Improving iron folic acid consumption through interpersonal communication: Findings from the Reduction in Anemia through Normative Innovations (RANI) project

Ganjoo, Rohini; Rimal, Rajiv N.; Talegawkar, Sameera A.; Sedlander, Erica; Pant, Ichhya; Bingenheimer, Jeffrey B.; Chandarana, Shikha; Aluc, Aika; Jin, Yichen; Yilma, Hagere; Panda, Bikash

doi:10.1016/j.pec.2021.04.032

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…Global literature recognizes the value of distributing supplements in schools [ 9 , 28 ] and the complex issues of adherence [ 29 ], and highlights the need for interpersonal communication and support [ 20 , 30 ] and culturally-tailored messaging [ 20 , 31 ]. Research in LMIC settings shows that when supplementation programs include comprehensive communication strategies or targeted information campaigns, they are more able to influence the ingestion of iron supplements in adolescents in LMIC [ 32 , 33 ], and evaluations in India have called for improved community-level outreach and education for behaviour change to help create demand for supplements [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Attention for and awareness of anemia in adolescents in Karnataka, India: A qualitative study

et al. 2023

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Between 1990 and 2016 the number of adolescents with anemia world-wide increased by 20% to almost one in four. Iron deficiency in adolescence results in compromised growth, decreased cognitive function, and depressed immune function, and can increase the risk of negative outcomes in pregnancy, especially in the case of young adolescents. In India, despite several decades of governmental investment in anemia prevention and treatment, more than half of women of reproductive age are anemic, with rates even higher in the adolescent population. Although awareness of adolescence as a nutrition-sensitive developmental stage is increasing, there is a lack of qualitative research on the perspectives of adolescents and families on anemia and related services. In this study, we explored the issues influencing adolescents’ awareness of anemia in three rural areas of Karnataka. Sixty-four in-depth interviews and six focus group discussions were conducted with adolescents (those who had never been pregnant, pregnant adolescents, and young mothers), community members, and nutrition-related service providers in the health and education sectors. An inductive analytical approach was used. We found that adolescent girls, particularly those who have not experienced pregnancy or motherhood, had very low awareness of anemia. State programs including school-based distribution of iron and folic acid supplements and nutrition talks were not seen to be resulting in knowledge and acceptance of the importance of preventing anemia. Pregnancy represents a turning point in which adolescents are systematically tested for anemia as part of routine antenatal care, increasing their awareness of, and access to, treatment for the condition. At the same time, pregnancy represents to family and community a period to insist on a nutritious diet. For progress in anemia reduction to be made, improved age-appropriate measures specific for adolescence are required. Improving school-based nutrition outreach is an important opportunity to reach adolescents.

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Section: Discussionmentioning

confidence: 99%

Attention for and awareness of anemia in adolescents in Karnataka, India: A qualitative study

et al. 2023

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“…Nguyen et al, 20 19 If the preconception period is anemic, the quality of the pregnancy will suffer some of the complication include growth retardation in the womb, prematurity, preeclampsia, disability, to an increased risk of fetal death.…”

Section: Authors (Year) Evidence Theory Of Preconceptionmentioning

confidence: 99%

“…Oluwayiose et al 17 Kauffman et al 18 The condition of the genes of women and men during the preconception period greatly affects the state of pregnancy and the fetus in the womb Punj S et al 23 Advances in technology allow analysis of greater gene selection for screening of preconception carriers Kurniawati et al 24 The nutritional status of women during premarital periods affects the fetus, an unhealthy lifestyle during the preconception period will influence pregnancy and the fetus in the womb. Ganjoo R et al 19 In India half of women of childbearing age are anemia. Regular consumption of iron and folic acid can prevent and treat anemia.…”

Section: Authors (Year) Evidence Theory Of Preconceptionmentioning

confidence: 99%

Why Preconception Treatment is Important? A Literature Reviews

Dina,

Jafar,

Hadju

et al. 2024

Pharmacogn J.

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An electronic database was used to compile the literature review is to use. The article search method used ProQuest, PubMed, Scinapse, Science Direct, and DOAJ. The keywords used in the journal search were preconception, iron status, pregnancy and fetus. Search articleIn order to facilitate the search for references, it was determined that the keywords used in the journal search were a) preconception, b) iron status, c) pregnancy, and d) fetus. This literature review does not limit the type or design of the study.

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“…Moreover, it was similar with the findings from the Reduction in Anemia through Normative Innovation (RANI) project have demonstrated that iron folic acid supplementation significantly increased in the intervention arm and it was mediated through anemiaspecific interpersonal communication. Practically, targeted interpersonal communication among participants may promote behavior change and it is beneficial strategy to increase iron folic acid use to reduce anemia 27 .…”

Section: Students' History Of Wifa Supplementationmentioning

confidence: 99%

Study Characteristics of School Adolescent Girls on Iron Folic Acid Supplementation Program as the Prevention of Anemia in Adolescent

Prasetya¹,

Khomsan

Riyadi

et al. 2022

AMNT

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Background: Efforts to accelerate stunting reduction involve specific and sensitive nutrition interventions. School adolescent girls are the target group in reducing stunting through anemia prevention. Iron folic acid (IFA) supplementation program is the specific nutrition intervention to prevent anemia in adolescent girls. Objectives: This research aims to study the characteristics of students who received the IFA supplementation program. Methods: Research design was a cross sectional that involved 123 students from 12 public high schools in Cianjur District, West Java Province. Student’s characteristics consist of knowledge on anemia and their adherence on IFA supplementation program. Data collection is carried out by self-administering questionnaires monitored by enumerator. Data is performed by using mean ± SD and n (%). Results: Student’s knowledge on anemia mostly (61.8%) were categorized as low, as 30.9% were moderate, and only 7.3% were high. Students (44.7%) knew how to detect anemia is by measuring blood hemoglobin levels. As of 59.3% and 51.2% students knew the main causes of anemia are inadequate iron intake and blood loss during menstruation. Approximately 60-80% students recognized the common symptoms and sign of anemia. Most students (76.8%) have received IFA on a weekly basis and 41.2% students acknowledge their adherence in the IFA consumption with aim to prevent anemia (85.1%), the rest 23.4% and 14.9% due to the advice by the teachers and health officers. Students who have no adherence were due to their fear on the side effects, the tablet taste, forgetfulness, and feeling healthy. Conclusions: Iron folic acid supplementation program have been conducted and well targeted, however, student’s understanding on the objectives, benefit, and their adherence is needed to be gained.

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Improving iron folic acid consumption through interpersonal communication: Findings from the Reduction in Anemia through Normative Innovations (RANI) project

Cited by 9 publications

References 23 publications

Attention for and awareness of anemia in adolescents in Karnataka, India: A qualitative study

Attention for and awareness of anemia in adolescents in Karnataka, India: A qualitative study

Why Preconception Treatment is Important? A Literature Reviews

Study Characteristics of School Adolescent Girls on Iron Folic Acid Supplementation Program as the Prevention of Anemia in Adolescent

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