Back to Search
Start Over
Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Source :
- PLoS ONE, Vol 15, Iss 1, p e0227351 (2020), PLoS ONE
- Publication Year :
- 2020
- Publisher :
- Public Library of Science (PLoS), 2020.
-
Abstract
- IntroductionIron and Folic Acid Supplementation (IFAS) is an essential and affordable intervention strategy for prevention of anaemia during pregnancy. The supplements are currently provided for free to pregnant women in Kenya during antenatal care (ANC), but compliance remains low over the years. There is need for diversification of IFAS programme implementation by exploring other distribution channels to complement existing antenatal distribution and ensure consistent access to IFAS supplements.ObjectivesTo determine the effect of a community-based approach of IFAS distribution on compliance and assess side-effects experienced and their mitigation by pregnant women in Kiambu County.MethodologyA pretest-posttest quasi-experimental study design was used, consisting of an intervention and a control group, among 340 pregnant women 15-49 years, in five health facilities in Lari Sub-County in Kiambu County, between June 2016 and March 2017. Community health volunteers provided IFAS supplements, counselling and weekly follow-up to pregnant women in the intervention group while the control group followed standard practice from health facilities. Baseline and endline data were collected during antenatal care and compared. Quantitative data was analyzed using STATA version 14. Analysis of effect of intervention was done using Difference-In-Difference regression approach.ResultsLevels of compliance increased by 8% in intervention group and 6% in control group. There was increased awareness of IFAS side-effects across groups. The intervention group reported experiencing less side-effects and were better able to manage them compared to the control group.ConclusionImplementation a community-based approach improved maternal compliance with IFAS, awareness of IFAS side effects and their management, with better improvement being recorded in the intervention group. Hence, there is need to integrate community-based approach with antenatal distribution of IFAS to improve supplementation.
- Subjects :
- B Vitamins
Health Knowledge, Attitudes, Practice
Maternal Health
Geographical Locations
0302 clinical medicine
Pregnancy
Quasi experimental study
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Community Health Services
Young adult
Community based
030219 obstetrics & reproductive medicine
Multidisciplinary
Organic Compounds
Obstetrics and Gynecology
Anemia
Prenatal Care
Hematology
Vitamins
Middle Aged
3. Good health
Chemistry
Health Education and Awareness
Community health
Physical Sciences
Medicine
Female
Research Article
Adult
Adolescent
Iron
Science
Prenatal care
03 medical and health sciences
Young Adult
Folic Acid
Antenatal Care
Environmental health
medicine
Humans
Iron Deficiency Anemia
business.industry
Organic Chemistry
Chemical Compounds
medicine.disease
Kenya
Folic acid supplementation
Health Care
Case-Control Studies
People and Places
Africa
Dietary Supplements
Women's Health
Patient Compliance
Pregnant Women
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....039eb04bbee41a2ff63347f8083bced6