Maternal Knowledge Associated with the Prevalence of Iron and Folic Acid Supplementation Among Pregnant Women in Muntinlupa, Philippines: A Cross-Sectional Study

Yamashita, Tadashi; Roces, Ramon Emilio Daniel; Ladines-Llave, Cecilia A.; Tuliao, Maria Teresa Reyes; Kamau, Mary Wanjira; Yamada, Chika; Tanaka, Yūko; Shimazawa, Kyoko; Iwamoto, Saori; Matsuo, Hiroya

doi:10.2147/ppa.s291939

Cited by 12 publications

(11 citation statements)

References 44 publications

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“…This current study was agreed with several studies carried out in Burji District 49 , West Dembia, Ethiopia 50 , Aykal town 30 , North Wollo zone 53 , Debre Tabor 52 , Debre Markos town 56 , Ethiopia 60 , 61 . Likewise, the current study supported studies conducted in SSA 63 , Kenya 65 , Nigeria 24 , Muntinlupa, and the Philippines 79 . Pregnant women who had good knowledge of iron supplementation might be more likely to receive information about iron supplements and understand education messages delivered via different media outlets.…”

Section: Discussionsupporting

confidence: 85%

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: Discussionsupporting

confidence: 85%

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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“…A cross-sectional study in Muntinlupa, Philippines, observed that the majority (85.6%) of pregnant women who took the IFA supplements were knowledgeable about the different aspects of IFA supplementation [ 32 ]. The RCT in Iran showed that the mean number of IFA tablets taken was 80.5 in the intervention group and 67.2 in the control group [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Health Information Package Program on Knowledge and Compliance among Pregnant Women with Anemia: A Randomized Controlled Trial

Elsharkawy

Abdelaziz

Ouda

et al. 2022

IJERPH

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Despite the availability of iron supplements during pregnancy for all pregnant women receiving antenatal care in Saudi Arabia, anemia remains to be a global public health concern leading to adverse maternal, fetal, and neonatal effects. We aimed to evaluate the effectiveness of the Health Information Package Program on the knowledge anemic pregnant women had about anemia, their compliance with iron and folic acid supplementation, and their hemoglobin levels. A single-blind randomized controlled trial was carried out in accordance with the Consolidated Standards of Reporting Trials (CONSORT) guidelines between January and May 2021. Pregnant women (n = 196) aged 18–45 years old and diagnosed with anemia during the first trimester of their pregnancy were randomly assigned into two groups: the intervention group (Health Information Package Program plus routine care, n = 98) and the control group (routine care only, n = 98). Knowledge, the ability to select appropriate food, and hemoglobin levels were assessed at baseline and after three months, while compliance with iron and folic acid supplementation was also measured at the end of three months. This study indicated that the post-education mean knowledge score, food selection ability score, compliance rate, and hemoglobin level were significantly higher for the intervention group than for the control group. The Health Information Package Program with regular follow-ups using the WhatsApp platform was an effective educational intervention for anemic pregnant women.

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“…In agreement with this and other previous studies (48,49) , the present study found that higher education and household SES were associated with supplement use, while greater gravidity, home delivery, household food insecurity and women of ethnic minority populations were less likely to use supplements. Poor adherence is a barrier to the effectiveness of micronutrient supplementation programmes, even in settings with high coverage (50) , and may be due to low awareness and knowledge and a lack of understanding of the benefits due to insufficient counselling of pregnant women (51)(52)(53) . Health providers should, therefore, be sufficiently trained to confidently deliver health promotion messages (45,54) and counsel women on the benefits of antenatal supplements to ensure better compliance throughout pregnancy and postpartum (55,56) .…”

Section: Discussionmentioning

confidence: 99%

Nutrition and health-seeking practices during pregnancy and lactation and potential strategies to increase micronutrient intakes among women in northern Lao PDR

Smith

Sitthideth²,

Tan

et al. 2022

J Nutr Sci

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Access to and utilisation of antenatal care (ANC) is important for optimising health and nutrition during pregnancy. This study aimed to assess adherence to and factors associated with ANC and antenatal supplement use among Laotian women, and consider culturally appropriate strategies to increase micronutrient intakes. Mother–child (aged 21 d to <18 months) dyads (n 699) enrolled in a hospital-based prospective cohort study with the community comparison group in Luang Prabang province were interviewed about their antenatal history, supplement use, household sociodemographic and dietary practices, including postpartum food avoidances. Ninety percent of women (mean age 24⋅7 ± 6⋅3 years) reported receiving ANC during their pregnancy, with the majority reporting four to seven contacts, while 84⋅6 and 17⋅3 % reported supplement use during pregnancy and lactation, respectively. Adequate ANC contacts (≥8) and supplement use was more likely among women with complete primary education and from higher socioeconomic status households, and less likely among women belonging to ethnic minority populations and those who delivered their child at home. All women continued to consume salt while adhering to postpartum food avoidances; however, 58⋅5 and 38⋅7 % of habitual consumers restricted fish and soy sauces, respectively. Eighty-six percent of women reported they would be willing to take supplements when adhering to postpartum dietary restrictions. Overall, women's reported ANC attendance and antenatal supplement use was suboptimal. Understanding predictors of and barriers to ANC and supplement use may help implement effective public health strategies to improve adherence. Alongside targeted supplementation, salt fortification with micronutrients may be a viable population-wide intervention that needs further evaluation.

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Maternal Knowledge Associated with the Prevalence of Iron and Folic Acid Supplementation Among Pregnant Women in Muntinlupa, Philippines: A Cross-Sectional Study

Cited by 12 publications

References 44 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

Effectiveness of Health Information Package Program on Knowledge and Compliance among Pregnant Women with Anemia: A Randomized Controlled Trial

Nutrition and health-seeking practices during pregnancy and lactation and potential strategies to increase micronutrient intakes among women in northern Lao PDR

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