Low compliance with an iron-supplementation program: a study among pregnant women in Jakarta, Indonesia

Schultink, Werner; Ree, M. van der; Matulessi, P.; Gross, Rainer

doi:10.1093/ajcn/57.2.135

Cited by 125 publications

(77 citation statements)

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“…They reveal that 91% of women had consumed iron during their pregnancy, but the proportion who consumed it for at least 90 days was only 51%. This low proportion has also been found in several developing countries such as Cambodia, Mali, Nepal and Indonesia, where they are respectively 47%, 28%, 20.7% and 40% [17] [18] [19] [20]. However, relatively high rates have also been observed in other developing countries such as Nigeria [21] and India [22] where the authors reported rates of 65.9% and 64.7%, respectively.…”

Section: Discussionmentioning

confidence: 91%

Determinants of Iron Consumption among Pregnant Women in Southern Senegal

Niang¹,

Faye²,

Tine³

et al. 2017

OJOG

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The anemia by iron deficiency is a public health problem. To palliate the multiple maternal and fetal consequences, the WHO recommends the iron supplementation during at least 90 days to all pregnant women. The goal of our study is to study the determinants of this consumption in the Kolda area (Senegal). It's the analytical cross-sectional study referred. We use the survey by clusters with 2 levels and it's about all of the women who gave birth in Kolda area between February 2013 and January 2014. The dependent variable was iron consumption during at least 90 days and the independents variables were grouped on personal factors, knowledge and practices. Data were collected during a personal interview face to face. We used logistic regression to identify the determinants of this consumption. The average age of women surveyed in 1442 was 25.5 years. They had knowledge of iron consumption (93%) and the number of antennal consultation (ANC) (66%). The prevalence of pregnant women who consumed iron at least for 90 days was 51%. The factors associated with consumption were schooling (ORa . The prevalence of iron consumption during at least 90 days is low in Kolda area (51%); however, its determinants are identified; we can solve the problem by increasing communicate more about iron supplementation and antenatal consultation.

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Section: Discussionmentioning

confidence: 91%

Determinants of Iron Consumption among Pregnant Women in Southern Senegal

Niang¹,

Faye²,

Tine³

et al. 2017

OJOG

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“…Iron deficiency and anaemia during pregnancy are associated with low birth weight, preterm delivery and increased perinatal mortality 3±5 . Routine supplementation of iron through the primary health care system has been widely practised to reduce maternal anaemia, although the programmes have shown limited effectiveness 6,7 .Women of reproductive age in low income countries who are currently not pregnant are also affected by anaemia 8 . The most important functional consequences are fatigue and reduced productivity 9 .…”

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confidence: 99%

Anaemia among non-pregnant women in rural Bangladesh

Hyder

Persson

Chowdhury

et al. 2001

Public Health Nutr.

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Objective: To estimate the prevalence and severity of anaemia among non-pregnant women in rural Bangladesh and describe its social distribution. Design: A cross-sectional study conducted in February±March 1996. Haemoglobin concentration was measured on a capillary blood sample by cyanmethaemoglobin method. The World Health Organization (WHO) classification was used to define anaemia. Setting: Twelve randomly selected villages in Fulbaria thana of Mymensingh district, about 110 km northwest of Dhaka city in Bangladesh. Subjects: A systematically selected sample of 179 non-pregnant apparently healthy women aged 15±45 years. Results: Anaemia was highly prevalent (73%; 95%CI 67±79%). Most of the women had mild (52%) or moderate (20%) anaemia, but a few of them suffered from severe anaemia (1%). Ascaris was common (39%) while hookworm was not (1%). The anaemia prevalence had no statistically significant association with age, parity or Ascaris infestation P . 0X05 X Women with less than 1 year of schooling, who were landless or who reported having an economic deficit in the household had significantly higher prevalence of anaemia P , 0X05 X There was a significantly increasing trend in anaemia prevalence with decreasing socioeconomic situation (SES). However anaemia was common in all social strata. Conclusions: Although the overall anaemia prevalence among non-pregnant rural women is high, only a few women suffer from severe anaemia. Women of all SES groups irrespective of their age and parity are affected by anaemia. KeywordsAnaemia Severe anaemia Non-pregnant women Socioeconomic Rural Bangladesh Anaemia is a major public health problem. It has been estimated that 2150 million people in the world are anaemic, of whom about 50% are thought to suffer from iron deficiency anaemia 1 . Iron deficiency and anaemia are most prevalent among pregnant women and young children with the highest prevalence in low income countries 2 . Iron deficiency and anaemia during pregnancy are associated with low birth weight, preterm delivery and increased perinatal mortality 3±5 . Routine supplementation of iron through the primary health care system has been widely practised to reduce maternal anaemia, although the programmes have shown limited effectiveness 6,7 .Women of reproductive age in low income countries who are currently not pregnant are also affected by anaemia 8 . The most important functional consequences are fatigue and reduced productivity 9 . However, the recent interest in iron supplementation of non-pregnant women is mostly rationalized by its potential impact on maternal anaemia. Prepregnancy haemoglobin concentration and iron status are believed to be predisposing factors for maternal anaemia.Several studies have found a negative association between socioeconomic situation (SES) and anaemia prevalence 10±12 . Women from poor households are usually found to have higher anaemia prevalence. Poor SES is known to be associated with a number of factors such as high parity, short birth interval, poor diet both in quant...

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“…But long-term oral prophylaxis can produce side effects, in particular on the digestion. 17 Coupled with digestive side effects and with the attention needed for daily self-dosing, poor compliance often results. However, Milman et al showed that a supplement of 80 mg of ferrous iron or less does not have documented side effects.…”

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confidence: 99%

“…18 On the other hand, although iron absorption may be adequate in healthy, iron-replete women, it is far below the iron requirement of iron-depleted or iron deficient pregnant women. 17,19 In addition, even women who respond well to oral supplementation require a period of months to reach target Hb.…”

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confidence: 99%