scholarly journals Adherence to iron-folic acid supplement and associated factors among antenatal care attending pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia: Cross-sectional study

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0227090 ◽  
Author(s):  
Tsgehana Gebregyorgis Gebremichael ◽  
Tsehaynesh Gidey Welesamuel
2019 ◽  
Author(s):  
Asmamaw Demis ◽  
Getnet Gedefaw

Abstract Objective: this study aimed to assess the magnitude of knowledge on anemia and benefit of iron-folic-acid supplementation among pregnant mothers who gave birth at public health facilities in Woldia town, 2018. An institution based cross-sectional study design was conducted, on 414 pregnant mothers attending antenatal care which was selected by using systematic random samplings. The data was entered into Epi-data version 4.2 and analyzed using SPSS version 24. Bivariable and multivariable analysis was done to see the association between the dependent variable and independent variables. Results: this study revealed that 54.1% and 57.7% of pregnant women had good knowledge on anemia and benefit of IFAS respectively. Maternal education status (AOR=2.19, 95%CI: 1.32-3.64), good knowledge of IFAS (AOR=5.85, 95%CI: 3.60-9.50) and residence (AOR=5.43, 95%CI: 2.36-12.51) was statistically associated with pregnant mothers knowledge on anemia. Obtained counseling IFAS (AOR=2.04, 95%CI: 1.11-3.75), having four or more antenatal care visit (AOR=3.12, 95%CI: 1.38-7.07) and good knowledge of anemia (AOR=5.88, 95%CI: 3.63-9.50) was statistically associated with pregnant mothers knowledge on the benefit of IFAS. Keywords: Knowledge, anemia, pregnant mother, Woldia town


2020 ◽  
Vol 18 (2) ◽  
pp. 83-90
Author(s):  
S. Shakya Shrestha ◽  
R. Adhikari ◽  
S. Tamrakar ◽  
R. Shrestha ◽  
A. Shrestha

Background Pregnancy or gestation is the time during which a single or more children grows and develops inside a woman. Antenatal care improves the pregnancy outcomes under which a group of medication i.e. iron, folic acid and calcium are supplemented. Despite the effectiveness of such supplements, poor clinical outcomes are often encountered because of poor-adherence to the regimen. Objective To determine the adherence pattern and factors affecting adherence in antenatal care patients under iron, folic acid, and calcium therapy. Method A cross-sectional study was conducted in Dhulikhel Hospital, Kathmandu University Hospital. Pregnant women attending antenatal care under iron, folic acid, and calcium therapy fulfilling the inclusion criteria were enrolled in this study. After obtaining the informed consent from the patients, structured questionnaire was used to interview the patients. Statistical analysis was performed by using SPSS 23.0. P-value < 0.05 was considered as statistically significant. Result Among 191 patients enrolled in this study majority (39.3%) of them belonged to age group 26-30 years. More than half (61.3%) of the patients were illiterate. Of the total 191, 64.40% were non-adherent to the medication. Forgetfulness was the main reason for missing the dose in majority (52.06%) of the non-adherent subjects while adverse effects (55.40%) was the most prominent cause for discontinuing the medication among non-adherent participants. Significant association was found between patients’ adherence and busy work schedule, visiting doctor for follow up. Conclusion More than half of the patients had not adhered to the medication under antenatal care. Forgetfulness was the most common factor for missing the dose in nonadherent patients. Illiteracy was associated with poor adherence. Patient-provider relationship, Socio-economic factors were determined as major barrier to medication adherence.


2020 ◽  
Author(s):  
Tenaw Lebeza ◽  
Melese Linger Endalifer

Abstract Background: The maternal mortality rate is 412 per 100,000 live births in Ethiopia which is the highest in the world. Skilled birth attendance during childbirth and immediate postpartum care can prevent 75% of maternal mortality but women are not willing to deliver in the health institutions due to ignorance of their sensitive issues by health professionals. Additionally, the care given in the health institution is not psychologically supportive of what they need. Therefore, this study aimed to assess the level of abusive maternal care and associated factors during childbirth in North Wollo Hospitals, Northeast Ethiopia.Methods: Institutional based cross-sectional study design was implemented in 2018 with a sample size of 394. Stratified systematic random sampling was applied to select the study participants. Data was collected by using a structured questionnaire adapted from the White Ribbon Alliance Declaration of women's right during childbirth. Data were entered by EPI- data version 3.1 and analysed by using SPSS version 23. Bivariate and multivariable logistic regression analyses were carried out. Model fitness was assured.Result: The level of abusive care among childbearing women was 47.1%. Women who attended their childbirth at general hospital (AOR =0.13, 95% CI: 0.06, 0.26), women who had no antenatal care (AOR =2.08, 95% CI: 1.27, 3.39) and women who had two birth attendants (AOR =0.56, 95% CI: 0.35, 0.92) were significant association with abusive maternal care.Conclusion: The level of abusive maternal care in health institutions is high as compared to national and international standards. Women who attend their childbirth at general hospitals, having antenatal care and the number of birth attendants were factors associated with abusive maternal care. The interventions better to focus on increasing pregnant women’s ANC follow up. The health institutions also better increase the number of professional skilled birth attendants to address women’s concerns during childbirth.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fissaha Tekulu Welay ◽  
Berhanu Gebresilassie ◽  
Guesh Gebreayezgi Asefa ◽  
Meresa Berwo Mengesha

Background. The right to prefer mode of delivery is a crucial component of compassionate and respectful care that fosters both maternal and neonatal well-being as the failure to respect the mother’s interest increases to the risk of maternal depression and posttraumatic stress. Thus, the aim of the study was to assess delivery mode preference and associated factors among pregnant women. Methods and Materials. The study was conducted in two hospitals and two health centers. We used a cross-sectional study design incorporating 398 pregnant mothers attending an antenatal care follow-up from February to May 2018. The study excluded pregnant mothers with any previous uterine surgery including caesarean delivery from participation due to their restricted chance to prefer their mode of delivery. Data were collected by using a pretested questionnaire. Data were entered to EpiData Manager version 3.1 and exported to Statistical Package for the Social Sciences version 22 for analysis. Besides, the analysis included both the bivariate and multivariable analyses to check the association between dependent and independent variables. Finally, level of statistical significance was declared at P value < 0.05. Result. The participant’s level of response was 100% (398). The age of the mothers ranges from 15 to 45 years old. The delivery mode preference of the caesarean section (C/S) and spontaneous vertex delivery (SVD) was 115 (28.9%) and 283 (71.1%), respectively. The study revealed that planned 47 pregnancy [AOR, 1.76; CI: 0.89-3.47], young age [AOR, 12.9; CI: 0.23-7.1], and primigravida [AOR, 1.24; CI: 0.29-5.2] were among the variables associated with maternal preference of caesarean section. Conclusion and Recommendation. Nearly one-third of the mothers preferred caesarean delivery as their mode of delivery due to fear of labor pain and repeated vaginal examination by the care providers. This is particularly seen in women who had received higher education level, claim their pregnancy as planned, their choice of delivery at hospital, young aged, pregnant for the first time, and those who had visited antenatal care repeatedly. This implies that policy makers and stakeholders should exert due emphasis to ongoing desire of caesarean delivery as the procedure is not without risk, if it is done without indication. For researchers, we recommend to investigate the preference of mode of delivery in a much broader aspect.


2021 ◽  
Author(s):  
Lebeza alemu tenaw ◽  
Melese Linger Endalifer

Abstract Background: The maternal mortality rate is 412 per 100,000 live births in Ethiopia which is the highest in the world. Skilled birth attendance during childbirth and immediate postpartum care can prevent 75% of maternal mortality but women are not willing to deliver in the health institutions due to ignorance of their sensitive issues by health professionals. Additionally, the care given in the health institution is not psychologically supportive of what they need. Therefore, this study aimed to assess the level of abusive maternal care and associated factors during childbirth in North Wollo Hospitals, Northeast Ethiopia.Methods: Institutional based cross-sectional study design was implemented in 2018 with a sample size of 394. Stratified systematic random sampling was applied to select the study participants. Data was collected by using a structured questionnaire adapted from the White Ribbon Alliance Declaration of women's right during childbirth. Data were entered by EPI- data version 3.1 and analysed by using SPSS version 23. Bivariate and multivariable logistic regression analyses were carried out. Model fitness was assured.Result: The level of abusive care among childbearing women was 47.1%. Women who attended their childbirth at general hospital (AOR =0.13, 95% CI: 0.06, 0.26), women who had no antenatal care (AOR =2.08, 95% CI: 1.27, 3.39) and women who had two birth attendants (AOR =0.56, 95% CI: 0.35, 0.92) were significant association with abusive maternal care.Conclusion: The level of abusive maternal care in health institutions is high as compared to national and international standards. Women who attend their childbirth at general hospitals, having antenatal care and the number of birth attendants were factors associated with abusive maternal care. The interventions better to focus on increasing pregnant women’s ANC follow up. The health institutions also better increase the number of professional skilled birth attendants to address women’s concerns during childbirth.


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