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Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women

Received: 24 September 2022     Accepted: 1 November 2022     Published: 23 November 2022
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Abstract

The purpose of this study was to assess the adherence and associated factors to iron and folic acid supplementation (IFAS) among pregnant women (PW) attending antenatal clinics in Federal Police Hospital, Addis Ababa, Ethiopia, 2018. Anemia is a global public health problem affecting both developing and developed countries. Africa has the largest number of women with anemia, next to South and Southeast Asia. However, there is a dearth of information on pregnant women's adherence and its associated factors which need to be known. An institutional-based cross-sectional study involving 418 PW was conducted. A systematic random sampling technique was employed. A pre-tested interviewer-administered structured questionnaire was used for quantitative data collection. The collected data were entered into a statistical package for social science (SPSS) version 22.0 for analysis, and multivariable logistic regressions were fitted to control the effect of confounding. Adjusted Odds ratios (OR) with their 95% confidence intervals (95% CI) were calculated to measure associations. Variables having P-value <0.05 were considered significant. There was high adherence (71.5%) to IFAS among PW. Some factors identified for non-adherence to IFAS were maternal early registration for Antenatal care (AOR=1.778, 95% CI: 1.076-2.936), awareness of IFAS (AOR=2.1, 95% CI: 1.24 -3.56), and history of anemia during current pregnancy (AOR=0.408, 95%CI: 0.224-0.744). The leading reason for adherence was getting medical advice (395, 94.5%). The adherence rate with IFAS among PW was found to be high. Early registration for antenatal care, number of antenatal visits, and anemia status were statistically significant predictors for maternal adherence to iron and folic acid supplementation. Therefore, comprehensive health promotion programs on IFAS should be given to PW to improve their adherence.

Published in American Journal of Nursing and Health Sciences (Volume 3, Issue 4)
DOI 10.11648/j.ajnhs.20220304.12
Page(s) 94-100
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Iron, Folic Acid, Adherence, Pregnant Women, Antenatal Clinic, Federal Police Hospital

References
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[3] Ethiopia Demographic and Health Survey Addis Ababa, Ethiopia: March 2012.
[4] Organization WH. Proposed global targets for maternal, infant and young child nutrition. Summary of main issues raised and WHO responses Geneva: World Health Organization. 2012.
[5] Khan KS, Wojdyla D, Say L, Gülmezoglu AM, and Van Look PF. WHO analysis of causes of maternal death: a systematic review. The lancet. 2006; 367 (9516): 1066-74.
[6] World Health Organization. Essential nutrition actions: improving maternal, newborn, infant and young child health and nutrition. Geneva: WHO. 2013.
[7] Hoorn v, cjl m, et al. reducing risks, promoting healthy life methods summaries for risk factors assessed in chapter 4. World health report. 2003; (1994) 133.
[8] WHO. World Health Statistics: health status indicator, mortality, morbidity. World health organization. 2010; 12–15.
[9] WHO. Worldwide prevalence of anemia: institution of food science and nutrition. GenevaSwitzerland. 2005; 4-51.
[10] Boy E, harvestplus I. Prevalence and consequences of mineral and vitamin deficiencies and interventions to reduce them. 2008; 9.
[11] Ethiopia Demographic and Health Survey. Addis Ababa, Ethiopia: Central Statistics Agency. 2011.
[12] Tarekegn SM, Lieberman LS, Giedraitis V. Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy Childbirth. 2014, 14: 161.5.
[13] Benson T, Bellete S, Chanyalew D, Belachew T. An assessment of the causes of malnutrition in Ethiopia. 2005.
[14] Idowu O, Mafiana C, Dopu S. Anemia in pregnancy. 2007.
[15] FMOH (Federal Ministry of Health). Best practice, progress updates, initiatives and articles, special bulletin. 2012.
[16] Fiedler, Jack, D’Agostino, Alexis, Sununtnasuk and Celeste. Nutrition Technical Brief: A Rapid Initial Assessment of the Distribution and Consumption of Iron-Folic Acid Tablets through Antenatal Care in Ethiopia. 2014.
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[18] CSA (Central Statistical Agency). Addis Ababa, Ethiaopia and Calverton, Maryland, USA: Ethiopia Demographic and Health Survey. Central Statistical Agency and ICF International. 2005.
[19] Al. Abel Gebre, Afework Mulugeta, Belachew Etana, et al. Assessment of factors Associated with adherence to iron-folic acid supplementation among urban and rural of pregnant women in north estern zone of Tigray, Ethiopia. International Journal of Nutriion and food science. 2005.
[20] Bisratemariam Grebreamlak; Abel Fekadu Dadi. High Adherence to Iron/Folic Acid Supplementation During Pregnancy Time Among Atenatal And Postnatal Care Attendants Mothers In Governmental Health Center In Akaki Qality Addis Ababa, Ethioppia: 2017. Availabble at http://journal.phone 0169415.
[21] Berhanu Abebaw Adherence Status and Associated Factors of Iron and Folic Acid Supplementation among Pregnant Women Attending Antenatal Care Service in Debre Markos Town, Northwest Ethiopia.
[22] WHO. Iron deficiency anemia assessment prevention and control: a guide for program managers. Geneva: World Health Organization. 2001. WHO/NHD/01.3.
[23] Kenya National Bureau of Statistics (KNBS) and ICF Macro. Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. 2010: 158-160.
[24] Samson Gebremedhin, Aregash Samuel, Girma Mamo, Tibebu Moges and Tsehai Assefa. Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study. 2014.
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    Ararsa Soboksa, Mesfin Addissie, Zalalem Kaba, Robert Wondimu, Ketema Gurmu, et al. (2022). Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women. American Journal of Nursing and Health Sciences, 3(4), 94-100. https://doi.org/10.11648/j.ajnhs.20220304.12

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    ACS Style

    Ararsa Soboksa; Mesfin Addissie; Zalalem Kaba; Robert Wondimu; Ketema Gurmu, et al. Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women. Am. J. Nurs. Health Sci. 2022, 3(4), 94-100. doi: 10.11648/j.ajnhs.20220304.12

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    AMA Style

    Ararsa Soboksa, Mesfin Addissie, Zalalem Kaba, Robert Wondimu, Ketema Gurmu, et al. Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women. Am J Nurs Health Sci. 2022;3(4):94-100. doi: 10.11648/j.ajnhs.20220304.12

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  • @article{10.11648/j.ajnhs.20220304.12,
      author = {Ararsa Soboksa and Mesfin Addissie and Zalalem Kaba and Robert Wondimu and Ketema Gurmu and Getu Mosisa},
      title = {Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {3},
      number = {4},
      pages = {94-100},
      doi = {10.11648/j.ajnhs.20220304.12},
      url = {https://doi.org/10.11648/j.ajnhs.20220304.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20220304.12},
      abstract = {The purpose of this study was to assess the adherence and associated factors to iron and folic acid supplementation (IFAS) among pregnant women (PW) attending antenatal clinics in Federal Police Hospital, Addis Ababa, Ethiopia, 2018. Anemia is a global public health problem affecting both developing and developed countries. Africa has the largest number of women with anemia, next to South and Southeast Asia. However, there is a dearth of information on pregnant women's adherence and its associated factors which need to be known. An institutional-based cross-sectional study involving 418 PW was conducted. A systematic random sampling technique was employed. A pre-tested interviewer-administered structured questionnaire was used for quantitative data collection. The collected data were entered into a statistical package for social science (SPSS) version 22.0 for analysis, and multivariable logistic regressions were fitted to control the effect of confounding. Adjusted Odds ratios (OR) with their 95% confidence intervals (95% CI) were calculated to measure associations. Variables having P-value <0.05 were considered significant. There was high adherence (71.5%) to IFAS among PW. Some factors identified for non-adherence to IFAS were maternal early registration for Antenatal care (AOR=1.778, 95% CI: 1.076-2.936), awareness of IFAS (AOR=2.1, 95% CI: 1.24 -3.56), and history of anemia during current pregnancy (AOR=0.408, 95%CI: 0.224-0.744). The leading reason for adherence was getting medical advice (395, 94.5%). The adherence rate with IFAS among PW was found to be high. Early registration for antenatal care, number of antenatal visits, and anemia status were statistically significant predictors for maternal adherence to iron and folic acid supplementation. Therefore, comprehensive health promotion programs on IFAS should be given to PW to improve their adherence.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women
    AU  - Ararsa Soboksa
    AU  - Mesfin Addissie
    AU  - Zalalem Kaba
    AU  - Robert Wondimu
    AU  - Ketema Gurmu
    AU  - Getu Mosisa
    Y1  - 2022/11/23
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajnhs.20220304.12
    DO  - 10.11648/j.ajnhs.20220304.12
    T2  - American Journal of Nursing and Health Sciences
    JF  - American Journal of Nursing and Health Sciences
    JO  - American Journal of Nursing and Health Sciences
    SP  - 94
    EP  - 100
    PB  - Science Publishing Group
    SN  - 2994-7227
    UR  - https://doi.org/10.11648/j.ajnhs.20220304.12
    AB  - The purpose of this study was to assess the adherence and associated factors to iron and folic acid supplementation (IFAS) among pregnant women (PW) attending antenatal clinics in Federal Police Hospital, Addis Ababa, Ethiopia, 2018. Anemia is a global public health problem affecting both developing and developed countries. Africa has the largest number of women with anemia, next to South and Southeast Asia. However, there is a dearth of information on pregnant women's adherence and its associated factors which need to be known. An institutional-based cross-sectional study involving 418 PW was conducted. A systematic random sampling technique was employed. A pre-tested interviewer-administered structured questionnaire was used for quantitative data collection. The collected data were entered into a statistical package for social science (SPSS) version 22.0 for analysis, and multivariable logistic regressions were fitted to control the effect of confounding. Adjusted Odds ratios (OR) with their 95% confidence intervals (95% CI) were calculated to measure associations. Variables having P-value <0.05 were considered significant. There was high adherence (71.5%) to IFAS among PW. Some factors identified for non-adherence to IFAS were maternal early registration for Antenatal care (AOR=1.778, 95% CI: 1.076-2.936), awareness of IFAS (AOR=2.1, 95% CI: 1.24 -3.56), and history of anemia during current pregnancy (AOR=0.408, 95%CI: 0.224-0.744). The leading reason for adherence was getting medical advice (395, 94.5%). The adherence rate with IFAS among PW was found to be high. Early registration for antenatal care, number of antenatal visits, and anemia status were statistically significant predictors for maternal adherence to iron and folic acid supplementation. Therefore, comprehensive health promotion programs on IFAS should be given to PW to improve their adherence.
    VL  - 3
    IS  - 4
    ER  - 

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Author Information
  • Department of Public Health, College of Health Sciences, Ethiopian Police University, Addis Ababa, Ethiopia

  • Department of Public Health, Institute of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia

  • East Wollega Zonal Health Department, Nekemte, Ethiopia

  • SendafaBeke Town Health Office, Sendafa Beke, Ethiopia

  • Department of Public Health, College of Health Sciences, Ethiopian Police University, Addis Ababa, Ethiopia

  • Department of Nursing, School of Nursing and Midwifery, Wollega University, Nekemte, Ethiopia

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