Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study
Background: Iron-deficiency anemia in pregnancy is a major public health problem despite the efforts taken by the Ministry of Health and Family Welfare for the past five decades. Adherence to iron and folic acid supplementation (IFAS) is the key factor for the prevention and management of nutrition...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=10;spage=5205;epage=5211;aulast=Lavanya |
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| author | P Lavanya R Jayalakshmy Sathish Rajaa T Mahalakshmy |
| author_facet | P Lavanya R Jayalakshmy Sathish Rajaa T Mahalakshmy |
| author_sort | P Lavanya |
| collection | DOAJ |
| description | Background: Iron-deficiency anemia in pregnancy is a major public health problem despite the efforts taken by the Ministry of Health and Family Welfare for the past five decades. Adherence to iron and folic acid supplementation (IFAS) is the key factor for the prevention and management of nutrition anemia. Aim: The aim of this study was to assess the adherence to its associated factors and to explore the reasons for the non-adherenc among pregnant women attending a tertiary care center. Materials and Methods: It is an explanatory mixed-methods design (quantitative cross-sectional analytical design and qualitative descriptive design). Statistical Analysis Used: Results presented as proportion with 95% confidence interval (CI). Chi-square test was done to assess the association of the factors to adherence. Qualitative data were transcribed verbatim, translated to English, and analyzed by manual content analysis. Results: A total of 340 pregnant women were included, and the adherence to IFAS among the antenatal mothers was 63.8 (95% CI [58.61–68.6]). The factors associated with adherence to IFAS (prevalence ratio with 95% CI) were primigravida status [1.22 [1.02–1.45]), nonanemic in the first trimester (1.27 [1.09–1.49]), and absence of side effects (3.16 [1.95–5.12]). Conceptual framework was constructed using the emerging themes: (i) knowledge-related factors, (ii) behavior-related factors, and (iii) facilitating factors. Conclusion: About three-fourth of the participants were adherent to IFAS. Compliance is directly influenced by the gravida status, anemic status, and absence of side effects. Based on qualitative results, measures to improve palatability and the quality of IFAS are recommended. |
| first_indexed | 2024-12-12T07:12:03Z |
| format | Article |
| id | doaj.art-34c984439a324279b7fa67344c009c9d |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-12T07:12:03Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-34c984439a324279b7fa67344c009c9d2022-12-22T00:33:36ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019105205521110.4103/jfmpc.jfmpc_721_20Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods studyP LavanyaR JayalakshmySathish RajaaT MahalakshmyBackground: Iron-deficiency anemia in pregnancy is a major public health problem despite the efforts taken by the Ministry of Health and Family Welfare for the past five decades. Adherence to iron and folic acid supplementation (IFAS) is the key factor for the prevention and management of nutrition anemia. Aim: The aim of this study was to assess the adherence to its associated factors and to explore the reasons for the non-adherenc among pregnant women attending a tertiary care center. Materials and Methods: It is an explanatory mixed-methods design (quantitative cross-sectional analytical design and qualitative descriptive design). Statistical Analysis Used: Results presented as proportion with 95% confidence interval (CI). Chi-square test was done to assess the association of the factors to adherence. Qualitative data were transcribed verbatim, translated to English, and analyzed by manual content analysis. Results: A total of 340 pregnant women were included, and the adherence to IFAS among the antenatal mothers was 63.8 (95% CI [58.61–68.6]). The factors associated with adherence to IFAS (prevalence ratio with 95% CI) were primigravida status [1.22 [1.02–1.45]), nonanemic in the first trimester (1.27 [1.09–1.49]), and absence of side effects (3.16 [1.95–5.12]). Conceptual framework was constructed using the emerging themes: (i) knowledge-related factors, (ii) behavior-related factors, and (iii) facilitating factors. Conclusion: About three-fourth of the participants were adherent to IFAS. Compliance is directly influenced by the gravida status, anemic status, and absence of side effects. Based on qualitative results, measures to improve palatability and the quality of IFAS are recommended.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=10;spage=5205;epage=5211;aulast=Lavanyaantenatal carecomplianceiron and folic acid tabletspregnancy |
| spellingShingle | P Lavanya R Jayalakshmy Sathish Rajaa T Mahalakshmy Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study Journal of Family Medicine and Primary Care antenatal care compliance iron and folic acid tablets pregnancy |
| title | Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study |
| title_full | Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study |
| title_fullStr | Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study |
| title_full_unstemmed | Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study |
| title_short | Adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center, Puducherry: A mixed-methods study |
| title_sort | adherence to iron and folic acid supplementation among antenatal mothers attending a tertiary care center puducherry a mixed methods study |
| topic | antenatal care compliance iron and folic acid tablets pregnancy |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=10;spage=5205;epage=5211;aulast=Lavanya |
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