Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

Abdullahi, Hala; Gasim, Gasim I.; Saeed, Ahmed; Imam, Abdulmutalab M; Adam, Ishag

doi:10.1186/1756-0500-7-498

Cited by 74 publications

(69 citation statements)

References 16 publications

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“…In the case of anaemia in women, there was no effect of the programme in the individual or district-level analyses. Juntos could prevent anaemia by requiring pregnant women to attend antenatal visits where iron supplementation is provided (Abdullahi et al 2014). As a small proportion (6.1% for the individual level and 5.5% for the district level analyses) of the women included in this study were pregnant, the effect of antenatal visit attendance was probably diluted.…”

Section: Discussionmentioning

confidence: 98%

Health effects of ‘Juntos’, a conditional cash transfer programme in Peru

Pérez-Lu

Cárcamo

Nandi

et al. 2016

Maternal & Child Nutrition

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In some countries, conditional cash transfer (CCT) programmes show an impact on maternal and child health. Juntos, the CCT programme in Peru, has been evaluated several times operationally, but seldom for maternal and child health outcomes. The objective of this study is to evaluate the impact of Juntos on children under 6 years, pregnant women and mothers of children under 17 years. Outcomes evaluated included (1) anaemia in women and children; (2) acute malnutrition in children; (3) post-partum complications in mothers; and (4) underweight and overweight in mothers. We identified Juntos eligible respondents from the Demographic and Health Surveys of Peru for years 2007 to 2013. Propensity score matching was used to identify comparable treatment and control groups, including eligible respondents enrolled in Juntos vs. those not enrolled in Juntos (individual-level analysis), as well as eligible respondents living in Juntos districts vs. those not residing in Juntos districts (district-level analysis). We then used generalized linear models to estimate prevalence ratios. Individual level analysis showed that Juntos reduced underweight in women (PR:0.39, 95%CI:0.18 - 0.85) and anaemia in children (PR:0.93, 95%CI:0.86 - 1.00). In the district level analysis, the programme was associated with a reduction of overweight in women (PR:0.94, 95%CI:0.90 - 0.98) and acute malnutrition in children (PR:0.49, 95%CI:0.32 - 0.73), but an increase in the prevalence of anaemia in children (PR:1.09, 95%CI:1.01 - 1.17). We found that Juntos had an effect on maternal and child health indicators, but further studies are required to overcome some limitations encountered here.

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Section: Discussionmentioning

confidence: 98%

Health effects of ‘Juntos’, a conditional cash transfer programme in Peru

Pérez-Lu

Cárcamo

Nandi

et al. 2016

Maternal & Child Nutrition

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“…Number of studies revealed that maternal education is positively associated with utilization of prenatal iron supplementation. According to studies in Amhara region [10], Ethiopia [8], Khartoum [18], Rio de Jenerio [19] and India [20], illiterate women had reduced odds of using prenatal iron supplementation as compared to women who can at least write and read. A current study also showed the same direction of association between these variables.…”

Section: Discussionmentioning

confidence: 99%

“…As witnessed by several studies, utilization of prenatal iron supplementation increases with increasing frequency of ANC visits. Studies undertaken in Rio Grande [22], Tanzania [21], Khartoum [18], Tigray [23] and four major regions of Ethiopia [9] found that increased ANC visit enhance increased use of iron tablets. The current study showed consistent results; women who had ANC lower than four visits had reduced odds of using prenatal iron supplementation than those who had four plus ANC visits.…”

Section: Discussionmentioning

confidence: 99%

Predictors of prenatal iron folic acid supplement utilization in Wolaita, South Ethiopia: a community based cross-sectional study (quantitative and qualitative approach)

Wana¹

2020

BMC Pregnancy Childbirth

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Background: Effectiveness of prenatal iron supplementation program depends on utilization of the supplement by pregnant women. Nevertheless, in Ethiopia, regardless of increasing efforts, lower proportion of pregnant women use the supplementation for recommended 3 months and above but, the reason is not clear. This study aimed to identify the level and factors associated with utilization of prenatal iron supplementation. Methods: A community based cross-sectional quantitative study complemented with qualitative component was carried out in January, 2016. A total of 411 pregnant women who gave birth 6 months preceding data collection were selected using multi-stage cluster sampling technique. Qualitative data were collected by conducting four focus group discussions (FGDs) of local pregnant mothers and interviewing district maternal and child health (MCH) focal, 3MCH heads of health centers and four health extension workers. Factors associated with appropriate utilization of supplementation were assessed using multivariate logistic regression. The outputs of analyses were presented using Adjusted Odds Ratio (AOR) with 95% confidence intervals (CI). Result: From the study participants, 11.5% (95% CI = 9.9-13.1%) took the supplement for the recommended duration of 3 months or above. Pregnant women who could not read and write had 77% reduced odds of using iron supplementation than their counterparts (AOR = 0.23(95% CI: 0.07-0.75)). As compared to women who had four or more antenatal care (ANC), women with 2 and 3 ANC visits had 78% (AOR = 0.22(0.07-0.63)) and 66% (AOR = 0.34(0.14-0.81)) reduced odds of using the supplementation, respectively. As compared to women who were aware of benefits of taking the supplement for maternal and child health, the counterparts had 90% (AOR = 0.10 (0.10-0.63)) reduced odds of using the supplement. Women who were not knowledgeable of anemia had 85% (AOR = 0.15(0.04-0.62) reduced odds of using the supplement than those who were knowledgeable. The qualitative study indicated that there was no problem in the supply and logistic system of iron supplement and leading reasons for not taking the supplement were late initiation of Antenatal Care, lack of awareness and occurrence of side effects; unpleasant taste, nausea, vomiting.

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“…It is estimated that micronutrient deficiency is a global public health problem affecting two billion people worldwide (10,18), of which million are women in their reproductive age (19). Although diet related health problem affects both sexes and all age groups, it is a major public health problem among women (20) especially among adolescent girls (21).…”

Section: Introductionmentioning

confidence: 99%

Household Food Insecurity, Coping Strategies and Adolescent Girls’ Dietary Diversity Status in Hossana Town, Ethiopia.

Bancha¹,

Petrose²,

Fanta³

et al. 2019

Preprint

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Background Globally there are 1.8 billion adolescents, comprised of 10-19 years old, represent approximately 20% of the world’s population. In Ethiopia this group represents 20-26% of general population. Despite the fact that this period is a window of opportunity to break intergenerational cycle of malnutrition, macro and micronutrient deficiencies are among leading health problems in this vulnerable age groups. Moreover, there is scarcity of data on the status of dietary diversity in this segments of the population.Methods a community based cross sectional study design was employed from May 21-June 20, 2019. Pre-tested structured questionnaire was used for data collection using cluster sampling technique to approach 451 households with adolescent girls. Data was entered in to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Descriptive and logistic regression analysis were performed. Adjusted Odd Ratios (AOR), along with corresponding 95% confidence interval (CI) were used and the level of statistical significance was declared at a p-value of <0.05.Results a total of 434 households with adolescent girls were involved in the study. We found that 41.7% of households were food insecure, only 57.8%, (C.I.53.5-62.2) of adolescent girls consumed diversified diet, with the mean DDS of 5.38 (SD=1.75). After adjusting for potential confounders, occupational status of the adolescents’ father, (AOR= 0.56, 95% C.I. 0.32-0.99 and AOR=0.26, 95% C.I. 0.17-0.47), exposure to televised media (AOR=3.36, 95% C.I. =1.55-7. 3) and household food security status (AOR=5.09, 95% C.I. =3.2-8.08) were significant predictors of dietary diversity among adolescent girls.Conclusion Significant portion of households were food insecure; practicing ranges of coping strategies which further compromised dietary diversity of adolescent girls. Poor dietary diversity adversely affects micronutrient reserves of to-be a-mother girls; the vicious cycles of malnutrition continues its far fetching effect. Given that adolescence is the second period in life with rapid growth and development, improving dietary status of this sensitive segments of the population are to be an agenda of all concerned bodies.

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Antenatal iron and folic acid supplementation use by pregnant women in Khartoum, Sudan

Cited by 74 publications

References 16 publications

Health effects of ‘Juntos’, a conditional cash transfer programme in Peru

Health effects of ‘Juntos’, a conditional cash transfer programme in Peru

Predictors of prenatal iron folic acid supplement utilization in Wolaita, South Ethiopia: a community based cross-sectional study (quantitative and qualitative approach)

Household Food Insecurity, Coping Strategies and Adolescent Girls’ Dietary Diversity Status in Hossana Town, Ethiopia.

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