Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy

Micronutrient deficiencies are widespread among pregnant women in low- and middle-income countries (LMIC) and lead to potentially adverse effects for mother and baby. In Bangladesh, maternal malnutrition remains a severe problem, with high rates of anemia (49.6% of pregnant women and 47.8% of lactat...

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Main Authors: Klaus Kraemer, Kalpana Beesabathuni, Sufia Askari, Rudaba Khondker, Toslim Uddin Khan, Moshiur Rahman, Sarah Gibson, Rowena Merritt, Madhavika Bajoria, Srujith Lingala, Moniruzzaman Bipul, Puja Peyden Tshering
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Healthcare
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Online Access:https://www.mdpi.com/2227-9032/11/5/713
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author Klaus Kraemer
Kalpana Beesabathuni
Sufia Askari
Rudaba Khondker
Toslim Uddin Khan
Moshiur Rahman
Sarah Gibson
Rowena Merritt
Madhavika Bajoria
Srujith Lingala
Moniruzzaman Bipul
Puja Peyden Tshering
author_facet Klaus Kraemer
Kalpana Beesabathuni
Sufia Askari
Rudaba Khondker
Toslim Uddin Khan
Moshiur Rahman
Sarah Gibson
Rowena Merritt
Madhavika Bajoria
Srujith Lingala
Moniruzzaman Bipul
Puja Peyden Tshering
author_sort Klaus Kraemer
collection DOAJ
description Micronutrient deficiencies are widespread among pregnant women in low- and middle-income countries (LMIC) and lead to potentially adverse effects for mother and baby. In Bangladesh, maternal malnutrition remains a severe problem, with high rates of anemia (49.6% of pregnant women and 47.8% of lactating women are anemic) and other nutritional deficiencies. A Knowledge, Attitudes, and Practices (KAP) study was conducted to assess Bangladeshi pregnant women’s perceptions and related behaviors, as well as awareness and knowledge among pharmacists and healthcare professionals concerning prenatal multivitamin supplements. This was done in both rural and urban areas across Bangladesh. A total of 732 quantitative interviews were conducted (330 with providers and 402 with pregnant women, with an equal split between urban and rural areas for both sets of audiences; 200 women were users of prenatal multivitamin supplements, while 202 women were aware non-users). The study identified a few findings that can guide further research or market-based interventions to reduce micronutrient deficiencies. These include most pregnant women not knowing the right time to start multivitamin supplements (56.0%, [<i>n</i> = 225], stating that a woman should start taking supplements ‘after the first trimester’), not knowing their benefits, and how they help both the mother and baby–only 29.5% [<i>n</i> = 59] stated that they believed the supplements helped their baby to grow well). Further, barriers to taking the supplements include women believing a nutritious diet is a substitute (88.7% [<i>n</i> = 293]), and a perceived lack of support from other family members (21.8%, [<i>n</i> = 72]). This suggests that there is a need for further awareness-raising among all pregnant women, their family members, and providers.
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spelling doaj.art-543d671fa4364fd3a4e5af8b9de44a4f2023-11-17T07:43:33ZengMDPI AGHealthcare2227-90322023-02-0111571310.3390/healthcare11050713Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during PregnancyKlaus Kraemer0Kalpana Beesabathuni1Sufia Askari2Rudaba Khondker3Toslim Uddin Khan4Moshiur Rahman5Sarah Gibson6Rowena Merritt7Madhavika Bajoria8Srujith Lingala9Moniruzzaman Bipul10Puja Peyden Tshering11Sight and Life, P.O. Box 2116, 4002 Basel, SwitzerlandSight and Life, P.O. Box 2116, 4002 Basel, SwitzerlandSight and Life, P.O. Box 2116, 4002 Basel, SwitzerlandGlobal Alliance for Improved Nutrition (GAIN), P.O. Box 55, 1211 Geneva, SwitzerlandSocial Marketing Company, Dhaka 1213, BangladeshSocial Marketing Company, Dhaka 1213, BangladeshChild Investment Fund Foundation, London W1S 2FT, UKCenter for Health Services Studies, University of Kent, Canterbury CT2 7NZ, UKAVPN, Singapore 079025, SingaporeSight and Life, P.O. Box 2116, 4002 Basel, SwitzerlandGlobal Alliance for Improved Nutrition (GAIN), P.O. Box 55, 1211 Geneva, SwitzerlandSight and Life, P.O. Box 2116, 4002 Basel, SwitzerlandMicronutrient deficiencies are widespread among pregnant women in low- and middle-income countries (LMIC) and lead to potentially adverse effects for mother and baby. In Bangladesh, maternal malnutrition remains a severe problem, with high rates of anemia (49.6% of pregnant women and 47.8% of lactating women are anemic) and other nutritional deficiencies. A Knowledge, Attitudes, and Practices (KAP) study was conducted to assess Bangladeshi pregnant women’s perceptions and related behaviors, as well as awareness and knowledge among pharmacists and healthcare professionals concerning prenatal multivitamin supplements. This was done in both rural and urban areas across Bangladesh. A total of 732 quantitative interviews were conducted (330 with providers and 402 with pregnant women, with an equal split between urban and rural areas for both sets of audiences; 200 women were users of prenatal multivitamin supplements, while 202 women were aware non-users). The study identified a few findings that can guide further research or market-based interventions to reduce micronutrient deficiencies. These include most pregnant women not knowing the right time to start multivitamin supplements (56.0%, [<i>n</i> = 225], stating that a woman should start taking supplements ‘after the first trimester’), not knowing their benefits, and how they help both the mother and baby–only 29.5% [<i>n</i> = 59] stated that they believed the supplements helped their baby to grow well). Further, barriers to taking the supplements include women believing a nutritious diet is a substitute (88.7% [<i>n</i> = 293]), and a perceived lack of support from other family members (21.8%, [<i>n</i> = 72]). This suggests that there is a need for further awareness-raising among all pregnant women, their family members, and providers.https://www.mdpi.com/2227-9032/11/5/713pregnancymicronutrient deficienciesprenatal multivitamin supplementsmultiple micronutrient supplements (MMS)consumer research
spellingShingle Klaus Kraemer
Kalpana Beesabathuni
Sufia Askari
Rudaba Khondker
Toslim Uddin Khan
Moshiur Rahman
Sarah Gibson
Rowena Merritt
Madhavika Bajoria
Srujith Lingala
Moniruzzaman Bipul
Puja Peyden Tshering
Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
Healthcare
pregnancy
micronutrient deficiencies
prenatal multivitamin supplements
multiple micronutrient supplements (MMS)
consumer research
title Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
title_full Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
title_fullStr Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
title_full_unstemmed Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
title_short Knowledge, Attitudes and Practices of Pregnant Women and Healthcare Providers in Bangladesh regarding Multivitamin Supplements during Pregnancy
title_sort knowledge attitudes and practices of pregnant women and healthcare providers in bangladesh regarding multivitamin supplements during pregnancy
topic pregnancy
micronutrient deficiencies
prenatal multivitamin supplements
multiple micronutrient supplements (MMS)
consumer research
url https://www.mdpi.com/2227-9032/11/5/713
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