Adherence to prenatal iron–folic acid supplementation and associated factors among pregnant women attending antenatal care services in Dilla town, South Ethiopia

Background: During pregnancy, due to the physiological and hormonal change, the requirement of iron–folic acid is enhanced. Therefore, the occurrence of iron/folic acid deficiency is relatively high and it is responsible for 95% of anemia during pregnancy. Objectives: The aim of this study was to assess adherence to prenatal iron–folic acid supplementation (IFAS) and associated factors among pregnant women attending antenatal care services at public health facilities of Dilla town. Methods: Facility-based cross-sectional study design was employed selecting 403 pregnant women attending antenatal care services in three public health institutions of Dilla town. The women were included in the study by simple random sampling. Data were collected by interview and document review. Then it was entered into EPI Data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariate binary logistic regression techniques were used to identify independent predictors. A p-value <0.05 was taken as indication of statistical significance. Results: From the total of planned 403 pregnant women, 396 participated in the study, with a response rate of 98.2%. Of these, 172 (43.4%) pregnant women were adhered to IFAS. The study also revealed that history of previous anemia (adjusted odds ratio (AOR) = 1.87; 95% confidence interval (CI): (1.01–3.47); p = 0.04), frequency of antenatal care center (ANC) visits (AOR = 2.51; 95% CI: (1.17–5.37); p = 0.01), knowledge of IFA supplement (AOR = 2.28; 95% CI: (1.36–3.82); p = 0.002), and knowledge of anemia (AOR = 2.30; 95% CI: (1.40–3.77); p = 0.001) were independent predictors of adherence to IFAS. Conclusion: The finding of this study showed that less than half of the pregnant women were adhered to IFAS. History of previous anemia, frequency of ANC visits, knowledge of IFA supplement, and knowledge of anemia were the factors associated with adherence to IFA supplement.

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Adherence to Iron-Folate Supplementation and Associated Factors among Pastoralist’s Pregnant Women in Burji Districts, Segen Area People’s Zone, Southern Ethiopia: Community-Based Cross-Sectional Study

International Journal of Reproductive Medicine ◽

10.1155/2018/2365362 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 6

Author(s):

Negussie Boti ◽

Tezera Bekele ◽

Wanzahun Godana ◽

Eskeziyaw Getahun ◽

Feleke Gebremeskel ◽

...

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Associated Factors ◽

Folic Acid Supplementation ◽

Deficiency Anemia ◽

Southern Ethiopia ◽

Acid Supplementation ◽

Iron And Folic Acid ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid

Background. Iron deficiency anemia among pregnant women is one of the most common public health problems in developing country particularly in Ethiopia. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention and control of iron deficiency anemia in pregnant women. However, level of adherence to iron/folic acid supplementation and its associated factors were not well identified in study area. Therefore, the aim of this study was to determine the level of adherence to iron/folic acid supplementation and associated factors among pregnant women in Burji Districts, southern Ethiopia. Methods. A community-based cross-sectional study was conducted among 317 pregnant women in Burji Districts from March to April 2017 using interviewer administered questionnaires. Data were entered into Epi Info 3.5.1 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression was used to identify factors associated with iron/folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value <0.05 were used to declare statistical significance. Results. Among women participating in the study, 163(51.4%) were adherent to iron/folate acid supplementation. Factors significantly associated with adherence to iron and folic acid supplementation were maternal educational status (AOR: 2.47, 95% CI: 1.13-4.97), early registration for ANC (AOR: 2.49, 95% CI: 1.45 – 4.27), history of anemia during current pregnancy (AOR: 2.02, 95% CI: 1.09-3.72), and knowledge about iron and folic acid supplementation (AOR: 1.96, 95% CI: 1.02-3.76). Forgetfulness and fear of side effects were among the leading reasons of pregnant women for nonadherence to iron and folic acid supplementation. Conclusions. This study revealed that adherence to iron /folic acid supplementation was found to be 51.4%. Maternal educational status, early registration for ANC, history of anemia during current pregnancy, and knowledge about iron and folic acid supplementation were significant factors associated with adherence to iron/folic acid supplementation among pastoralist’s pregnant women. Therefore, anemia prevention strategy should include strengthening giving awareness, counseling, strengthening community health education, and participation in health programs which are necessary to improve the uptake of iron/folic acid supplements.

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Erratum: Compliance to iron-folic-acid supplementation and associated factors among pregnant women: A cross-sectional survey in a district of West Bengal, India

Journal of Family Medicine and Primary Care ◽

10.4103/2249-4863.293126 ◽

2020 ◽

Vol 9 (8) ◽

pp. 4504

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Associated Factors ◽

West Bengal ◽

Folic Acid Supplementation ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Acid Supplementation ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid

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The effect of early antenatal booking on adherence to Iron/folic acid supplementation among antenatal care attendees in Libo kemkem district, Ethiopia

10.21203/rs.2.13116/v1 ◽

2019 ◽

Author(s):

Tewachew Muche liyeh ◽

Yitayal Ayalew Goshu ◽

Amare Simegn Ayele ◽

Yibeltal Abebe

Keyword(s):

Folic Acid ◽

Antenatal Care ◽

Pregnant Women ◽

Folic Acid Supplementation ◽

Medical Advice ◽

Adherence Rate ◽

Acid Supplementation ◽

Iron And Folic Acid ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid

Abstract Background Iron and folic acid supplementation is the feasible and cost effective strategy to control and prevent anemia in pregnancy. Pregnant women are vulnerable for iron deficiency anemia due to increased nutrient requirement during pregnancy. In Ethiopia, the national data suggests that from all pregnant women supplemented with these tablets, only 5.1% consumed more than 90 tablets during their pregnancy time. The factors for this low adherence are not clearly known. Objective: To assess factors associated with adherence to iron-folic acid supplementation among pregnant women attending antenatal care service in Libo Kemkem district, Ethiopia 2017. Method: Hospital based cross sectional study was conducted using quantitative methods on 406 pregnant women attending antenatal care at Libo Kemkem district public health institutions. Systematic random sampling method was used. An interview with pre tested semi structured questionnaire was carried out. The collected data was entered in Epi data 4.1 and analyzed with SPSS version 20. Bivariate and multivariable logistic regression model were used. Odds ratio with 95% interval was computed and P- value <0.05% considered as level of significance. Result: About 406 respondents were included in the study. The adherence rate of iron-folic acid supplementation was 49.3% (95% CI= 44.3%-54.2%). Factors significantly associated with adherence to iron-folic acid utilization were urban residence (AOR =4.8, 95% CI=1.82-12.79), women aged 21-30 (AOR = 4.3, 95% CI=1.60-11.42) ,women aged 31-40 (AOR =4.2, 95% CI=1.33-13.41),early ANC booking (AOR =4.1, 95% CI=1.80-9.30) and getting medical advice (AOR = 2.5, 95% CI = 1.04 – 6.16). Fear of side effects, forgetfulness and too many pills were the major reasons for missing the doses of tablets. Conclusion: adherence rate of iron and folic acid supplementation was low. Residence, maternal age, early ANC booking and getting medical advice were significantly associated with adherence to iron and folic acid. Key Words: Iron-folic acid, pregnant women and adherence

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Prevalence of and factors associated with antenatal care seeking and adherence to recommended iron-folic acid supplementation among pregnant women in Zinder, Niger

Maternal and Child Nutrition ◽

10.1111/mcn.12466 ◽

2018 ◽

Vol 14 ◽

pp. e12466 ◽

Cited By ~ 7

Author(s):

Khadija Begum ◽

Césaire T. Ouédraogo ◽

K. Ryan Wessells ◽

Rebecca R. Young ◽

M. Thierno Faye ◽

...

Keyword(s):

Folic Acid ◽

Antenatal Care ◽

Pregnant Women ◽

Folic Acid Supplementation ◽

Care Seeking ◽

Acid Supplementation ◽

Factors Associated ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid

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Adherence to iron/folic acid supplementation and associated factors among pregnant women attending governmental health center in Yeka Sub City, Addis Ababa, Ethiopia

BLDE University Journal of Health Sciences ◽

10.4103/bjhs.bjhs_48_20 ◽

2020 ◽

Vol 5 (2) ◽

pp. 145

Author(s):

BirhanuTadesse Urgessa ◽

ZiyadAhmed Abdo

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Health Center ◽

Associated Factors ◽

Addis Ababa ◽

Folic Acid Supplementation ◽

Acid Supplementation ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid

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Adherence to Iron-Folic Acid Supplementation and Associated Factors among Pregnant Women in Kasulu Communities in North-Western Tanzania

International Journal of Reproductive Medicine ◽

10.1155/2020/3127245 ◽

2020 ◽

Vol 2020 ◽

pp. 1-11

Author(s):

Winfrida B. Lyoba ◽

Joyce D. Mwakatoga ◽

Charles Festo ◽

Jackline Mrema ◽

Ester Elisaria

Keyword(s):

Folic Acid ◽

Pregnant Women ◽

Associated Factors ◽

Folic Acid Supplementation ◽

Acid Supplementation ◽

Factors Associated ◽

Iron Folic Acid Supplementation ◽

Iron Folic Acid ◽

North Western ◽

Western Tanzania

Introduction. Pregnant women are at a high risk of anaemia, with iron-folate deficiency being the most common cause of anaemia among pregnant women. Despite the well-known importance of iron and folic acid supplementation (IFAS) during pregnancy, adherence to these supplements is relatively low and associated factors were not well identified in the study area. This study is aimed at investigating adherence to IFAS and associated factors among pregnant women in Kasulu district, north-western Tanzania. Methods. A health facility cross-sectional survey with a mixed-method approach was conducted in Kasulu district from March to April 2019. A structured questionnaire was given to 320 women with children aged 0-6 months to assess factors associated with adherence to IFAS among pregnant women. Data were entered into SPSS version 22.0 for analysis. Binary logistic regression was further employed to determine the factors associated with adherence to IFAS. Focus group discussions were done with 19 pregnant women and 15 mothers of children aged 0-6 months to obtain more clarifications on the factors associated with adherence to IFAS. Furthermore, in-depth interviews were done with six health care providers to explore their perceptions of IFAS. Results. Out of the 320 respondents of the survey, 20.3% (n=65) adhered to IFAS. Factors associated with adherence to IFAS among pregnant women included time to start ANC (AOR=3.72, 95% CI: 1.42, 9.79), knowledge of anaemia (AOR=3.84, 95% CI: 1.335, 10.66), counseling on the importance of the iron-folic acid (AOR=3.86, 95% CI: 1.42, 10.50), IFAS given during clinical visit (AOR=15.72, 95% CI: 5.34, 46.31), number of meals consumed (AOR=3.44, 95% CI: 1.28, 9.21), number of children (AOR=3.462, 95% CI: 1.035, 11.58), and distance to health facility (AOR=0.34, 95% CI: 0.131, 0.886). Qualitative findings revealed that delayed first ANC visit, lack of remainder for pregnant women to take IFAS, low awareness about the negative effects of anaemia, low of knowledge of IFAS and management of side effects, negative beliefs about the use of IFAS, and follow-up mechanism were major reasons for poor adherence. Conclusion. Adherence to iron-folic acid supplementation during pregnancy was low. Strengthening systems for creating reminding mechanism, raising community awareness through educational programs to pregnant women and health providers could improve adherence to IFAS.

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Pregnant women’s satisfaction with antenatal care services and its associated factors at public health facilities in the Harari region, Eastern Ethiopia

SAGE Open Medicine ◽

10.1177/2050312120973480 ◽

2020 ◽

Vol 8 ◽

pp. 205031212097348

Author(s):

Simon Birhanu ◽

Melake Demena ◽

Yohannes Baye ◽

Assefa Desalew ◽

Bedru Dawud ◽

...

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Health Facility ◽

Associated Factors ◽

Care Service ◽

Eastern Ethiopia ◽

Factors Associated ◽

Care Services ◽

History Of

Background: Antenatal care coverage is very low in low-and middle-income countries, including Ethiopia. Self-reported pregnant women’s satisfaction may be important in identifying the demographic, provider-, and facility-related factors that can be improved to increase antenatal care satisfaction. However, there is a paucity of data on pregnant women’s satisfaction in Ethiopia, particularly in the study setting. Therefore, this study aimed to assess antenatal care service satisfaction and associated factors among pregnant women at public health facilities in the Harari region of eastern Ethiopia. Methods: A health institution–based cross-sectional study was conducted among women who were attending antenatal care clinics in February 2017. All 531 pregnant women were selected using a systematic random sampling method. Data were collected using an interviewer-administered questionnaire, entered into EpiData version 3.1, and analyzed using SPSS version 22.0 software. A logistic regression model was applied to control for confounders. The level of significance was determined at a p-value of less than 0.05. Results: The magnitude of pregnant women’s satisfaction with antenatal care services was 70.3% (95% confidence interval (CI) = 66.4%–74.3%). Receiving antenatal care services from the hospital (adjusted odds ratio (AOR) = 2.44, 95% CI = 1.50–3.98), did not attend formal education (AOR = 2.53, 95% CI = 1.52–4.20) and attended primary education (AOR = 2.17, 95% CI = 1.17–4.04), having a repeated visit to antenatal care (AOR = 4.62, 95% CI = 2.98–7.17), initiating antenatal care services within the first trimester (AOR = 1.74, 95% CI = 1.12–2.71), having no history of stillbirth (AOR = 2.52, 95% CI = 1.37–4.65), and waiting for no more than 30 min in the health facility to get service (AOR = 2.31, 95% CI = 1.28–4.16) were factors associated with pregnant women’s satisfaction with antenatal care services. Conclusion: More than two-thirds of pregnant women were satisfied with the antenatal care service. The type of health facility, education status, number and initiation time of antenatal visit, history of stillbirth, and waiting time to get service were factors associated with pregnant women’s satisfaction with antenatal care services.

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