Women's perceptions of iron deficiency and anemia prevention and control in eight developing countries

Galloway, Rae; Dusch, Erin; Elder, Leslie Kennedy; Achadi, Endang L; Grajeda, Rubén; Hurtado, Elena; Favin, Mike; Kanani, Shubhada; Marsaban, Julie; Méda, Nicolas; Moore, K. M.; Morison, Linda; Raina, Neena; Rajaratnam, Jolly; Rodriquez, Javier; Stephen, Chitra

doi:10.1016/s0277-9536(01)00185-x

Cited by 226 publications

(333 citation statements)

References 13 publications

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“…At follow-up, only 48/617 (8 %) women mentioned gastrointestinal symptoms and only 32/617 (5 %) reported that they had forgotten to take the tablets daily. This contradicts the common belief that women stop taking Fe tablets mainly due to side-effects and is consistent with Galloway et al's finding that a minority of women taking Fe tables experience side-effects (21) . Compared with low-income women in the USA, a higher proportion of women in our study were anaemic.…”

Section: Discussionsupporting

confidence: 75%

Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Mitra

Khoury

2011

Public Health Nutr.

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Objective: To reduce prevalence of anaemia in low-income postpartum women. Design: A randomised, non-blind clinical trial was conducted among 959 lowincome, postpartum women in eleven clinics in Mississippi. The clinics were randomised to one of three treatment groups: (i) selective anaemia screening of high-risk women as recommended currently (control); (ii) universal anaemia screening and treatment of anaemic women (group I); and (iii) universal Fe supplementation of 65 mg/d for two months to all low-income women (group II). All study participants within each clinic received the same treatment. Women were followed up at 6 months after delivery. Hb was measured at baseline and at follow-up. The primary outcome variable was the proportion of women with anaemia after treatment. Setting: Eleven health clinics in Mississippi. Subjects: Low-income, postpartum women. Results: Baseline characteristics of the three study groups were compared using one-way ANOVA and an appropriate post hoc test for continuous variables and the x 2 test for categorical variables. Fifty-two per cent of postpartum women were anaemic (Hb , 12?0 g/dl) and the rate decreased to 33 % at 6 months after the intervention. Group II women, who received universal Fe supplementation, improved their Hb status significantly (P , 0?001) at 6 months postpartum compared with the other groups. Prevalence of anaemia was also significantly lower among group II women (22?5 %) compared with controls (34 %) and group I women (43 %; P , 0?001). Conclusions: A universal Fe supplementation strategy was effective in reducing the prevalence of anaemia among low-income postpartum women.

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Section: Discussionsupporting

confidence: 75%

Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Mitra

Khoury

2011

Public Health Nutr.

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“…86% vs. 48%. The overall compliance of 69% is relatively high compared with compliance previously reported for pregnant women in developing countries [12][13][14][21][22][23][24] .…”

Section: Discussionmentioning

confidence: 81%

Determinants of compliance with iron supplementation among pregnant women in Senegal

Seck

Jackson

2008

Public Health Nutr.

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Background: Community iron supplementation programmes for pregnant women have lacked effectiveness, partly because of low compliance. Objective: To determine factors that influence compliance among pregnant women in Senegal. Design: Two hundred and twenty-one pregnant women, recruited from six health centres in Dakar during their first prenatal visit, were randomly assigned to receive either a prescription to purchase iron/folic acid tablets (control, n 5 112) to be taken daily, according to official policy, or to receive free tablets (treatment, n 5 109). Compliance was assessed 20 weeks after enrolment through interviews and pill count. Women with low or high compliance (,70% or $70%) were asked to explain what influenced their adherence to supplementation. Results: Overall compliance was 69%; it was significantly higher in the treatment than in the control group (86% vs. 48%; P , 0.0001). Women with high compliance (58%) were motivated by: (1) the perception of improved health upon taking the tablets (treatment 5 24%, control 5 10%); (2) the insistence by midwives that they take the tablets; and (3) the mention that the tablets would improve health. Women with low compliance (42%) reported: (1) the experience of side-effects that they associated with the tablets (treatment 5 13%, control 5 14%); (2) misunderstanding that they needed to continue taking the tablets throughout pregnancy (treatment 5 0%, control 5 18%); and (3) forgetfulness. Conclusion: Compliance with iron/folic acid supplementation in Senegal can be increased by providing women with clear instructions about tablet intake and educating them on the health benefits of the tablets.

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“…Although studies show the efficiency of iron supplement, anemia prevalence (9) . WHO stated that 58% of the pregnant women in these countries are anemic, and the consequences are preterm labor, children with low weight, greater morbidity and risk of death during labor and postpartum period (10) .…”

Section: Resultsmentioning

confidence: 99%

Use and cost of medication in low risk pregnant women

Maeda

Secoli²

2008

Rev. Latino-Am. Enfermagem

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Women's perceptions of iron deficiency and anemia prevention and control in eight developing countries

Cited by 226 publications

References 13 publications

Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Universal iron supplementation: a simple and effective strategy to reduce anaemia among low-income, postpartum women

Determinants of compliance with iron supplementation among pregnant women in Senegal

Use and cost of medication in low risk pregnant women

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