Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis
Abstract Background Despite the supplementation of iron-folic acid is the recommended strategy during the antenatal period; iron deficiency anemia is the commonest hematologic complication during pregnancy. Therefore, this systematic review and meta-analysis aimed to assess the level of adherence to...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://link.springer.com/article/10.1186/s12884-020-2835-0 |
| _version_ | 1819058820338417664 |
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| author | Fikadu Waltengus Sendeku Getnet Gedefaw Azeze Selamawit Lake Fenta |
| author_facet | Fikadu Waltengus Sendeku Getnet Gedefaw Azeze Selamawit Lake Fenta |
| author_sort | Fikadu Waltengus Sendeku |
| collection | DOAJ |
| description | Abstract Background Despite the supplementation of iron-folic acid is the recommended strategy during the antenatal period; iron deficiency anemia is the commonest hematologic complication during pregnancy. Therefore, this systematic review and meta-analysis aimed to assess the level of adherence to iron-folic acid supplementation and its associated factors among pregnant women in Ethiopia. Methods Systematic review and meta-analysis guideline was followed for this study. Different online databases were used for the review: PubMed, HINARI, EMBASE, Google Scholar and African Journals Online. Different searching terms were applied based on the adapted PICO principles to achieve and access all the essential articles. The data were entered and analyzed using Microsoft Excel and Stata 11 software respectively. Results Fifteen studies were included in this systematic review and meta-analysis with a total of 5808 pregnant women. The overall pooled prevalence of adherence to iron-folic acid supplementation among pregnant women in Ethiopia was 41.38% (95% CI: 33.09, 49.67). Having secondary and above educational status of the women (AOR:2.68,95%CI:1.25, 5.74), having an early registration of antenatal care follow-up (≤16 weeks) (AOR:2.54,95%CI:1.99, 3.24), having anemia complication during current pregnancy (AOR:3.01,95%CI:1.88, 4.81), having good knowledge of iron-folic acid supplementation (AOR: 2.96, 95%CI:1.76, 4.99), having four times or more antenatal care follow up (AOR:3.66, 95%CI:2.81, 4.77), getting health education about benefit of iron and folic acid (AOR:2.62,95%CI:1.46,4.72), and having good knowledge about anemia (AOR:2.99,95%CI:2.32, 3.85) were associated risk factors for adherence to iron-folic acid supplementation. Conclusion The overall pooled prevalence adherence of IFAS among pregnant women was lower than the WHO recommendations. Educational status, early registration of ANC, anemia in the current pregnancy, good knowledge of IFAS, number of ANC visits, good knowledge of anemia and receiving health education about the benefit of IFAS were factors associated with the adherence of IFAS among pregnant women in Ethiopia. This finding is important to design strategic policies and to prevent anemia and congenital anomaly resulted from inadequate intake of iron and folic acid. |
| first_indexed | 2024-12-21T14:01:16Z |
| format | Article |
| id | doaj.art-773987a22715467d95ab6c85755b46ee |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-21T14:01:16Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-773987a22715467d95ab6c85755b46ee2022-12-21T19:01:21ZengBMCBMC Pregnancy and Childbirth1471-23932020-03-012011910.1186/s12884-020-2835-0Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysisFikadu Waltengus Sendeku0Getnet Gedefaw Azeze1Selamawit Lake Fenta2Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar UniversityDepartment of Midwifery, College of Health Sciences, Woldia UniversityDepartment of Midwifery, College of Medicine and Health Sciences, Bahir Dar UniversityAbstract Background Despite the supplementation of iron-folic acid is the recommended strategy during the antenatal period; iron deficiency anemia is the commonest hematologic complication during pregnancy. Therefore, this systematic review and meta-analysis aimed to assess the level of adherence to iron-folic acid supplementation and its associated factors among pregnant women in Ethiopia. Methods Systematic review and meta-analysis guideline was followed for this study. Different online databases were used for the review: PubMed, HINARI, EMBASE, Google Scholar and African Journals Online. Different searching terms were applied based on the adapted PICO principles to achieve and access all the essential articles. The data were entered and analyzed using Microsoft Excel and Stata 11 software respectively. Results Fifteen studies were included in this systematic review and meta-analysis with a total of 5808 pregnant women. The overall pooled prevalence of adherence to iron-folic acid supplementation among pregnant women in Ethiopia was 41.38% (95% CI: 33.09, 49.67). Having secondary and above educational status of the women (AOR:2.68,95%CI:1.25, 5.74), having an early registration of antenatal care follow-up (≤16 weeks) (AOR:2.54,95%CI:1.99, 3.24), having anemia complication during current pregnancy (AOR:3.01,95%CI:1.88, 4.81), having good knowledge of iron-folic acid supplementation (AOR: 2.96, 95%CI:1.76, 4.99), having four times or more antenatal care follow up (AOR:3.66, 95%CI:2.81, 4.77), getting health education about benefit of iron and folic acid (AOR:2.62,95%CI:1.46,4.72), and having good knowledge about anemia (AOR:2.99,95%CI:2.32, 3.85) were associated risk factors for adherence to iron-folic acid supplementation. Conclusion The overall pooled prevalence adherence of IFAS among pregnant women was lower than the WHO recommendations. Educational status, early registration of ANC, anemia in the current pregnancy, good knowledge of IFAS, number of ANC visits, good knowledge of anemia and receiving health education about the benefit of IFAS were factors associated with the adherence of IFAS among pregnant women in Ethiopia. This finding is important to design strategic policies and to prevent anemia and congenital anomaly resulted from inadequate intake of iron and folic acid.http://link.springer.com/article/10.1186/s12884-020-2835-0Iron-folic acid adherencePregnant womenSystematic reviewMeta-analysisEthiopia |
| spellingShingle | Fikadu Waltengus Sendeku Getnet Gedefaw Azeze Selamawit Lake Fenta Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis BMC Pregnancy and Childbirth Iron-folic acid adherence Pregnant women Systematic review Meta-analysis Ethiopia |
| title | Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis |
| title_full | Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis |
| title_short | Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis |
| title_sort | adherence to iron folic acid supplementation among pregnant women in ethiopia a systematic review and meta analysis |
| topic | Iron-folic acid adherence Pregnant women Systematic review Meta-analysis Ethiopia |
| url | http://link.springer.com/article/10.1186/s12884-020-2835-0 |
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