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Assessment of Adherence to Iron-Folic Acid Supplementation and Associated Factor Among Pregnant Women in Jida District, Ethiopia
Current Issue
Volume 6, 2019
Issue 3 (September)
Pages: 16-24   |   Vol. 6, No. 3, September 2019   |   Follow on         
Paper in PDF Downloads: 81   Since Oct. 23, 2019 Views: 951   Since Oct. 23, 2019
Authors
[1]
Gemechis Yadessa Gedefa, Department of Public Health, Arsi University, Asella, Ethiopia.
[2]
Hailu Fikadu Demissie, Department of Public Health, Arsi University, Asella, Ethiopia.
[3]
Yirga Wondu Amare, Department of Midwifery, Arsi University, Asella, Ethiopia.
[4]
Aman Jima Rameto, Department of Public Health, Arsi University, Asella, Ethiopia.
Abstract
Background: Iron and folic acid supplementations are feasible strategy for pregnant women to prevent iron deficiency, anaemia and neural tube defects during pregnancy. In Ethiopia, supplementation is an integral part of antenatal care. However, its effectiveness and success was limited mainly due to women non-adherence. Ethiopia national data suggests that only 5% consumes 90+ tablets during their pregnancy time. This emphasizes need to study adherence with iron folic acid and factors associated among pregnant women. Objectives: To assess adherence to iron-folic acid supplementation and associated factor among pregnant women in Jida district, North Shewa Zone, Oromia, Ethiopia, 2018. Methods: Institutional based cross-sectional study was conducted to study 369 pregnant women. A Systematic random sampling technique was used to select study subject. Face to face, interview data collection was used using structured and pretested questionnaire. Data were entered to Epi-info version 7.0 and exported to SPSS version 21 for analysis. Bivariate and Multivariate binary logistic regression analysis were used to identify association of factor of iron folic acid adherence. P-value<0.05 was considered as statistically significant. Result: Of 362 women interviewed, 220 (60.8%) adhered to iron folic acid supplementation. The leading reported reasons for non-adherence were forgetfulness (24.3%) and side effect (22%). Educational status of mother (AOR=2.9; 95%CI; 1.47-5.89), Gravidity (AOR=0.46; 95%CI; 0.23-0.93), History of illness during pregnancy (AOR,=0.23; 95%CI; 0.09-0.56), Shortage of supplements (AOR=0.45; 95%CI; 0.25-0.81), Knowledge on iron-folic acid (AOR=2.23; 95%CI; 1.23-4.06) and Counselling about iron-folic acid (AOR=8.23; 95%CI; 4.75-14.26) during pregnancy were factors significantly associated with adherence to iron-folic acid supplementation. Conclusion and Recommendations: Empowering educational status of women, availing supply of tablet, enhancing counselling are essential strategies for increasing adherence to iron-folic acid supplementation.
Keywords
Adherence, Iron Folic Acid, Pregnant Women, Ethiopia
Reference
[1]
Katsilambus N, Dimosthenopoulos C. Clinical Nutrition Practice. Athens Greece: Wiley-Blackwell; 2010.
[2]
Darnton-Hill I, Uzonna C, Mkparu. Micronutrients inPregnancy in Low-and Middle-Income Countries. 2015.
[3]
WHO. Guideline: Daily iron and folic acid supplementation in pregnant women. Geneva 2012.
[4]
Haidar J. Prevalence of anaemia, deficiencies of iron and folic acid and their determinants in Ethiopian women. Journal of health, population and nutrition. 2010; 28 (4): 359.
[5]
Vrijens B. A new taxonomy for describing and defining adherence to medications: Switzerland. British Journal of Clinical Pharmacology. 16 January 2012.
[6]
Fiedler, Jack, D’Agostino, Alexis, Sununtnasuk, Celeste. A Simple Method for Making a Rapid, Initial Assessment of the Consumption and Distribution of Iron-Folic Acid tablets through ante natal care in Ethiopia. Nutrition Technical Brief. Arlington, VA: USAID/Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING) Project. September 2014.
[7]
FMOH. Programme implementation manual of national nutrition programme. Addis Ababa Ethiopia: Ministry of health. 2013-2015.
[8]
Benoist d. Worldwide prevalence of Anemia 1993-2005. Geneva. 2008.
[9]
WHO. Global Nutrition Targets 2025: Anaemia Policy Brief (WHO/NMH/NHD/14.4). Geneva: World Health Orginization. 2014.
[10]
Peña Rosas, Regil LMDe, Malave G, Flores-Urrutia, Dowswell T. Intermittent oral iron supplementation during pregnancy. Cochrane Database System Review. 2012.
[11]
The global prevalence of anaemia in 2011. Geneva: World Health Organization. 2015.
[12]
Fiedlier, Jack, D'Agonstino. A Simple Method for Making a Rapid, Initial Assessment of the Consumption and Distribution of Iron-Folic Acid Supplements among Pregnant Women in Developing Countries. Nutrition Technical Brief. Arlington, VA: USAID/Strengthening Partnerships, Results and Innovations in Nutrition Globally (SPRING) Project. 2014.
[13]
Centeral Statistical Agency (CSA) [Ethiopia] and ICF, 2016. Ethiopia Demographic and Health Survey: 2016. Addis Ababa, Ethiopia the DHS Program, ICF Rockville, Maryland, USA. Central Statistical Agency and ICF. July 2017.
[14]
Stoltzfus J, Dreyfuss L. Guidelines for the Use of Iron Supplements to Prevent and Treat Iron Deficiency Anemia: International Nutritional Anemia Consultative Group (INACG). 2009.
[15]
Pena Rosas, De Regil, Garcia Casal. Daily oral iron supplementation during pregnancy. Cochrane Database of Systematic Reviews. 2015.
[16]
MOH Cambodia. National Guidelines for the Use of Iron Folate Supplementation to Prevent and Treat Anemia in Pregnant and Post-Partum Women. Ministry Health of Cambodia. 2017.
[17]
Mithra, Unnikrishnan, Rekha T, Nithin K, Mohan K, Kulkarni V. Compliance with iron-folic acid therapy among pregnant women in an urban area of south India. African Health Science. 2014; 14 (1): 255-60.
[18]
Bekele T, Gedefaw A, Alemetsehaye M. Factors associated with compliance of prenatal iron folate supplementation among women in Mecha district, Western Amhara: a cross-sectional study. Pan Africa Medical Journal. 2015; 20 (43).
[19]
Gebremedin S, Samuel A, Mamo G. Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a ross-sectional study. BMC Public Health. 2014; 14: p. 607. BMC Public Health. 2014; 14: P, 607.
[20]
Wendt, Stephenson M, Webb Girard C, Hogue, Ramakrishnan. Individual and Facility-Level Determinants of Iron and Folic Acid Receipt and Adequate Consumption among Pregnant Women in Rural Bihar, India. PLOS/ON 2015.
[21]
Kamau M, Mirie W, Kimani S. Compliance with Iron and folic acid supplementation (IFAS) and associated factors among pregnant women: results from a cross-sectional study in Kiambu County, Kenya. BMC Public Health. May: 2018; 10: 580.
[22]
Center For Disease Control and Prevention: Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 Standard Questions June 2016.
[23]
Getachew M, Abay M, Zelalem H, Gebremedhin T, Grum T, Bayray A. Magnitude and factors associated with adherence to Iron-folic acid supplementation among pregnant women in Eritrean refugee camps, northern Ethiopia. BMC Pregnancy and Child Birth. 2018; 18: 83.
[24]
Sadore A, Gebretsadik A, Hussen A. Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia.
[25]
Haile T, Jeba B, Hussen A. Compliance to Prenatal Iron and Folic Acid Supplement and Associated Factors among Women during Pregnancy in South East Ethiopia: A Cross-Sectional Study. Journal of Nutritional Health & Food Engineering. 2017.
[26]
Siabani S, Arya M, Babakhani M, Rezaei F, Siabani S. Determinants of Adherence to Iron and Folate Supplementation among Pregnant Women in West Iran: A Population Based Cross-Sectional Study. Quality in Primary Care 2017; 25 (3): 157-63.
[27]
Dutta J, Patel P, Bansal K. Compliance To Iron Supplementation Among Pregnant Women: A Cross Sectional Study In Urban Slum. Community Med. 2014; 5 (4): 457-62.
[28]
Nisar B, Alam A, Aurangzeb B, Dibley J. Perceptions of antenatal iron-folic acid supplements in urban and rural Pakistan: a qualitative study. BMC Pregnancy and Child Birth. 2014; 14: 344.
[29]
Mbhenyane X, Cherane M. Compliance with the consumption of iron and folate supplements by pregnant women in Mafikeng local municipality, North West province, South Africa. Afri Health Sci https://dxdoiorg/104314/ahsv17i38.2017; 17 (3).
[30]
Nirmala N, Sharma S, Hari P. Factors Affecting Compliance of Iron and Folic Acid among Pregnant Women Attaining Western Regional Hospital, Bokhara, Nepal. International. Journal of Research and Current Development. 2015; 1 (1): 43-57.
[31]
Onyeneho G, I’Aronu N, Chu kwu N, Agbawodikeizu P, Chalupowski M, Subramanian SV. Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria. Journal of Health, Population and Nutrition. 2016; 35 (35).
[32]
Gebre A, Debie A, Berhane A, Redddy S. 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. Medico Research Chronicles. July, 2017; 4 (4).
[33]
Shewasinad S, Negash S. Adherence and Associated Factors of Prenatal Iron Folic Acid Supplementation among Pregnant Women Who Attend Ante Natal Care in Health Facility at Mizan-Aman Town, Bench Maji Zone, Ethiopia, 2015. Journal of Pregnancy and Child Health. 2017; 4 (3).
[34]
Gebreamlak B, Dadi AF, Atnafu A. High Adherence to Iron/Folic Acid Supplementation during Pregnancy Time among Antenatal and Postnatal Care Attendant Mothers in Governmental Health Centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: Hierarchical Negative Binomial Poisson Regression. PLOS ONE January, 2017.
[35]
Dinga A. Factors Associated With Adherence To Iron/Folate Supplementation Among Pregnant Women Attending Antenatal Clinic At Thika District Hospital In Kiambu County, Kenya. 2013.
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