Trials of Improved Practices (TIPs) to Enhance the Dietary and Iron-Folate Intake during Pregnancy- A Quasi Experimental Study among Rural Pregnant Women of Varanasi, India

Shivalli, Siddharudha; Srivastava, Ragini; Singh, Gyan Prakash

doi:10.1371/journal.pone.0137735

Cited by 47 publications

(77 citation statements)

References 21 publications

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“…• Compliance was 86 % in the treatment group v. 48 % in the control group • Side-effects, misconceptions about the length of treatment and forgetting to take IFA were barriers Shivalli et al (37) 2015 India Trials of Improved Practices to improve IFA supplement intake in pregnant women. IFA supplements were either purchased or received through the health-care system…”

Section: Strengths Of Community-based Distribution Of Ironfolic Acid mentioning

confidence: 99%

“…vomiting, nausea, dizziness) and forgetfulness. In addition, eight studies reported that more than 75 % of women had high compliance (taking ≥70 % of tablets) with IFA supplementation when there was a consistent supply of IFA supplements from the community level, either with or without IFA supplements delivered through health facilities (21,24,25,28,(34)(35)(36)(37) . In India, compliance was higher (62 %) among mothers who were counselled by health workers on when, how and why IFA supplementation is important than among those who did not receive guidance (20) .…”

Section: Strengths Of Community-based Distribution Of Ironfolic Acid mentioning

confidence: 99%

“…Impact of community-based distribution of iron-folic acid supplementation: coverage and reductions in maternal anaemia Targeting pregnant women and WRA through community settings demonstrated increased accessibility, high compliance, and reductions in anaemia in thirteen studies (20,23,24,25,28,30,(34)(35)(36)(37)40,42) . Nicaragua increased IFA supplementation coverage among pregnant women to over 80 % and experienced a substantial drop in anaemia prevalence through use of community-based distributors who provided counselling and follow-up to pregnant women (39) .…”

Section: Barriers To Successful Roll-out Of Community-based Distributmentioning

confidence: 99%

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Community-based distribution of iron–folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications

Kavle

Landry

2017

Public Health Nutr.

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Objective: The present literature review aimed to review the evidence for community-based distribution (CBD) of iron-folic acid (IFA) supplementation as a feasible approach to improve anaemia rates in low-and middle-income countries. Design: The literature review included peer-reviewed studies and grey literature from PubMed, Cochrane Library, LILAC and Scopus databases. Setting: Low-and middle-income countries. Subjects: Non-pregnant women, pregnant women, and girls. Results: CBD programmes had moderate success with midwives and community health workers (CHW) who counselled on health benefits and compliance with IFA supplementation. CHW were more likely to identify and reach a greater number of women earlier in pregnancy, as women tended to present late to antenatal care. CBD channels had greater consistency in terms of adequate supplies of IFA in comparison to clinics and vendors, who faced stock outages. Targeting women of reproductive age through school and community settings showed high compliance and demonstrated reductions in anaemia. Conclusions: CBD of IFA supplementation can be a valuable platform for improving knowledge about anaemia, addressing compliance and temporary side-effects of IFA supplements, and increasing access and coverage of IFA supplementation. Programmatic efforts focusing on community-based platforms should complement services and information provided at the health facility level. Provision of training and supportive supervision for CHW on how to counsel women on benefits, side-effects, and when, why, and how to take IFA supplements, as part of behaviour change communication, can be strengthened, alongside logistics and supply systems to ensure consistent supplies of IFA tablets at both the facility and community levels. Globally, anaemia affects 29 % of pregnant women and 38 % of non-pregnant women (1) and is associated with one-fifth of maternal deaths (2) . Anaemia puts women at greater risk of mortality, morbidity, postpartum haemorrhage and poor birth outcomes, including preterm births and low birth weight (3,4) . The WHO recommends daily iron-folic acid (IFA) supplementation (30-60 mg iron, 0·4 g folic acid) initiated as early as possible and continued throughout pregnancy for all adolescent and adult women as a key intervention to reduce the risk of maternal anaemia, iron deficiency and infants born with low birth weight (5) . According to findings from a recent meta-analysis, IFA supplementation would increase the mean blood Hb concentration by 10·2 (95% CI 6·1, 14·2) g/l in pregnant women and by 8·6 (95% CI 3·9, 13·4) g/l in non-pregnant women (aged 19-21 years) (6) . Applying these shifts to estimated blood Hb concentrations indicates that about 50 % of anaemia in women could be eliminated by IFA supplementation (6) .

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Section: Strengths Of Community-based Distribution Of Ironfolic Acid mentioning

confidence: 99%

Section: Strengths Of Community-based Distribution Of Ironfolic Acid mentioning

confidence: 99%

Section: Barriers To Successful Roll-out Of Community-based Distributmentioning

confidence: 99%

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Community-based distribution of iron–folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications

Kavle

Landry

2017

Public Health Nutr.

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“…Shivalli S. y cols. 2015 (17) India La ingesta proteica promedio fue mayor en el GI que en el GC (p< 0,05). Más de dos tercios de las mujeres del GI incorporaron una comida extra y sólo un tercio de los controles.…”

Section: Características De Las Estrategias Educativas Empleadasunclassified

“…Asimismo se pondera el incremento del consumo proteico (16,17,38) y la adecuación del aporte calórico (16,26,38,46).…”

Section: Características De Las Estrategias Educativas Empleadasunclassified

El Impacto De La Educación Alimentaria Nutricional en El Embarazo: Una Revisión De Las Experiencias De Intervención.

et al. 2017

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INTRODUCCIÓNEl embarazo es uno de los momentos de mayor vulnerabilidad nutricional en la vida de la mujer ya que las necesidades de energía y nutrientes se encuentran aumentadas en virtud del crecimiento fetal y de la síntesis de tejidos maternos como el aumento del tamaño uterino, la hipertrofia de las glándulas mamarias y la acumulación de las reservas grasas. El estado nutricional de la madre previo a la gestación y los hábitos alimentarios implementados durante el embarazo, son condicionantes de importancia en este periodo del ciclo vital (1-3).Mantener una alimentación saludable es un objetivo primordial del cuidado prenatal, momento en el cual la edu- cación alimentaria nutricional (EAN) resulta una herramienta imprescindible que permite reforzar los comportamientos alimentarios beneficiosos y modificar aquellos que impactan negativamente sobre la salud. Alcanzar dichas modificaciones requiere que la mujer tenga un papel activo, sea consciente de los riesgos de llevar a cabo una alimentación inadecuada y testigo de sus propios avances y logros (4).La ganancia de peso y la deficiencia de algunos micronutrientes críticos constituyen las principales problemáticas a ser abordadas en el control prenatal mediante la EAN. Por la relación que existe entre el peso materno y el desarrollo y crecimiento fetal, es importante controlar que la ganancia de peso gestacional se encuentre dentro de un rango saludable (5,

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A Transdisciplinary Methodology for Introducing Solar Water Disinfection to Rural Communities in Malawi—Formative Research Findings

Morse

Luwe

Lungu

et al. 2020

Integr Envir Assess & Manag

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Trials of Improved Practices (TIPs) to Enhance the Dietary and Iron-Folate Intake during Pregnancy- A Quasi Experimental Study among Rural Pregnant Women of Varanasi, India

Cited by 47 publications

References 21 publications

Community-based distribution of iron–folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications

Community-based distribution of iron–folic acid supplementation in low- and middle-income countries: a review of evidence and programme implications

El Impacto De La Educación Alimentaria Nutricional en El Embarazo: Una Revisión De Las Experiencias De Intervención.

A Transdisciplinary Methodology for Introducing Solar Water Disinfection to Rural Communities in Malawi—Formative Research Findings

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