][22][23][24][25][26][27].…”

“…Among the sociodemographic factors of women like age [20,21,26], educational status [17,18,21,22,26], gravidity [26], employment [22], residence [17,19,25], and monthly income [22] were significantly associated with compliance to IFA supplementation. Similarly, knowledge of anaemia and iron folate tablets [16,18,[20][21][22][23][24]26], number of ANC visit [17,19,20,24], early registration [17,19,21,25,26], taking number of tablet in each visit [19], taken tablets when sick [22], report of side effects [22], receiving information about the benefit of the tablet [20,21], counseling on nutritional intake [16,20,23,25], and family support [25] were some of the reproductive services which factors the compliance to IFA supplementation. e last but not the least predictors of compliance to IFA supplementation was the history of anemia [17][18][19].…”