Assessment of Adherence to Iron-Folic Acid Supplementation and Associated Factor Among Pregnant Women in Jida District, Ethiopia
[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.
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.
Adherence, Iron Folic Acid, Pregnant Women, Ethiopia
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