scholarly journals Utilization of iron folic acid tablets among pregnant women in rural Punjab: an interventional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1307
Author(s):  
Geetika Singh ◽  
Mohan Lal ◽  
Saurav Singh
Keyword(s):  
Folic Acid ◽  
Health Education ◽  
Pregnant Women ◽  
Health Workers ◽  
Economic Status ◽  
Public Health Problem ◽  
Before And After ◽  
The Government ◽  
Iron Folic Acid ◽  
Prevalence Of Anemia

Background: Anemia in pregnancy remains a public health problem and is an important indirect cause of maternal mortality accounting for 20% of total maternal deaths in India. However, it is largely preventable and easily treatable. Since, decades, the Government of India has recommended iron folic acid (IFA) supplementation as prophylaxis but adherence to IFA tablets is invariably poor. Health education of antenatal women can be an effective tool for improvement in IFA consumption and compliance. Thus, this study was conducted to assess the problem of anemia and its epidemiological determinants among pregnant women in rural field practice area of Punjab as well as to evaluate the compliance and utilization of IFA tablets before and after the health education intervention.Methods: Author filled in the predesigned and pretested proforma and imparted health education to all the pregnant women who were then followed. Hb was estimated on two different occasions, before and after the intervention.Results: After intervention, 82.88% of pregnant women took IFA tablets out of which 42.31% consumed more than 90 tablets. Factors like education, socio-economic status, type of family and gravidity were found to be significantly associated with anemia. Although the overall prevalence of anemia reduced slightly from 96.4% to 92.67% after intervention, the mean Hb levels got decreased.Conclusions: Despite interventions, the desired outcomes were not obtained. Constant motivation of antenatal women by health workers and IEC activities in the community are thus recommended to improve the IFA compliance rates and combat anemia.

scholarly journals Examining the Multilevel Barriers and Facilitators to Iron Folic Acid Supplement Use and Anemia Reduction in Rural India (OR25-07-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Erica Sedlander ◽  
Rajiv Rimal ◽  
Michael Long ◽  
Ashita Munjral ◽  
Hagere Yilma ◽  
...  
Keyword(s):  
Folic Acid ◽  
Health Workers ◽  
Reproductive Age ◽  
World Health ◽  
Women Of Reproductive Age ◽  
Individual Level ◽  
Supplement Use ◽  
The Government ◽  
Iron Folic Acid ◽  
Health Organization

Abstract Objectives Over half of women of reproductive age in India are anemic so the World Health Organization recommends daily iron folic acid (IFA) for all women of reproductive age. The government has distributed free IFA for over four decades but initial uptake and adherence remain inadequate. Objectives 1) to understand the multilevel factors that hinder IFA use and adherence; and 2) to inform a behavioral intervention to increase IFA use to reduce anemia. Methods We conducted this study in four rural villages in the state of Odisha, India. We held 25 key informant interviews with front-line health workers, 16 focus groups with women of reproductive age, husbands, and mothers-in-law (n = 148) and 18 direct observations in health centers, pharmacies and women's groups. We purposively sampled key informants and randomly sampled focus group participants from an enumeration of all eligible residents of each village, and stratified them by sex, age and relation to a woman of reproductive age. We analyzed the data using applied thematic analysis and Nvivo software. Results At the individual level, we found that most people knew that IFA prevents anemia, but they did not recognize its widespread prevalence, believing instead that it was rare in their community. They also believed that taking too many IFA supplements during pregnancy would “make your baby big” causing a painful birth and possibly the need for a cesarean section. At the interpersonal level, mothers-in-law were not supportive of their daughters-in-law taking IFA too often because they themselves did not take them when they were younger. Husbands were more supportive. At the policy level, frontline health workers distribute IFA but are not incentivized to follow up on adherence. Finally, state and national policies are not consistent around which sub-populations should take IFA (e.g., whether all non-pregnant women of reproductive age should take them). Conclusions To address these multilevel barriers to IFA use and adherence, interventions should take a normative approach that includes a woman's social network and targets both descriptive norms (ideas about how many women in the community have anemia and are taking IFA) and injunctive norms around who should be taking IFA (e.g., all women of reproductive age). Funding Sources The Bill and Melinda Gates Foundation. Supporting Tables, Images and/or Graphs

scholarly journals Re-evaluating the need for universal iron supplementation in pregnant Indian women in the light of gestational age specific low hemoglobin prevalence

2021 ◽  
Vol 33 (3) ◽  
pp. 435-439
Author(s):  
Aswathi Saji ◽  
Jeswin Baby ◽  
Anura V Kurpad ◽  
Tinku Thomas
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Gestational Age ◽  
Iron Supplementation ◽  
Folic Acid Supplementation ◽  
Indian Women ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid ◽  
Women In India ◽  
Prevalence Of Anemia

Background: Anemia prevalence among Indian pregnant women in 2015-16 was 50.4% and has not declined from 49.7% in 1998-99 despite the national policies on iron-folic acid supplementation. New gestational age-specific cut-offs (INTERGROWTH cut-off) for risk of low Hemoglobin (Hb) have been identified. Aims and objectives: Compare prevalences of low Hb  based on WHO and INTERGROWTH cut-offs Methods: The prevalence of anemia/low Hb among pregnant women in trimesters 2 and 3 from NFHS-4 data were estimated using the current WHO recommendations and the INTERGROWTH cut-offs. Results: Prevalence of low Hb by the INTERGROWTH cut-off was 28.1%(95% CI:26.9-29.4) and 21.7%(95% CI:20.6-22.9) in trimesters 2 and 3. Anemia prevalence by WHO cut-off was much higher at 41.2%(95% CI:39.8-42.5) and 54.8%(95 CI:53.2-56.3) in trimesters 2 and 3. The prevalence of low-Hb was similar between ANC and no-ANC reported groups in both trimesters (26.1% and 28.9% in trimester-2; 20.1% and 22.4% in trimester-3). Conclusion: The  prevalence of low-Hb with gestational age specific cut-offs is much lower compared to earlier estimates using WHO cut-off. The universal iron supplementation program for pregnant women in India need to be re-examined in this light and a tragetter Hb testing based supplementation may be more beneficial in reducing anemia prevalence.

scholarly journals Is Distribution a Problem in Iron-Folic Acid Consumption in India? An Exploration of District Level Household Survey

2020 ◽  
Vol 12 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Shiva S. Halli ◽  
Rajeshwari A. Biradar
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Household Survey ◽  
District Level ◽  
Indian States ◽  
The Government ◽  
Iron Folic Acid ◽  
Almost All ◽  
Women In India

Aims: Anemia accounts for 40% of maternal deaths in India. In order to address this problem, the Government of India implemented the largest programme with the greatest potential to reduce maternal mortality by free distribution of Iron-Folic Acid (IFA) supplementations especially during Antenatal Care (ANC) visits. But the major concern among the policymakers and researchers has been poor adherence to the supplement among pregnant women. However, we tend to think that given the severity of the problem, there is no investigation on the adherence issue. Hence, the aim of the paper is to understand whether IFA consumption by pregnant women in India is largely a distribution problem of IFA supplements through ANC. Background: The distribution of Iron-Folic Acid (IFA) supplementation is not working especially through Antenatal Care (ANC) attendance. The program implementers believe that it is because of lack of adherence to IFA supplements by pregnant women. It is important to investigate the problem before any policy changes are made without proper evidence. Objectives: The purpose of this study is to examine whether the problem of IFA consumption by pregnant women is due to the problem of public distribution of IFA supplements through ANC attendance. Methods: This study had used the fourth round of District Level Household Survey data, which collects information on IFA supplements, their distribution and consumption. Bivariate and tri-variate analyses were used to understand the relationship between IFA distribution to pregnant women and their consumption patterns in 19 Indian states and two Union Territories (UTs) of pregnant women (88,487) and between the age of 15-49 years. Results: In almost all the states except Chhattisgarh, more than 75% of the pregnant women consumed 100 or more IFA supplements when they received 100 or more IFA supplements from providers. Similar is the case even among those women who received 100 or more IFA supplements through 1 or 2 ANC attendance except Arunachal Pradesh (60%), Meghalaya (67%), Pondicherry (57%) and Andaman and Nicobar (0%). The consumption of IFA supplements among pregnant women gets better than 75% if they receive 100 or more supplements only after attending three or more ANCs. Conclusion: It seems that distribution is a problem in the consumption of IFA supplements by pregnant women in India. Full antenatal attendance by the women could be part of the problem but not supplying at least 100 IFA supplementations to even those who attend ANC due to stock-outs and ineffective management is a serious concern. Hence, Governments should distribute at least the recommended 100 IFA supplements to the women in their 1st ANC attendance to address anaemia.

scholarly journals Studi Deskriptif Program Suplementasi Tablet Besi Pada Ibu Hamil Di Puskesmas Kalijudan Kota Surabaya

2017 ◽  
Vol 1 (4) ◽  
pp. 308
Author(s):  
Nadia Kenyo Peni Dewantoro ◽  
Lailatul Muniroh
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Output Stage ◽  
Public Health Center ◽  
Purposive Sampling ◽  
Hematology Analyzer ◽  
The Government ◽  
Prevalence Of Anemia

Background: Supplementation of iron tablet is one of the government program that aims to decrease prevalence of-anemia on pregnant-women. The average corevage of iron tablet program on pregnant women in the work area of-Distric-Health-Government of Surabaya over past three years has decrease. If coverage value is reviewed by each public-health-center, there are some public-health-center whose coverage is increased one of-them is Kalijudan Public-Health-Center but is not followed by a-decrease number of anemia in pregnant women. Objectives: This research aims was to describe the implementation of-iron tablet program in Kalijudan-Public Health-Center and used system approach. Methods: The type of- this research was qualitative and involved 8-health workers and 15 pregnant-women as informants. Determination of informant involvement used purposive sampling and accidental sampling technic. Results: Health workers that involved came from various profession and were sufficient in terms quantity and qualification. The funds used for iron tablet purchases came from National-Health-Insurance. The hemoglobin examination tool was hematology analyzer and operated by laboratory worker. The availability of-iron tablets was deficience. The process stage, iron tablets planning was done once per year and its procurement followed schedule from Distric-Health-Government. The number of tablets was given to pregnant-women in a-single visit followed a-control schedule or 15-tablets. The monitoring of iron tablet consumption compliance was done with simple interview. Special organizing of-health workers for program did not yet exist. The output stage, recording coverage percentages were performed at the end of each year. The outcome stage, prevalence of-anemia in pregnant-women could not be known.Conclusion: The implementation of-program can be said not run well, because there are still some obstacles.ABSTRAK Latar belakang: Suplementai Tablet Besi merupakan salah satu program pemerintah dalam upaya menurunkan prevalensi anemia pada ibu hamil. Nilai rata-rata cakupan pemberian tablet besi pada ibu hamil di wilayah kerja Dinas-Kesehatan-Kota Surabaya selama tiga tahun terakhir mengalami penurunan. Bila nilai cakupan ditinjau pada tiap puskesmas, maka terdapat beberapa puskesmas yang cakupannya mengalami peningkatan salah satunya yakni Puskesmas Kalijudan tetapi belum diikuti dengan penurunan prevalensi anemia ibu hamil.Tujuan: Penelitian ini bertujuan untuk mengetahui pelaksanaan program suplementasi tablet besi di Puskesmas Kalijudan dengan menggunakan pendekatan sistem.Metode: Jenis penelitian ini ialah kualitatif yang melibatkan 8 orang tenaga kesehatan dan 15 orang ibu hamil sebagai informan. Penentuan keterlibatan informan menggunakan teknik purposive sampling dan accidental sampling.Hasil: Tahap input, tenaga kesehatan dalam program berasal dari berbagai profesi dan sudah cukup dari segi jumlah dan kualifikasi. Dana pembelian tablet berasal dari Jaminan Kesehatan Nasional. Alat periksa hemoglobin adalah hematology analyzer dan dioperasikan oleh petugas laboratorium. Ketersediaan tablet besi mengalami kekurangan. Segi tahap proses, perencanaan tablet besi dilakukan satu tahun sekali dan pengadaan mengikuti jadwal Dinas-Kesehatan-Kota-Surabaya. Banyaknya tablet yang diberi pada ibu hamil dalam satu kali kunjungan mengikuti jadwal kontrol atau 15 tablet. Monitoring kepatuhan konsumsi tablet dilakukan dengan wawancara sederhana. Pengorganisasian tenaga kesehatan khusus pelaksana program tablet besi belum ada. Segi tahap output, pencatatan persentase cakupan hanya dilakukan setiap akhir tahun. Segi tahap outcome, prevalensi anemia ibu hamil tidak dapat diketahui.Kesimpulan: Pelaksanaan program suplementasi tablet besi dapat dikatakan belum berjalan dengan baik, dikarenakan masih terdapat kendala di beberapa tahapan. 

scholarly journals Strategi Pendidikan Kesehatan pada Ibu Hamil di Masa Pandemi

2021 ◽  
Vol 1 (2) ◽  
pp. 108-118
Author(s):  
Hasnah Hasnah ◽  
Nurhidayah Nurhidayah ◽  
Nurul Fadhilla Gani ◽  
Risnah Risnah ◽  
Arbianingsih Arbianingsih ◽  
...  
Keyword(s):  
Public Health ◽  
Health Education ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
National Development ◽  
Main Concern ◽  
Public Health Center ◽  
Danger Signs ◽  
The Government

The health of pregnant women will determine for health status of the baby. This is also a main concern for the government. Pregnant women bring prospective future generations to the nation who will productively contribute greatly to the progress of the nation. The importance of maternal health can be seen from the government’s policy that the reduction of the Maternal Mortality Rate (MMR) is one of the SDG’s 2030 targets and an indicator of the success of national development. Pregnant women are a vulnerable group, especially in pandemic situations and conditions. Various efforts were made to maintain the health of mothers and babies during pregnancy until delivery. Gowa Regency is a district with the second highest number of Covid case in South Sulawesi. Therefore, it became the basis for implementation of community service in the working area of ​​the Bajeng Public Health Center, Gowa Regency. The method used is to provide health education in the form of a gallery walk with the aim of increasing the knowledge of pregnant women in order to maintain their health. Various important themes in this counseling include: anemia in pregnant women, the risk of 4T in pregnant women, recognizing the symptoms and danger signs in pregnancy, stress management for pregnant women, and nutrition needed by pregnant women and continuing to carry out pregnancy check-up during the pandemic period. During the activities, pregnant women were enthusiastically paying attention to each material provided and actively discussing. At the end of the counseling, we immediately evaluated the knowledge of pregnant women regarding in the materials that had been given. They were very happy with these activities, and looking forward to such activities next time. Therefore, we suggest to related parties, namely the head of the public health center and health workers, to continue to carry out health education regularly and to reactivate the integrated healthcare center for pregnant women during the COVID-19 pandemic period while still implementing health protocols. ABSTRAK Kesehatan ibu hamil merupakan perhatian besar bagi pemerintah. Ibu hamil, membawa calon generasi penerus bangsa yang secara produktif akan berkontribusi besar terhadap kemajuan bangsa dan negara. Pentingnya kesehatan Ibu, dapat dilihat dari  kebijakan pemerintah yang menjadikan penurunan Angka Kematian Ibu (AKI) sebagai salah satu target SDG’s 2030 dan indikator keberhasilan pembangunan nasional. Ibu hamil adalah kelompok rentang terlebih disituasi dan kondisi pandemic. Berbagai upaya dilakukan untuk tetap menjaga kesehatan ibu dan bayinya selama proses kehamilan sampai persalinan. Kabupaten Gowa merupakan kabupaten dengan jumlah kasus covid tertinggi kedua di Sulawesi Selatan, maka ini menjadi dasar pelaksanaan pengabdian masayarakat  di wilayah kerja Puskesmas Bajeng Kabupaten Gowa. Metode yang digunakan adalah memberikan penyuluhan kesehatan dalam bentuk gallery walk dengan tujuan meningkatkan pengetahuan ibu hamil agar mampu tetap menjaga kesehatannya. Berbagai tema penting pada penyuluhan ini antaralain: anemia pada ibu hamil, resiko 4T pada ibu hamil, mengenal tanda-tanda bahaya kehamilan, manajemen stress pada ibu hamil, dan nutrisi yang dibutuhkan ibu hamil serta tetap melakukan pemeriksaan kehamilan selama pandemic. Selama kegiatan berlangsung para ibu hamil antusias memperhatikan setiap materi yang diberikan dan aktif berdiskusi. Diakhir penyuluhan kami evaluasi secara langsung terkait pengetahuan ibu hamil tentang materi-materi yang sudah diberikan. Mereka sangat senang dengan adanya kegitan ini, dan berharap akan ada kegiatan lanjutan. Maka dari itu kami menyarankan kepada pihak-pihak terkait yaitu kepala puskesmas dan para tenaga kesehatan untuk tetap melaksanakan penyuluhan kesehatan rutin dan kembali mengaktifkan posyandu ibu hamil di masa pandemic covid 19 dengan tetap menerapkan protocol kesehatan.

scholarly journals STANDAR KUANTITAS ANTENATAL CARE DAN SOSIAL BUDAYA DENGAN RISIKO ANEMIA PADA KEHAMILAN

2021 ◽  
Vol 12 (1) ◽  
pp. 51-63
Author(s):  
Mitra Mitra ◽  
Novita Yanti ◽  
Nurlisis Nurlisis ◽  
Oktavia Dewi ◽  
Hastuti Marllina
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Workers ◽  
Economic Status ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Anemia During Pregnancy ◽  
Cross Sectional Design ◽  
Iron Folic Acid

Abstract   Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy <10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p<0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits.   Keywords: Anemia, antenatal care, pregnancy, socio-culture   Abstrak   Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p<0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC.   Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya

scholarly journals Prevalence and severity of anemia among pregnant women in primary health centers/Erbil City

2017 ◽  
Vol 2 (2) ◽  
pp. 52-57
Author(s):  
Rushna Ghazi Abdulwahid ◽  
Hamdia Mirkhan Ahmed
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Chi Square ◽  
Nutritional Anemia ◽  
Mild Anemia ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Prevalence Of Anemia

Anemia in pregnancy is a major public health problem, especially in developing countries. Nutritional anemia is the most common type of anemia worldwide and mainly includes iron, folic acid, vitamin B12 and vitamin C deficiencies. Iron deficiency contributes to half of the burden of anemia globally. The objectives of this study were to find out the prevalence and severity of anemia among pregnant women. A descriptive study was conducted on 600 pregnant women, during the period October 2015 to November 2016 at four primary health care centers in Erbil city. Data gathered through interview with study sample and filling questionnaire format and reviewing their antenatal records. Blood hemoglobin level was measured to assess the severity of anemia. Chi-square test and regression were used to analyze the data. Prevalence of anemia was 46.2%, and 67.1% of the anemic women had mild anemia. There was a significant association of severity of anemia with wife education and occupation, smoking, the number of abortions and cesarean section, ante partum hemorrhage, taking tablets of iron and folic acid per month. The study concluded that prevalence of anemia considered high in Erbil city, the highest percentage had mild anemia.

scholarly journals Studi Deskriptif Program Suplementasi Tablet Besi Pada Ibu Hamil Di Puskesmas Kalijudan Kota Surabaya

2017 ◽  
Vol 1 (4) ◽  
pp. 308
Author(s):  
Nadia Kenyo Peni Dewantoro ◽  
Lailatul Muniroh
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Output Stage ◽  
Public Health Center ◽  
Purposive Sampling ◽  
Hematology Analyzer ◽  
The Government ◽  
Prevalence Of Anemia

Background: Supplementation of iron tablet is one of the government program that aims to decrease prevalence of-anemia on pregnant-women. The average corevage of iron tablet program on pregnant women in the work area of-Distric-Health-Government of Surabaya over past three years has decrease. If coverage value is reviewed by each public-health-center, there are some public-health-center whose coverage is increased one of-them is Kalijudan Public-Health-Center but is not followed by a-decrease number of anemia in pregnant women. Objectives: This research aims was to describe the implementation of-iron tablet program in Kalijudan-Public Health-Center and used system approach. Methods: The type of- this research was qualitative and involved 8-health workers and 15 pregnant-women as informants. Determination of informant involvement used purposive sampling and accidental sampling technic. Results: Health workers that involved came from various profession and were sufficient in terms quantity and qualification. The funds used for iron tablet purchases came from National-Health-Insurance. The hemoglobin examination tool was hematology analyzer and operated by laboratory worker. The availability of-iron tablets was deficience. The process stage, iron tablets planning was done once per year and its procurement followed schedule from Distric-Health-Government. The number of tablets was given to pregnant-women in a-single visit followed a-control schedule or 15-tablets. The monitoring of iron tablet consumption compliance was done with simple interview. Special organizing of-health workers for program did not yet exist. The output stage, recording coverage percentages were performed at the end of each year. The outcome stage, prevalence of-anemia in pregnant-women could not be known.Conclusion: The implementation of-program can be said not run well, because there are still some obstacles.ABSTRAK Latar belakang: Suplementai Tablet Besi merupakan salah satu program pemerintah dalam upaya menurunkan prevalensi anemia pada ibu hamil. Nilai rata-rata cakupan pemberian tablet besi pada ibu hamil di wilayah kerja Dinas-Kesehatan-Kota Surabaya selama tiga tahun terakhir mengalami penurunan. Bila nilai cakupan ditinjau pada tiap puskesmas, maka terdapat beberapa puskesmas yang cakupannya mengalami peningkatan salah satunya yakni Puskesmas Kalijudan tetapi belum diikuti dengan penurunan prevalensi anemia ibu hamil.Tujuan: Penelitian ini bertujuan untuk mengetahui pelaksanaan program suplementasi tablet besi di Puskesmas Kalijudan dengan menggunakan pendekatan sistem.Metode: Jenis penelitian ini ialah kualitatif yang melibatkan 8 orang tenaga kesehatan dan 15 orang ibu hamil sebagai informan. Penentuan keterlibatan informan menggunakan teknik purposive sampling dan accidental sampling.Hasil: Tahap input, tenaga kesehatan dalam program berasal dari berbagai profesi dan sudah cukup dari segi jumlah dan kualifikasi. Dana pembelian tablet berasal dari Jaminan Kesehatan Nasional. Alat periksa hemoglobin adalah hematology analyzer dan dioperasikan oleh petugas laboratorium. Ketersediaan tablet besi mengalami kekurangan. Segi tahap proses, perencanaan tablet besi dilakukan satu tahun sekali dan pengadaan mengikuti jadwal Dinas-Kesehatan-Kota-Surabaya. Banyaknya tablet yang diberi pada ibu hamil dalam satu kali kunjungan mengikuti jadwal kontrol atau 15 tablet. Monitoring kepatuhan konsumsi tablet dilakukan dengan wawancara sederhana. Pengorganisasian tenaga kesehatan khusus pelaksana program tablet besi belum ada. Segi tahap output, pencatatan persentase cakupan hanya dilakukan setiap akhir tahun. Segi tahap outcome, prevalensi anemia ibu hamil tidak dapat diketahui.Kesimpulan: Pelaksanaan program suplementasi tablet besi dapat dikatakan belum berjalan dengan baik, dikarenakan masih terdapat kendala di beberapa tahapan. 

scholarly journals Analysis of comorbidities among pregnant woman attending rural Medical College Hospital

2019 ◽  
Vol 8 (8) ◽  
pp. 3264
Author(s):  
Raja Sekhar Jalemu ◽  
Kasthuribai Sabbe ◽  
Grishma Jalemu
Keyword(s):  
Folic Acid ◽  
Pregnant Women ◽  
Folic Acid Supplementation ◽  
College Hospital ◽  
Acid Supplementation ◽  
Medical College ◽  
Iron Folic Acid Supplementation ◽  
Iron Folic Acid ◽  
Prevalence Of Anemia ◽  
In Pregnancy

Background: In pregnancy Anaemia and Depression is an important factor associated with an increased risk of maternal, fetal and neonatal mortality, poor pregnancy outcomes, and impaired cognitive development. To assess prevalence and factors associated with anemia and Depression among pregnant women attending antenatal clinic.Methods: A Facility based cross-sectional study was conducted on 284 pregnant women to at Rural Medical college hospital from June to August 2018. Data on sociodemographic and clinical characteristics of the study participants were collected using a Pretested structured questionnaire by interview and review of medical records. Binary Logistic regression analysis had been used to check for association between dependent and independent variables in all cases. P-value less than 0.05 was considered statistically significant.Results: The prevalence of anemia was found to be11.6% (95 %CI; 7.8%-14.8%) and Depression was 8.6% Pregnant women in the second and third trimester [AOR (95% CI), 8.31 (1.24-55.45), and P=0.029] were more likely to be anemic when compared to pregnant women in their first trimester. Pregnant women who did not receive iron/folic acid supplementation [AOR (95%CI),4.03(1.49 10.92), and P=0.01] were more likely to be anemic when compared to pregnant to women who did take supplementations.Conclusions: In this study the prevalence of anemia and Depression in pregnancy was low compared to the findings of others. Gestational age (trimester) and iron/folic acid supplementation were statistically associated with anemia. 

Eliminating Hepatitis B from Bangladesh by the Year 2030

2020 ◽  
Vol 38 (3) ◽  
pp. 145-149
Author(s):  
Md Golam Mustafa ◽  
Md Shahinul Alam ◽  
Md Golam Azam ◽  
Md Mahabubul Alam ◽  
Md Saiful Islam ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Health Workers ◽  
Health Sector ◽  
Public Health Problem ◽  
Integrated System ◽  
Hbv Infection ◽  
Diagnosis And Treatment ◽  
Major Public Health Problem ◽  
Medical Institutions ◽  
The Government

Worldwide, hepatitis B virus (HBV) infection is still a major public health problem. Bangladesh having a large burden of HBV infection, should be a major contributor towards it’s elimination by 2030. The country has been making progress in reducing incidence of HBV infection during the past decades. The progresses are mainly due to large vaccination coverage among children and large coverage of timely birthdose vaccine for prevention of mother-to-child transmission of HBV. However, Bangladesh still faces challenges in achieving target of reduction in mortality from HBV. On the basis of targets of the WHO’s Global health sector strategy on viral hepatitis 2016–2021, we highlight priorities for action towards HBV elimination. To attain the target of reduced mortality we propose that, the service coverage targets of diagnosis and treatment should be prioritized along with vaccination. Firstly, improvements are needed in the diagnostic and treatment abilities of medical institutions and health workers. Secondly, the government needs to reduce the costs of health care. Thirdly, better coordination is needed across existing national program and resources to establish an integrated system for prevention, screening, diagnosis and treatment of HBV infection. In this way, we can make progress towards achieving the target of eliminating HBV from Bangladesh by 2030 J Bangladesh Coll Phys Surg 2020; 38(3): 145-149

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