scholarly journals A study on the weekly iron and folic acid supplementation in the government schools and anganwadi centres in urban field practicing area of a tertiary health care centre, Hyderabad, Telangana

2019 ◽  
Vol 6 (3) ◽  
pp. 1274
Author(s):  
Jyothi Lakshmi Naga Vemuri ◽  
Sri Harsha Kandikonda ◽  
S. Bhavana Laxmi ◽  
R. L. Lakshman Rao
Keyword(s):  
Health Care ◽  
Folic Acid ◽  
Folic Acid Supplementation ◽  
Family Welfare ◽  
Care Centre ◽  
Government Schools ◽  
Health Care Centre ◽  
Acid Supplementation ◽  
Stomach Pain ◽  
Iron And Folic Acid

Background: Anemia is a major public health problem especially in adolescent age group because of its intergenerational impact. The Ministry of Health and Family Welfare, India launched the weekly iron and folic acid supplementation programme for adolescent girls and boys. The objectives of the study were to study the awareness of the weekly iron and folic acid supplementation in preventing anemia in the study subjects; to assess the implementation of the weekly iron and folic acid supplementation in government schools and anganwadi centres.Methods: A cross-sectional study was carried out in the 4 government schools and 11 anganwadi centres of the urban field practising area of a tertiary health care centre, Osmania Medical College, Hyderabad. All the students who were present at the time of study, the teachers and anganwadi workers, who gave consent were included. The study was carried out for a period of 3 months (August to October, 2018) using a pretested schedule.Results: A total of 313 students, 21 teachers and 10 anganwadi workers had participated in the study. Among school students, only 15% had awareness of anemia. Girls had better knowledge than boys (p<0.05). The benefits of iron folic acid tablets were known to 17% students and 67% teachers. Most commonly side effects were nausea, vomiting and stomach pain. Irregular supply of tablets and poor maintainence of records was seen.Conclusions: The supply and distribution of tablets was found to be not in accordance with the guidelines of the programme.There is need of regular orientation to the teachers and anganwadi workers and nutrition education meetings for behaviour change communication to the parents.

scholarly journals Effect of Weekly versus Daily Iron and Folic Acid Supplementation on the Haematological Status of Pregnant Women

1970 ◽  
Vol 39 (3) ◽  
Author(s):  
N Haque ◽  
A Karim ◽  
AKM Nurul Anwar
Keyword(s):  
Health Care ◽  
Folic Acid ◽  
Pregnant Women ◽  
Health Care Services ◽  
Folic Acid Supplementation ◽  
Haematological Parameters ◽  
Acid Supplementation ◽  
Treatment Groups ◽  
Care Services ◽  
Iron And Folic Acid

In many developing countries including Bangladesh daily iron and folic acid supplement is given to pregnant women through health care services but with limited success. Poor compliance, inefficiency of health care services and poor quality of supplemented tablets have been implicated for such poor outcome. Several studies reported that once or twice weekly instead of daily supplementation were equally effective with reduced gastrointestinal side effects and improved patient compliance. In this study effect of once weekly administration of 120 mg of iron and 0.5 mg of folic acid was compared with same dose of daily iron and folic acid supplementation. 600 anemic pregnant women (Hb level at or below 11.9 g/ dl) at 20 weeks±15 days of pregnancy were randomly selected and allocated to one of the two treatment groups. Haematological parameters (Blood Hb, MCV and MCHC) were measured at baseline and repeated at 28th week, 36th weeks ofpregnancy and at delivery. Because of significant drop out at antenatal visits, only 57 subjects (25 in daily group and 32 in weekly group) could be followed up till delivery at the hospital. At baseline, no significant differences in haematological parameters existed between the two treatment groups except for MCV, suggesting that study participants in both groups had more or less similar haematological status at baseline. With iron and folic acid supplementation from 20th week ±15 days of pregnancy through delivery, there had been significant improvement in both Hb level and MCV in both the groups and the improvement was not significantly different between the two groups, suggesting that both weekly and daily supplementation had similar effects. Significance of this and other findings have been discussed. Further studies with larger samples have been suggested before recommending weekly supplementation for routine use.DOI: http://dx.doi.org/10.3329/bmj.v39i3.9944 BMJ 2010; 39(3)

scholarly journals Pattern of anaemia, determinants and weekly iron and folic acid supplementation programme among tribal adolescent girls attending a primary health centre in Wayanad, Kerala

2020 ◽  
Vol 7 (7) ◽  
pp. 2803
Author(s):  
Aman Bhardwaj ◽  
Aswathy Sreedevi ◽  
Sanjeev Vasudevan ◽  
Geetha Vidyadharan
Keyword(s):  
Folic Acid ◽  
Adolescent Girls ◽  
Health Centre ◽  
Folic Acid Supplementation ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Acid Supplementation ◽  
Primary Health ◽  
Tribal Area ◽  
Iron And Folic Acid

Anaemia is a major cause of concern during adolescence particularly among the persons of tribal origin. The objective of the study was to determine the pattern of anaemia, determinants and coverage of the weekly iron and folic acid supplementation (WIFS) programme among adolescent girls in a tribal area. A cross sectional study was conducted among 196 adolescent girls at a primary health care centre in tribal area of Kerala. Every alternate adolescent girl attending the centre was chosen over a period of three months. Assent and informed consent from accompanying parents was obtained. Haemoglobin was estimated by Sahli’s method and peripheral smear prepared. Three fourths of the adolescent girls had iron deficiency anaemia; of which 48.64% had moderate anaemia 5.40% had severe anaemia and 1.6% had sickle cell anaemia. Adolescents belonging to Paniya tribe and those not consuming Iron and folic acid tablets under WIFS programme were three times (OR 2.95 95% CI 1.38,6.28) and two times (OR 2.5 95% CI 1.24, 5.11) respectively were more likely to be anaemic. Most (80%) of the anaemic girls were unaware about WIFS scheme and the intake of the iron supplementation was significantly higher in school going girls. Strengthening the WIFS scheme by targeting the vulnerable adolescent girls of Paniya tribe and out of school girls are of extreme importance in tackling the problem of anaemia among tribal adolescent girls.

Impact of iron and folic acid supplementation on oxidative stress during pregnancy

2015 ◽  
Vol 35 (8) ◽  
pp. 803-806 ◽  
Author(s):  
E. Lymperaki ◽  
A. Tsikopoulos ◽  
K. Makedou ◽  
E. Paliogianni ◽  
L. Kiriazi ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Folic Acid ◽  
Folic Acid Supplementation ◽  
Acid Supplementation ◽  
Iron And Folic Acid

scholarly journals Adherence to iron and folic acid supplementation and associated factors among antenatal care attendants in Northwest Ethiopia

2020 ◽  
Vol 9 (1) ◽  
pp. 20
Author(s):  
Berhanu Abebaw Mekonnen ◽  
Yadeta Dessie ◽  
Negga Baraki ◽  
Abdu Oumer ◽  
Mehari Gebru
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Folic Acid Supplementation ◽  
Northwest Ethiopia ◽  
Adherence Rate ◽  
P Value ◽  
Cross Sectional ◽  
Acid Supplementation ◽  
Iron And Folic Acid ◽  
Pregnant Mothers

<p>Iron and folic acid supplementation is the key approach for anemia prevention and control during pregnancy. In Ethiopia only &lt;1% of pregnant mothers ingest the ideal number of tablets. Although, adherence is the most important challenge, literature is dearth and the predictors are undoubtedly recognized. Institution based quantitative cross sectional study design triangulated with qualitative methods was employed among 395 systematically selected pregnant mothers attending antenatal care in Debre Markos town, Ethiopia. Data were collected using interviewer administered structured questionnaire. Data were entered into Epi data and exported to SPSS software. Bivariate and multivariable Logistic regression with the 95% confidence interval was computed. P-value &lt; 0.05 was declared as statistically significant. Eight in-depth interviews were conducted. The data were entered and analyzed using open code software. Adherence rate was 55.5% (95%CI, 50.5%-60.4%). Pregnant mothers who had; history of anemia during current pregnancy [AOR:7.9, 95%CI (4.44-14.01)], primary education (AOR:4.0, 95%CI (1.88-8.54)], secondary education and above (AOR:3.6, 95%CI (1.20-6.94)], good knowledge of iron and folic acid supplementation [AOR:2.1, 95%CI (1.24-3.56)], and early registration for antenatal care (AOR:1.8, 95%CI (1.06-3.11)] were predictors of iron and folic acid supplementation adherence. The rate of adherence was low. Getting medical advice and fear of illness if missed were the primary reasons that enforce mothers to take the tablets. Hence, improving mothers’ knowledge regarding overall aspects of the tablet through better advice, community teaching and the mass media at large, would improve adherence.</p>

scholarly journals Implementation fidelity of nutritional counselling, Iron and Folic Acid supplementation guidelines and associated challenges in rural Uasin Gishu County Kenya

2020 ◽  
Author(s):  
Roselyter Monchari Riang'a ◽  
Anne Kisaka Nangulu ◽  
Jacqueline E.W. Broerse
Keyword(s):  
Folic Acid ◽  
Side Effects ◽  
Implementation Fidelity ◽  
Folic Acid Supplementation ◽  
Food Sources ◽  
Careful Examination ◽  
Acid Supplementation ◽  
Nutritional Counselling ◽  
Participant Responsiveness ◽  
Iron And Folic Acid

Abstract BackgroundImplementation fidelity which is defined as the degree to which programmes are implemented as intended is one of the factors that affect programme outcome, thus requiring careful examination. This study aims to acquire insight into the degree to which nutritional counselling and Iron and Folic Acid supplementation (IFAs) policy guidelines during pregnancy have been implemented as intended and the challenges to implementation fidelity.MethodsData were collected in rural Uasin Gishu County in the western part of Kenya through document analysis, questionnaires among intervention recipients (n=188) and semi-structured interviews with programme implementers (n=6). Data collection and analysis were guided by an implementation fidelity framework. We specifically evaluated adherence to intervention design (content, frequency, duration and coverage), exposure or dosage, quality of delivery and participant responsiveness.ResultsCoverage of nutritional counselling and IFAs policy is widespread. However, partial provision was reported in all the intervention components. Only 10% accessed intervention within the first trimester as recommended by policy guidelines, only 28% reported receiving nutritional counselling, only 18% and 15% of the respondents received 90 or more iron and folic acid pills respectively during their entire pregnancy period, and 66% completed taking the IFAs pills that were issued to them. Late initial bookings to antenatal care, drug stock shortage, staff shortage and long queues, confusing dosage instructions, side effects of the pills and issuing of many pills at one go, were established to be the main challenges to effective implementation fidelity. Anticipated health consequences and emphasis by the health officer to comply with instructions were established to be motivations for adherence to nutritional counselling and IFAs guidelines.ConclusionsImplementation fidelity of nutritional counselling and IFAs policy in Kenya is generally weak. There is need for approaches to enhance early access to interventions, enhance stock availability, provide mitigation measures for the side effects, as well as intensify nutritional counselling to promote the consumption of micronutrient-rich food sources available in the local environment to substitute for the shortage of nutritional supplements and low compliance to IFAs.

scholarly journals Compliance with Iron and Folic Acid Supplementation (IFAS) and associated factors among pregnant women in Sub-Saharan Africa: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249789
Author(s):  
Meseret Belete Fite ◽  
Kedir Teji Roba ◽  
Lemessa Oljira ◽  
Abera Kenay Tura ◽  
Tesfaye Assebe Yadeta
Keyword(s):  
Systematic Review ◽  
Folic Acid ◽  
Pregnant Women ◽  
Meta Analysis ◽  
Folic Acid Supplementation ◽  
Sub Saharan Africa ◽  
Global Public Health ◽  
Acid Supplementation ◽  
Iron And Folic Acid ◽  
Sub Saharan

Background Anemia is one of the world’s leading cause of disability and the most serious global public health issues. This systematic review and meta-analysis was conducted very carefully in order to give up the pooled compliance of Iron and Folic-Acid Supplementation in Sub-Saharan Africa. Methods To conduct this brief systematic review and meta-analysis, a related literature search was done from different sources, PubMed Medline and Google Scholar Journals. Then IFA Supplementation related searching engine was used to make the work more meaningful and intensive. Moreover, we used modified Newcastle-Ottawa quality assessment scale for cross sectional studies to assess the quality of the study in terms of their inclusion. Then, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to carry out the work in a carful manner. Finally, the pooled effect size was computed using the review manager and Compressive Meta-analysis software. Results Twenty-three studies, which encompassed 24272 pregnant women, were chosen for the analysis. From those an overall prevalence of compliance with Iron and Folic Acid Supplementation (IFAS) in pregnancy in SSA was 39.2%. However, the result from meta-analysis showed that women who were counseled on IFAS in their courses of pregnancy were 1.96 times more likely to adhere to IFAS compared to those who were not counseled [OR:1.96, 95% CI (1.76-,5.93)]. Moreover, it showed that women who had knowledge of IFAS were 2.71 times more likely to have compliance with IFAS as compared to those who had no knowledge of IFAS [OR:2.71, 95% CI (1.33,5.54)]. Also it revealed that those women who had knowledge of anemia were 5.42 times more likely to have compliance with IFAS as compared with those who had no knowledge of anemia [OR5.42, 95% CI (1.52, 19.43)]. Furthermore, women who had received fourth visit for ANC were 1.54 times more likely to have compliance with IFAS as compared to those who had not received for ANC [OR 1.54, 95% CI (0.66, 3.58.43)]. Conclusions Our finding from this systematic review and meta-analysis shows the low case in prevalence of compliance to IFAS among pregnant women in SSA. Predictors for this includes: knowledge about anemia, knowledge about IFAS, counseling on IFAS and receiving fourth antenatal care visit were statistically correlated positively with compliance to IFAS. This demands careful appraisal of effect of prevention work for functioning policy, programs and plan nutrition intrusions for refining maternal dietary intake in gestation. Also dietary education intrusion requires to be planned to satisfy the needs of pregnant women. So we hope that the result of this study might be essential as a bridging stone for policy makers of Africa; exclusively for maternal and child health care. Finally, we recommended further studies to be conducted in the area of the study for more intensive and detailed suggestions.

scholarly journals Population-level effective coverage of adolescent weekly iron and folic acid supplementation is low in rural West Bengal, India

2020 ◽  
Vol 23 (15) ◽  
pp. 2819-2823
Author(s):  
Christopher R Sudfeld ◽  
Rajesh Kumar Rai ◽  
Anamitra Barik ◽  
Joseph J Valadez ◽  
Wafaie W Fawzi
Keyword(s):  
Folic Acid ◽  
Adolescent Girls ◽  
West Bengal ◽  
Folic Acid Supplementation ◽  
Cross Sectional Survey ◽  
Effective Coverage ◽  
Acid Supplementation ◽  
School Girls ◽  
Iron And Folic Acid ◽  
Out Of School

AbstractObjective:To assess the coverage of the adolescent weekly iron and folic acid supplementation (WIFS) programme in rural West Bengal, India.Design:We conducted a population-based cross-sectional survey of intended WIFS programme beneficiaries (in-school adolescent girls and boys and out-of-school adolescent girls).Setting:Birbhum Health and Demographic Surveillance System.Participants:A total of 4448 adolescents 10–19 years of age participated in the study.Results:The percentage of adolescents who reported taking four WIFS tablets during the last month as intended by the national programme was 9·4 % among in-school girls, 7·1 % for in-school boys and 2·3 % for out-of-school girls. The low effective coverage was due to the combination of large deficits in WIFS provision and poor adherence. A large proportion of adolescents reported they were not provided any WIFS tablets in the last month: 61·7 % of in-school girls, 73·3 % of in-school boys and 97·1 % of out-of-school girls. In terms of adherence, only 41·6 % of in-school girls, 38·1 % of in-school boys and 47·4 % of out-of-school girls reported that they consumed all WIFS tablets they received. Counselling from teachers, administrators and school staff was the primary reason adolescents reported taking WIFS tablets, whereas the major reasons for non-adherence were lack of perceived benefit, peer suggestion not to take WIFS and a reported history of side effects.Conclusions:The effective coverage of the WIFS programme for in-school adolescents and out-of-school adolescent girls is low in rural Birbhum. Integrated supply- and demand-side strategies appear to be necessary to increase the effective coverage and potential benefits of the WIFS programme.

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