Low compliance with the iron supplementation program among pregnant women in the rural areas of Kerman district, I.R.Iran

Bondarianzadeh, Dolly; Siassi, Fereydoun; Omidvar, Nasrin; Golestan, B; Keighobadi, K.

doi:10.1016/s0271-5317(98)00077-3

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…The challenge with self reports is that patients tend to overestimate their adherence [ 9 – 11 ]. For example in a study done in Iran, 80% of the pregnant women reported taking their iron supplements but this could only be confirmed in 21% of participants after examining the stool samples [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study

et al. 2017

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BackgroundAntenatal iron supplementation is a cost effective way of reducing iron deficiency anaemia among pregnant women in resource limited countries like Uganda. Poor adherence to iron supplements has limited its effectiveness in reducing maternal anaemia as evidenced by the high burden of iron deficiency anemia in Sub-saharan Africa. The aim of this study was to determine the level of and factors associated with adherence to iron supplementation among women attending antenatal clinic at Mulago National Referral Hospital, Kampala, Uganda.MethodsThree hundred and seventy pregnant women were recruited in a cross sectional survey in Mulago National Referral Hospital antenatal clinic after informed consent between February and April 2014. Levels of adherence to iron supplements were assessed using visual analogue scale and factors associated collected using an interviewer administered questionnaire.ResultsAbout 12% (11.6%) of the mothers attending the antenatal clinic adhered to iron supplements over 30 day period. Mothers who had had four or more antenatal visits prior to the survey [odds ratio (OR) = 1.49, 95% confidence interval (CI) 1.12–1.97], had more than 2 week supply of iron supplements in the previous visit (OR 2.81, 95% CI 1.02–1.09), prior health education (OR 1.56, 95% CI 1.07–2.29) were more likely to adhere to iron supplements. Inadequate drug supplies and fear for side effects were the main reasons why participants missed the iron supplements.ConclusionsThere was low adherence to iron supplements among mothers attending antenatal clinic at Mulago National Referral Hospital. We recommend a national evaluation of adherence to iron supplements and look at ways of increasing adherence.

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Section: Discussionmentioning

confidence: 99%

“…Non-compliance of 58% was depicted from a study done in Tanzania to assess adherence for the conventional iron supplements. Adherence of 42% was found for the conventional iron supplements [ 12 ]. With power of 80%, and desired level of precision of 5%, the minimum sample size estimated for the study was 374 participants.…”

Section: Methodsmentioning

confidence: 99%

Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study

et al. 2017

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“…In this study set-up, maternal age, number of children, religion, education level, and income did not determine either the days of supplementation or optimum supplementation. Many other studies have attempted to explain the other area-specific reasons for failures to adhere to the iron folate supplementation guidelines in different parts of the world (Dye et al, 2015;Galloway and McGuthrie, 1994;Bondarianzadeh et al, 1998;Taye et al, 2015;Wulff and Ekström, 2003). Knowledge on minimum recommended days of supplementation (90+ days) predicts optimum supplementation.…”

Section: Discussionmentioning

confidence: 99%

Predictors of optimum antenatal iron-folate supplementation in a low resource rural set-up in Eastern Kenya

Juma¹,

Oiye²,

Konyole³

2015

J. Public Health Epidemiol.

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There is depressed prevalence of the optimum iron-folate supplementation in Kenya and in other subSaharan Africa countries. The study was motivated by the paucity of area-specific data on predictors of optimum iron-folate supplementation. The aim of the study was to assess the maternal, knowledge and institutional factors that predict 90+ days (optimum) iron-folate supplementation among pregnant women in a rural set-up in Eastern Kenya. A descriptive cross-sectional study to collect quantitative data from 352 mothers of under-five years old children attending 7 health facilities in Kalama Division of Machakos constituency within Machakos County in lower Eastern Kenya. Using a standard questionnaire, mothers recalled the number of days they had ingested iron-folate supplements in their latest pregnancies. The overall prevalence of optimum supplementation (90+ days) during latest pregnancies was 18.3% and on average the study mothers were supplemented for ~38 days during the antenatal period. Mothers who visited antenatal care (ANC) for ≥4days (odd ratio 004-1.116). Those who were supplemented with a combined form of supplement were more likely to have more days of supplementation (p=0.004), but not optimum (OR: 1.125, 95% CI: 0.419-3.021) compared to those who used single iron and folate supplement. To increase the proportion of pregnant mothers taking iron-folate supplements for 90+ days in low resource rural set-ups, there should be intensified counselling/education on ANC attendance ≥ 4 times and on minimum number of days for optimum iron-folate supplementation. Use of tablets as opposed to syrup increases the likelihood for antenatal ingestion of iron-folate supplements for 90+ days in rural low-resource set-up.[

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“…After more than a decade of intervention, little progress has been made in reducing anemia levels, and the effectiveness of this approach is not evident. Reasons given by studies conducted in various countries have highlighted the difficult access to health facilities, lack of motivation of health service providers, and poor compliance with the recommended timing and frequency of taking iron supplements during pregnancy [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Impact of a Positive Deviance Approach to Improve the Effectiveness of an Iron-Supplementation Program to Control Nutritional Anemia among Rural Senegalese Pregnant Women

Ndiaye¹,

Siekmans²,

Haddad³

et al. 2009

Food Nutr Bull

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Low compliance with the iron supplementation program among pregnant women in the rural areas of Kerman district, I.R.Iran

Cited by 9 publications

References 11 publications

Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study

Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study

Predictors of optimum antenatal iron-folate supplementation in a low resource rural set-up in Eastern Kenya

Impact of a Positive Deviance Approach to Improve the Effectiveness of an Iron-Supplementation Program to Control Nutritional Anemia among Rural Senegalese Pregnant Women

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