Compliance to iron-folic-acid supplementation and associated factors among pregnant women: A cross-sectional survey in a district of West Bengal, India

Debi, Saha; Basu, Gandhari; Mondal, Reshmi; Chakrabarti, Sreetama; Roy, Suman Kumar; Ghosh, Shubhamoy

doi:10.4103/jfmpc.jfmpc_392_20

Cited by 22 publications

(13 citation statements)

References 10 publications

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“…The varying rates may be due to varying methods of measuring adherence. The proportion of participants who adhered to IFA in this study was comparable to a reported level of adherence of 81.8% by Debi et al, 42 among 208 pregnant women from India and a reported adherence of 82.2% by Maina-Gathigi et al, 43 among 381 pregnant women who accessed antenatal care from a teaching hospital in Kenya.…”

Section: Discussionsupporting

confidence: 85%

Adherence to Iron and Folic Acid Supplementation Among Pregnant Women From Northern Ghana

Seidu,

Gaa,

Mogre

2024

Nutr Metab Insights

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Iron and folic Acid (IFA) supplementation is an effective intervention for reducing the incidence of anaemia during pregnancy. The WHO recommends at least 6 months intake of IFA to pregnant women. However, in Ghana some women experience challenges with adhering to IFA supplementation. The main objective of the study was to assess the level of adherence to iron and folic acid supplementation and its associated factors among pregnant women in a peri-urban municipality in Northern Ghana. A cross-sectional study was conducted from March to December 2021 among 400 pregnant women who attended ANC in Sagnarigu municipality in Ghana and were selected through a 3-stage random sampling technique. A structured questionnaire was used to collect data. The data were analysed using descriptive statistics, univariate and binary logistic regression statistical tools. Self-reported level of adherence to iron and folic acid supplementation was 84.5%. Knowledge of iron and folic acid supplementation (AOR = 0.08: 021, 0.343) was associated with adherence. Three other factors: time of first antenatal visit (AOR = 0.32: 0.153, 0.649) having history of anaemia [AOR = 2.67: 1.373, 5.201] having side effects of IFA [AOR = 3.70, CI: (1.756, 7.793)], and having knowledge of management of side effects of iron and folic acid supplementation (AOR = 0.08: 021, 0.343) were found to be significantly associated with adherence. Adherence to iron and folic supplementation among the pregnant women was generally frequent. Strategies to increase iron and folic acid supplementation adherence among pregnant women could focus on encouraging pregnant women to have early ANC visits and educating them on how to manage side effects.

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Section: Discussionsupporting

confidence: 85%

Adherence to Iron and Folic Acid Supplementation Among Pregnant Women From Northern Ghana

Seidu,

Gaa,

Mogre

2024

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“…Debi et al . [ 5 ] in rural areas of Hooghly district, West Bengal, have found the teenage pregnancy rate as 17.8%. Singh etal.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] have also found it to be overall 67.5% and Debi et al . [ 5 ] have found it to be >80%. The finding that the majority of the ever pregnant women from both the districts and communities in this study have either delivered or planned to deliver in a government health center signifies good utilization of the RCH services.…”

Section: Discussionmentioning

confidence: 99%

Teenage pregnancies, practices, and utilization of RCH services by the tribal and nontribal population of West and South Tripura districts

Bhattacharjya

Paul

Rakshit

2021

Journal of Family Medicine and Primary Care

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Background: As per NFHS III, 4.5% of the teen aged women of Tripura were pregnant, 18.5% have begun childbearing, and 14% have given live births. Objectives: To estimate the prevalence of teenage pregnancies among tribal and nontribal population of West and South districts of Tripura, to study the social practice of care during these pregnancies, and to assess the utilization of RCH services by them. Methods: A community-based mixed method study was conducted from 5 th September 2014 to 4 th September 2015 among 2108 tribal and nontribal women aged 15 to ≤18 years residing in the undivided West and South districts of Tripura chosen by multistage sampling. Result: Among the study women, 93.5% were married, 6.3% were unmarried, and 0.2% was either divorced or widowed. Out of total, 21.35% were pregnant and 57.92% had already delivered. ASHA services were received by 59.73% and 72.13% in West and South districts and by 68.09% and 63.69% of the tribal and nontribal, respectively. JSY registration was 53.99% and 83.43% in West and South districts and 71.56% and 66.91% among tribal and nontribal, respectively. Antenatal check-up was received by 96.26% and 90.79% in West and South districts and 89.39% and 97.66% among tribal and nontribal ever pregnant women, respectively. Home deliveries were higher among tribal and they had inadequate postnatal check-up. Practice of isolated confinement following childbirth was fewer and these rooms were unclean and ill-ventilated though normal clothing was used. Qualitative component revealed that underutilization of RCH services was mainly due to poor quality of services, ignorance, and economic constraints to reach health facility. Conclusion: Teenage pregnancy is prevalent in Tripura and more among tribal. Ignorance of the women and poor quality of RCH services at primary health care level are responsible for its underutilization.

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“…is said to be increased with age, birth order and single daily dose. 22 Another study from Nepal demonstrated that the role of influence of education status, ANC visits, delivery place and PNC visits influenced the compliance. 23 Another study from Ethiopia conducted on pregnant women at their ANC visits showed that IFA supplementation was 52.9%.…”

Section: Original Articlementioning

confidence: 99%

“…28 Studies concluded that the compliance of IFA is worse in lower socio-economic communities. 22 However, we could not explore the economic status of the current respondents to segregate their economic status.…”

Section: Original Articlementioning

confidence: 99%

Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

Bhatt

Pal

Dhami

et al. 2021

J. Nepal Paedtr. Soc.

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Introduction: Globally, iron deficiency anaemia is considered as a risk factor for maternal morbidity and mortality. It is estimated to cause 591,000 perinatal deaths and 115,000 maternal deaths annually. The World Health Organisation recommends iron supplementation to first trimester to 45 days after delivery. The Government of Nepal is supplementing Iron and Folic Acid (IFA) to pregnant and postpartum women to reduce the burden of disease and deaths, however Nepal reports low compliance and coverage. We sought to determine compliance of IFA and associated factors among postnatal mothers in Kathmandu valley. Methods: This was a cross-sectional study involving 132 mothers attending the immunisation clinic. Face to face interview was done using structured questionnaire consisting of sociodemographic information, IFA, maternal knowledge and compliance practices. Statistical analysis was done using SPSS version 23. Results: We found 68.9% compliance of iron and folic acid among the respondents. The mean age of the respondents was 27.53 ± 4.6 years (Mean ± SD). Significant association was observed between the compliance of the IFA with education,age,employment status of women and family type (p < 0.00). No significant association was observed in between the compliance of IFA and religion (p = 0.93) and delivery related complications (p = 0.143). Similarly, delivery type showed significant association with the compliance of IFA (p < 0.00). Conclusions: This study concludes that mothers from Kathmandu had better compliance and coverage of IFA than provincial as well as the national average. Private pharmacy is an important service provider for urban women.

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Compliance to iron-folic-acid supplementation and associated factors among pregnant women: A cross-sectional survey in a district of West Bengal, India

Cited by 22 publications

References 10 publications

Adherence to Iron and Folic Acid Supplementation Among Pregnant Women From Northern Ghana

Adherence to Iron and Folic Acid Supplementation Among Pregnant Women From Northern Ghana

Teenage pregnancies, practices, and utilization of RCH services by the tribal and nontribal population of West and South Tripura districts

Compliance of Iron and Folic Acid Supplementation among Postpartum Urban Mothers of Kathmandu Valley

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