DETERMINANTS OF COMPLIANCE TO IRON-FOLIC ACID SUPPLEMENTATION AMONG PREGNANT WOMEN IN PASTORAL COMMUNITIES OF AFAR REGION: THE CASES OF MILLE AND ASSAITA DISTRICTS, AFAR, ETIOPIA-2015
Keywords:
Compliance, Pregnant, Iron-folic acid
Abstract
Iron deficiency is the leading single nutrient deficiency in the world affecting the lives of more than 2 billion particularly in developing countries. Pregnant women are at high risk of iron deficiency due to increased nutrient requirement. WHO recommends supplementation to pregnant women with folic acid for 6 months to reduce the risk of iron deficiency anemia. This study intended to determine the compliance level and identify factors associated with iron folic acid supplementation among pregnant women. A facility based cross sectional study was conducted among pregnant women with 450 samples. Logistic regression was used to identify associated factors. The level of compliance to iron folic acid supplementation was 22.9%. The independent predictors for this were residence, early registration for antenatal care, nutrition counseling and family support. Compliance level to iron-folic acid supplementation is very low as compared to the standards. Nutrition education should focus on the importance of compliance to iron folic acid for the pregnant women.
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References
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Two Provinces in Cambodia. Asia Pac J Public Health 2011;23(3):315-23.
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22. Godara et al: to study compliance of antenatal women in relation to iron supplementation in routine ante-natal clinic at a tertiary health care centre, Haryana, India. Journal of Drug Delivery & Therapeutics; 2013, 3(3), 71-75
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24. Zerfu and Ayele: Micronutrients and pregnancy; effect of supplementation on pregnancy and pregnancy outcomes: a systematic review. Nutrition Journal 2013
12:20. doi:10.1186/1475-2891-12-20
25. Galloway R, McGuire J. Determinants of compliance with iron supplementation: supplies, side effects, or psychology? Soc Sci Med. 2007; 39:381- 390.
26. Thirukkanesh S. compliance to vitamin and mineral supplementation among pregnant women in urban and rural areas of Malaysia. Pakistan journal of
nut.9(8): 744-750,2010
27. Lutsey P. etal: Iron supplementation compliance among pregnant women in Bicol, Philippines. Public Health Nutr 2008, 11:76–82.
28. Lynette Aoko Dinga: Factors associated with adherence to iron/folate supplementation among pregnant women attending antenatal clinic at thika district
Hospital in kiambu county, Kenya. University of Kenyata/diss.2013: http://www.linetaoko@yahoo.com
29. Dairo MD, Lawovin TO. Demographic factors determining compliance to iron supplementation in pregnancy in Oyo State, Nigeria. Nigerian Journal of Medicine 2007; 15: 241–4.
30. Seck BC, Jackson RT: Determinants of compliance with iron supplementation among pregnant women in Senegal. Public Health Nutr 2008, 11:596–605.
31. The 2007 Population and Housing Census of Ethiopia; CSA, Addis Ababa: http://www.CSA.com
32. Centers for Disease Control and Prevention. Pregnancy risk assessment monitoring system(PRAMS), phase 5 standard questions, 2007: http://www.pramS.org.com
2. FMOH (June, 2009). National guideline for control and prevention of micronutrient deficiencies. Addis Ababa: Family Health Department, Federal Ministry of Health, Government of Ethiopia, 2009.
3. Peña-Rosas JP, Viteri FE. Daily oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2012, issue- 12: http://www.thecochranelibrary.com
4. EDHS-2011, Addis Ababa, Ethiopia: http://www.measuredhs.com.
5. Peña-Rosas JP, De-Regil LM, Dowswell T, Viteri FE. Effects and safety of preventive oral iron or iron+folic acid supplementation for women during pregnancy. Cochrane Database Syst Rev. 2009, Issue 4: http://www.thecochranelibrary.com
6. Sengpiel et al.: Folic acid supplementation, dietary folate intake during pregnancy and risk for spontaneous preterm delivery: a prospective observational cohort study. BMC Pregnancy and Childbirth 2013 13:160. doi:10.1186/1471-2393-13-160
7. SPRING/FMOH, A Rapid, Initial Assessment of the Distribution and Consumption of Iron-Folic Acid Tab-lets through Antenatal Care in Ethiopia in selected four regions: March, 2013: www.spring-nutrition.org.
8. FMOH. Programme implementation manual of national nutrition programme, June 2013–June 2015 Addis Ababa, Ethiopia.
9. Iron and Folic Acid Supplementation. Standards for Maternal & Neonatal Care. Integrated Management of Pregnancy and Childbirth (IMPAC). Vol. 1.8, Geneva,
Switzerland: World Health Organization. Department of Making Pregnancy Safer (MPS):2006, 1-6. http://www.thecochranelibrary.com
10. Sant-Rayn etal: Control of iron deficiency anaemia in low- and middleincome countries: bloodjournal.hematologylibrary.org, 2013 121: 2607-2617
11. Balarajan et al. Maternal Iron and Folic Acid Supplementation Is Associated with Lower Risk of Low Birth: The Journal of Nutrition. 12, 2013. doi: 10.3945/jn.112.172015
12. WHO, Guideline: Daily iron and folic acid supplementation in pregnant women: 2006, issue-2: (http://www.who.int/about/licensing/copyright_form/en/index.html).
13. Kulkarni. etal. Determinants of compliance to antenatal micronutrient supplementation and women’s perceptions of supplement use in rural Nepal. Public Health Nutrition: May 2009,13(1), 82–90: 19
14. Lucy Nyandia Gathigi: Factors Influencing Utilization of Iron and Folic Acid Supplementation Services among Women Attending Antenatal Clinic at Nyeri Provincial Hospital Kenya. university of Nairobi/Dissertation,2011: http://www.kemri.org.com
15. Yakoob and Bhutta: Effect of routine iron supplementation with or without folic acid on anaemia during pregnancy.BMC Public Health 2011, 11(Suppl 3): S21.
http://www. biomed central .com/ 1471- 2458/11/S3/S21
16. Haidar J. Iron deficiency anaemia is not a rare problem among women of reproductive ages in Ethiopia: BMC Blood Disorders. 2009, 9:7, doi:10.1186/1471-2326-9-7
17. ZAKIA M. etal.: Assessment of Adherence to Iron and Folic Acid Supplementation and Prevalence of Anaemia in Pregnant Women Ismailia governorate, Egypt. Med. J. Cairo Univ., Vol. 79, No. 2, June 2011, 115-121, www.medicaljournalofcairouniversity.com
18. Begum S. Factors associated with adherence to Iron Folic acid supplementations during Pregnancy in Uttar Pradesh: Volume 14 (2), 2012, www.ijmch.org
19. Ogundipe O, Hoyo C, Østbye T, Oneko O, Manongi R, Lie RT, et al. factors associated with prenatal folic acid and iron supplementation among 21,889 pregnant women in urban areas Tanzania: a cross-sectional hospital based study. BMC Public Health 2012; 12:481. http://www.biomedcentral.com/1471-2458/12/481
20. Lacerte P, Pradipasen M, Temcharoen P, Imamee N, Vorapongsathorn T. Determinants of Adherence to Iron/Folate Supplementation During Pregnancy in
Two Provinces in Cambodia. Asia Pac J Public Health 2011;23(3):315-23.
21. Bilimale A, Anjum J, Sangolli HN, Mallapur M. Improving Adherence to Oral Iron Supplementation during pregnancy. AMJ 2010; 3(5):281-90.
22. Godara et al: to study compliance of antenatal women in relation to iron supplementation in routine ante-natal clinic at a tertiary health care centre, Haryana, India. Journal of Drug Delivery & Therapeutics; 2013, 3(3), 71-75
23. Roy MP, Mohan U, Singh SK, Singh VK, Srivastava AK. Socio-Economic Determinants of Adherence to Iron and Folic Acid Tablets among Rural Antenatal Mothers in Lucknow, India. Natl J Community Med 2013; 4(3):386-391.
24. Zerfu and Ayele: Micronutrients and pregnancy; effect of supplementation on pregnancy and pregnancy outcomes: a systematic review. Nutrition Journal 2013
12:20. doi:10.1186/1475-2891-12-20
25. Galloway R, McGuire J. Determinants of compliance with iron supplementation: supplies, side effects, or psychology? Soc Sci Med. 2007; 39:381- 390.
26. Thirukkanesh S. compliance to vitamin and mineral supplementation among pregnant women in urban and rural areas of Malaysia. Pakistan journal of
nut.9(8): 744-750,2010
27. Lutsey P. etal: Iron supplementation compliance among pregnant women in Bicol, Philippines. Public Health Nutr 2008, 11:76–82.
28. Lynette Aoko Dinga: Factors associated with adherence to iron/folate supplementation among pregnant women attending antenatal clinic at thika district
Hospital in kiambu county, Kenya. University of Kenyata/diss.2013: http://www.linetaoko@yahoo.com
29. Dairo MD, Lawovin TO. Demographic factors determining compliance to iron supplementation in pregnancy in Oyo State, Nigeria. Nigerian Journal of Medicine 2007; 15: 241–4.
30. Seck BC, Jackson RT: Determinants of compliance with iron supplementation among pregnant women in Senegal. Public Health Nutr 2008, 11:596–605.
31. The 2007 Population and Housing Census of Ethiopia; CSA, Addis Ababa: http://www.CSA.com
32. Centers for Disease Control and Prevention. Pregnancy risk assessment monitoring system(PRAMS), phase 5 standard questions, 2007: http://www.pramS.org.com
How to Cite
1.
Abel Gebre, Ayal Debie, Afeworki Berhane, Dr.P. Surender Redddy. DETERMINANTS OF COMPLIANCE TO IRON-FOLIC ACID SUPPLEMENTATION AMONG PREGNANT WOMEN IN PASTORAL COMMUNITIES OF AFAR REGION: THE CASES OF MILLE AND ASSAITA DISTRICTS, AFAR, ETIOPIA-2015. Med. res. chronicles [Internet]. 2017Aug.31 [cited 2024May20];4(04):352-6. Available from: https://medrech.com/index.php/medrech/article/view/250
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Original Research Article
