Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya

Maina-Gathigi, L.; Omolo, Jared; Wanzala, Peter; Lindan, Camilla; Makokha, Anselimo

doi:10.1007/s10995-012-1120-x

Cited by 57 publications

(66 citation statements)

References 15 publications

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“…The rate of using iron-folic acid in this study (92.1%) was higher than the rate reported among pregnant women in Eastern Sudan (81.5%) [17] or other African countries e.g. Nigeria, Tanzania and Kenya [9,10,18]. The high rate of iron and folic acid use in the current study compared with other studies may be because this study was carried out in a tertiary hospital in the capital of Sudan, Khartoum.…”

Section: Discussioncontrasting

confidence: 67%

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Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

et al. 2014

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BackgroundAnaemia during pregnancy can lead to adverse maternal and perinatal outcomes. The WHO recommends that all pregnant women in areas where anaemia is prevalent receive supplements of iron and folic acid. However, due to many factors, the use of iron and folic acid supplementation is still low in many countries. This study was conducted to assess the rates of iron-folic supplementation and the associated factors during pregnancy and the effects of taking iron-folic acid supplementation on rates of maternal anaemia and low birth weight (LBW) infants.MethodsA cross-sectional study was conducted at Khartoum Hospital, Sudan. Enrolled women answered a questionnaire on socio-demographics characteristics, their pregnancy and delivery.ResultsOf 856 women, 788 (92.1%) used iron-folic acid supplementation during pregnancy and 65.4% used folic acid. While place of residence, occupation and level of education were not associated with iron-folic acid usage, older age (OR = 3, CI = 1.4–6.3) and use of antenatal care (OR = 14.3, CI = 7.4–27.5) were associated with iron-folic acid use. Primiparity (OR = 3.8, CI = 1.9–7.6), maternal employment (OR = 3.9, CI = 2.25–6.77) and use of antenatal care (OR = 7.9, CI = 4.1–15) were the factors associated with folic acid. Using iron-folic acid was protective against anaemia (OR = 0.39, CI = 0.2–0.7) and LBW infants (OR = 0.3, CI = 0.17–0.68).ConclusionThere was a high rate of iron-folic acid supplementation use among pregnant women in Khartoum, Sudan, which was beneficial in preventing anaemia in expectant mothers and infants of LBW.

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Section: Discussioncontrasting

confidence: 67%

“…In spite of the WHO recommendation, the use of iron and folic acid supplementation is still low in many countries, especially in countries with low resources [9,10]. Various factors, such as socio-demographics and health factors, determine the compliance and adherence of pregnant women to the iron and folic acid supplementation [11-16].…”

Section: Introductionmentioning

confidence: 99%

Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

et al. 2014

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“…Earlier initial ANC visit rather than later is related to the days of supplementation, and this compares favourably with observed association between the the hemoglobin (Hb) concentration and earlier prenatal visits (Lutsey et al, 2008). Women who come late to antenatal clinic miss opportunities to start supplementation early in pregnancy (Maina-Gathigi et al, 2013). Examining the marital status factor, there is no significant spouse involvement in promoting optimal supplementation.…”

Section: Discussionmentioning

confidence: 81%

Predictors of optimum antenatal iron-folate supplementation in a low resource rural set-up in Eastern Kenya

Juma¹,

Oiye²,

Konyole³

2015

J. Public Health Epidemiol.

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There is depressed prevalence of the optimum iron-folate supplementation in Kenya and in other subSaharan Africa countries. The study was motivated by the paucity of area-specific data on predictors of optimum iron-folate supplementation. The aim of the study was to assess the maternal, knowledge and institutional factors that predict 90+ days (optimum) iron-folate supplementation among pregnant women in a rural set-up in Eastern Kenya. A descriptive cross-sectional study to collect quantitative data from 352 mothers of under-five years old children attending 7 health facilities in Kalama Division of Machakos constituency within Machakos County in lower Eastern Kenya. Using a standard questionnaire, mothers recalled the number of days they had ingested iron-folate supplements in their latest pregnancies. The overall prevalence of optimum supplementation (90+ days) during latest pregnancies was 18.3% and on average the study mothers were supplemented for ~38 days during the antenatal period. Mothers who visited antenatal care (ANC) for ≥4days (odd ratio 004-1.116). Those who were supplemented with a combined form of supplement were more likely to have more days of supplementation (p=0.004), but not optimum (OR: 1.125, 95% CI: 0.419-3.021) compared to those who used single iron and folate supplement. To increase the proportion of pregnant mothers taking iron-folate supplements for 90+ days in low resource rural set-ups, there should be intensified counselling/education on ANC attendance ≥ 4 times and on minimum number of days for optimum iron-folate supplementation. Use of tablets as opposed to syrup increases the likelihood for antenatal ingestion of iron-folate supplements for 90+ days in rural low-resource set-up.[

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“…Our study contributes to a limited but growing literature, both qualitative [11,28,29] and quantitative [30–35], on the various personal, socio-cultural, or logistical factors that influence the use of IFA supplements delivered through different programs and in different contexts. We also went beyond IFA supplement to examine factors influencing the use of calcium supplements, which is a recent intervention based on the new WHO guidelines [12].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing maternal nutrition practices in a large scale maternal, newborn and child health program in Bangladesh

et al. 2017

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Improving maternal nutrition practices during pregnancy is essential to save lives and improve health outcomes for both mothers and babies. This paper examines the maternal, household, and health service factors influencing maternal nutrition practices in the context of a large scale maternal, newborn, and child health (MNCH) program in Bangladesh. Data were from a household survey of pregnant (n = 600) and recently delivered women (n = 2,000). Multivariate linear and logistic regression analyses were used to examine the determinants of three outcomes: consumption of iron and folic acid (IFA) tablets, calcium tablets, and diverse diets. Women consumed 94 ± 68 IFA and 82 ± 66 calcium tablets (out of 180 as recommended) during pregnancy, and only half of them consumed an adequately diverse diet. Good nutrition knowledge was the key maternal factor associated with higher consumption of IFA (β = 32.5, 95% CI: 19.5, 45.6) and calcium tablets (β ~31.9, 95% CI: 20.9, 43.0) and diverse diet (OR = 1.8, 95% CI: 1.0–3.1), compared to poor knowledge. Women’s self-efficacy in achieving the recommended practices and perception of enabling social norms were significantly associated with dietary diversity. At the household level, women who reported a high level of husband’s support were more likely to consume IFA (β = 25.0, 95% CI: 18.0, 32.1) and calcium (β = 26.6, 95% CI: 19.4, 33.7) tablets and diverse diet (OR = 1.9, 95% CI: 1.2, 3.3), compared to those who received low support. Health service factors associated with higher intakes of IFA and calcium tablets were early and more prenatal care visits and receipt of free supplements. Combined exposure to several of these factors was attributed to the consumption of an additional 46 IFA and 53 calcium tablets and 17% higher proportions of women consuming diverse diets. Our study shows that improving knowledge, self-efficacy and perceptions of social norms among pregnant women, and increasing husbands’ support, early registration in prenatal care, and provision of free supplements will largely improve maternal nutrition practices.

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Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya

Cited by 57 publications

References 15 publications

Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

Predictors of optimum antenatal iron-folate supplementation in a low resource rural set-up in Eastern Kenya

Factors influencing maternal nutrition practices in a large scale maternal, newborn and child health program in Bangladesh

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