Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women Attending Antenatal Care in Public Hospitals of Dire Dawa, Eastern Ethiopia

Solomon, Yonatan; Sema, Alekaw; Menberu, Tamiru

doi:10.18332/ejm/138595

Cited by 21 publications

(30 citation statements)

References 22 publications

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“…In this study, the overall compliance rate of iron supplementation during pregnancy was found to be 92.4%. The current finding was higher than many previous reports in Ethiopia, such as the compliance rate, which varied from 60 to 63.6% in Addis Ababa 32 , 44 , 45 , 87.6% in Ethiopia 37 , Dire Dawa 46 , Shalla District 47 , 43.4% Dilla town 48 , 38.3% Hadassah 28 , 51.4% Burin district 49 , 52.9% Debbie 50 , 28.1% Denbiya District 36 , 28.7% Lay Armachiho 31 , 55% Gondar 51 , 47.6% Aykal town 30 , 44% Debre Tabor 52 , 43% Wollo 53 and 74.9% in four regions of Ethiopia 20 , 67.6% Simada district 54 , 52.8% Debay Tilat Gen district 55 , 37.2% Northwestern zone of Ethiopia 35 , 55.5% Debre Markos town 56 , 76.9% Dangila, Northern Ethiopia 57 , 40.9% in Adwa town 58 , and meta-analyses, 46.15, 46.1, 41.38 and 43.63% 59 – 62 . The present finding was also higher than many others, for example, a meta-analysis in SSA 63 , Uganda 64 , Kenya 65 , Nigeria 24 , Northwest Tanzania 66 , Northern Tanzania 67 , 22 sub-Saharan African countries 23 , Niger 68 , West Iran 69 , Cambodia 34 , Nepal 70 , 71 , India 72 , and Sri Lanka 73 .…”

Section: Discussioncontrasting

confidence: 84%

Utilization and compliance with iron supplementation and predictors among pregnant women in Southeast Ethiopia

Beressa

Lencha

Bosha

et al. 2022

Sci Rep

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Anemia is predicted to affect 38% (32 million) of pregnant women worldwide. However, evidence for utilization and compliance with iron supplementation and predictors during pregnancy in low-income countries, including Ethiopia, is sparse and inconclusive. Therefore, we aimed to assess utilization and compliance with iron supplementation and predictors among pregnant women in Robe Town, Southeast Ethiopia. A community-based cross-sectional study was employed among randomly selected 445 pregnant women attending antenatal care at health facilities from May to July 2015. A systematic random sampling was used to select respondents. Data were collected using a pre-tested, interviewer-administered, structured questionnaire. Bivariable and multivariable logistic regression analyses were conducted to identify predictors of compliance with iron supplementation. An odds ratio, along with a 95% confidence interval (CI), was used to estimate the strength of the association. In this study, 54% [95% CI (49.4, 58.4%)], 45.2% [95% CI (40.9, 49.4%)], 4.3% [95% CI (2.5, 6.3%)], and 2.2% [95% CI (1.1, 3.6%)] of women received iron supplements during their first, second, third, and fourth antenatal care visits, respectively. The level of compliance with iron supplementation was 92.4% [95% CI (89.9, 94.6%)]. Having a formal education (AOR = 4.45, 95% CI 1.41, 13.99), being in the high wealth quintile (AOR = 0.18, 95% CI 0.05, 0.68), medium wealth quintile [(AOR = 0.33, 95% CI (0.11, 0.98)], receiving iron supplements for free (AOR = 3.77, 95% CI 1.33, 10.69), not experiencing discomfort related to iron supplements intake (AOR = 2.94, 95% CI 1.17, 7.39), having comprehensive knowledge about anemia (AOR = 2.62, 95% CI 1.02, 6.70), being knowledgeable about iron supplements (AOR = 3.30, 95% CI 1.12, 9.76), having information about importance of iron supplementation during pregnancy (AOR = 2.86; 95% CI 1.04, 7.87), and ever being visited by urban health extension workers (AOR = 0.31; 95% CI 0.12, 0.83) was significantly associated with compliance with iron supplementation during pregnancy. The utilization of iron supplementation during pregnancy was low, with relatively high compliance with the supplements. Thus, comprehensive nutrition education and free provision of iron supplementation are crucial tools to increase utilization and compliance with iron supplementation during pregnancy. Further research with a strong study design using golden standard methods is warranted.

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Section: Discussioncontrasting

confidence: 84%

Utilization and compliance with iron supplementation and predictors among pregnant women in Southeast Ethiopia

Beressa

Lencha

Bosha

et al. 2022

Sci Rep

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“…Some studies have also reported higher levels of adherence to IFAS among women attending antenatal care. A study conducted among pregnant women attending antenatal care in public hospitals of Dire Dawa, Eastern Ethiopia reported an adherence level of 71.8% and a cross sectional study conducted in North West province, South Africa reported an adherence level of 93% [21,22]. The possible explanation in these studies include differences in study populations and the less strict criteria used to classify women as adherent or not.…”

Section: Adherence To Ifasmentioning

confidence: 99%

Factors Influencing Adherence to Iron and Folic Acid Supplementation among Pregnant Women attending Antenatal Care in Rubanda District, South Western-Uganda

Turanzomwe¹,

Amanyire²,

Tumwebaze³

2022

AJHMN

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Purpose: Globally, about 40% of pregnant women have anemia. Pregnant women are at high risk of iron and folic acid deficiency anemia due to increased nutrient requirement during pregnancy. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention of iron deficiency anemia in pregnant women. However, there remains poor adherence to iron and folic acid supplementation in pregnancy in many countries especially low-income countries. The aim of this study was to evaluate the level of adherence and the factors influencing adherence to iron and folic acid supplementation among pregnant women attending antenatal care in Rubanda District, south Western-Uganda. Methodology: A multi-Health facility based observational and descriptive cross-sectional study was done. One hundred seventy two (172) pregnant mothers attending antenatal clinic in six selected health facilities in Rubanda District were enrolled in this study from December 2021 to March 2022. The interviewer administered questionnaire was used to study the participant characteristics and logistic regression was used to identify the factors influencing adherence to iron and folic acid supplements. Findings: Majority of women were aged between 20-29 years (57.56%), married (94.77%) and unemployed (80.23%). More than half of the respondents (62.21%, 95% CI 54.89%-69.53%) had taken at least 80% of the prescribed iron and folic acid tablets. This reflected good adherence level. Factors independently influencing adherence included maternal age below 20 years (aOR 3.83, 95% CI 1.12-13.08, p-value 0.032), age between 20-29 years (aOR=4.86, 95%CI: 2.03-11.63, p value <0.001), adherence partner (aOR=2.82, 95%CI: 1.34-5.91, pvalue <0.001) and being counselled on importance of iron and folic acid tablets (aOR=4.42, 95%CI: 2.08-9.42, p-value <0.001). Recommendations: Intensive counselling during antenatal care about the importance of iron and folic acid supplements should be done on a daily basis with particular attention to women aged 30 years and above.

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“…Iron supplementation is the best way of reducing iron deficiency anemia [ 6 ]. Pregnant mothers are advised to take iron supplementation for 180 days during pregnancy [ 7 ]. In addition to iron supplementation, pregnant women should be advised to eat foods high in iron and prevent intestinal worms [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Magnitude and factors associated with iron supplementation among pregnant women in Southern and Eastern Regions of Ethiopia: Further Analysis of mini demographic and health survey 2019

Mengistu

Gudeta

et al. 2022

BMC Nutr

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Background Anemia is a global public health problem that affects pregnant women. The most common cause of anemia is iron deficiency which is extremely common in developing countries. World health organization reported that 36.5% of pregnant women are anemic globally. In Ethiopia, 27.08% of women of the reproductive age group are anemic. Therefore, this study aimed to identify the magnitude and factors associated with iron supplementation during pregnancy in the southern and eastern regions of Ethiopia. Methods The data used in this analysis were extracted from Mini Demographic and Health Survey 2019. The survey was conducted in 9 regional states and two city administrations. The data used in the analysis were extracted from individual women datasets, and 1780 study participants were included in this study. The logistic regression analysis including bivariate and multivariable logistic regression at a 95% confidence interval and a p-value less than 0.05 was used. Result The finding of the study shows that iron supplementation during pregnancy in Southern and Eastern parts of Ethiopia was 50.06%. Among those who received iron, only about 20% took it for 90 days and more during their pregnancy. Iron supplementation among the pregnant women was affected by secondary education [AOR = 2.20, 95%CI (1.325, 3.638)], residing in urban [AOR = 1.75, 95%CI (1.192, 2.574)], having media at home [AOR = 1.41, 95%CI (1.022, 1.946)], having antenatal care follow up [AOR = 9.27, 95%CI (4.727, 18.169)], having 4 and more ANC follow up [AOR = 2.01, 95%CI (1.468,2.760], having antenatal care follow up at government health institutions [AOR = 3.40, 95%CI (1.934, 5.982)], and giving birth at governmental health institutions [AOR = 1.70, 95%CI (1.236, 2.336)]. Conclusion Only one in two pregnant women was supplemented with iron during their recent pregnancy. The supplementation was affected by women's education, place of residence, presence of media at home, antenatal care follow-up, the number of antenatal care follow up, antenatal care follows up at governmental health institutions, and giving birth at the governmental health institution. The availability and accessibility of maternal care services and their functionality in providing maternal care services improve the supplementation.

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Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women Attending Antenatal Care in Public Hospitals of Dire Dawa, Eastern Ethiopia

Cited by 21 publications

References 22 publications

Utilization and compliance with iron supplementation and predictors among pregnant women in Southeast Ethiopia

Utilization and compliance with iron supplementation and predictors among pregnant women in Southeast Ethiopia

Factors Influencing Adherence to Iron and Folic Acid Supplementation among Pregnant Women attending Antenatal Care in Rubanda District, South Western-Uganda

Magnitude and factors associated with iron supplementation among pregnant women in Southern and Eastern Regions of Ethiopia: Further Analysis of mini demographic and health survey 2019

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