Back to Search
Start Over
Adherence to iron with folic acid supplementation and its associated factors among pregnant women attending antenatal care follow up at Debre Tabor General Hospital, Ethiopia, 2017
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 1, p e0210086 (2019)
- Publication Year :
- 2019
- Publisher :
- Public Library of Science, 2019.
-
Abstract
- IntroductionNutritional anemia is a major public health problem throughout the world, particularly in developing countries. Iron with folic acid supplementation (IFAS) is recommended to mitigate anemia and its resulting complications during pregnancy. There has been limited study on IFAS adherence of pregnant women in the study area. The aim of this study was to assess adherence to IFAS and its associated factors among pregnant women attending antenatal care service in Debre Tabor General Hospital, Ethiopia.MethodsAn institution-based cross-sectional study was conducted from January 9 to April 8, 2017, at Debre Tabor General Hospital. A total of 262 study participants were included and selected by systematic random sampling. The entire interviewed questionnaire was checked and entered into EpiData version 3.1 and then exported to SPSS version 20 for windows for analysis. IFAS adherence status was defined as, if pregnant mothers took 65% or more of the IFAS which is equivalent to taking IFAS at least 4 days a week during the 1-month period preceding the study. Regressions were fitted to identify independent predictors of IFAS adherence. A P-value of less than 0.05 was used to declare statistical significance.ResultsA total of 241 pregnant women were included (92% response rate), of which 107 (44%) were adherent to IFAS. Only 39% received IFAS counseling, and 52% had some knowledge of IFAS. Gravidity (AOR = 2.92 95% CI (1.61, 5.30)), gestational age at first ANC visit (AOR = 3.67, 95% CI (1.94, 6.97)), pregnant women who got advice about IFAS (AOR = 2.04, 95%CI (1.12, 3.75)), current anemia (AOR = 2.22, 95%CI (1.45, 4.29)), and had knowledge about IFAS (AOR = 3.27, 95% CI (1.80, 5.95)) were statistically associated with adherence to IFAS among pregnant women.ConclusionOverall, IFAS adherence among pregnant women was low. The associated factors with adherence of IFAS were counseling and knowledge, early ANC attendance, pregnancy history, and current anemia diagnosis. IFAS counseling by health workers was low but, when given, was associated with improved IFAS adherence. Health workers and health extension workers should consistently counsel on IFAS benefits during ANC visit, to improve IFAS adherence during the current and subsequent pregnancies.
- Subjects :
- B Vitamins
Health Knowledge, Attitudes, Practice
Cross-sectional study
Maternal Health
0302 clinical medicine
Pregnancy
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Young adult
Health Systems Strengthening
Response rate (survey)
030219 obstetrics & reproductive medicine
Multidisciplinary
Anemia, Iron-Deficiency
Obstetrics
Organic Compounds
Gestational age
Obstetrics and Gynecology
Anemia
Hematology
Vitamins
Chemistry
Health Education and Awareness
Physical Sciences
Medicine
Female
Research Article
Adult
medicine.medical_specialty
Adolescent
Science
Iron
Nutritional Status
Medication Adherence
03 medical and health sciences
Young Adult
Folic Acid
Antenatal Care
parasitic diseases
medicine
Humans
Nutritional anemia
Iron Deficiency Anemia
Health Care Policy
business.industry
Public health
Organic Chemistry
Chemical Compounds
medicine.disease
bacterial infections and mycoses
Health Care
Pregnancy Complications
Cross-Sectional Studies
Dietary Supplements
Hematinics
Women's Health
Ethiopia
Pregnant Women
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....529eea96cda4553c821d8b234657829f