Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana
Background This study assessed self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Northern Ghana. Methods This was a health facility-based cross-sectional design. A total of 389 pregnant women att...
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| Format: | Article |
| Language: | English |
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World Public Health Nutrition Association
2023-06-01
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| Series: | World Nutrition |
| Subjects: | |
| Online Access: | https://wphna.org/worldnutritionjournal/index.php/wn/article/view/917 |
| _version_ | 1797790912195067904 |
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| author | Matthew Yosah Konlan, MPH Hilarius A. K. Abiwu Martin Nyaaba Adokiya, PhD |
| author_facet | Matthew Yosah Konlan, MPH Hilarius A. K. Abiwu Martin Nyaaba Adokiya, PhD |
| author_sort | Matthew Yosah Konlan, MPH |
| collection | DOAJ |
| description |
Background
This study assessed self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Northern Ghana.
Methods
This was a health facility-based cross-sectional design. A total of 389 pregnant women attending antenatal care (ANC) were consented and recruited to participate in the study, using systematic sampling. Data were collected using a questionnaire on socio-demographic characteristics, obstetric factors, iron-folic acid (IFA) supplements, and adherence (self-reported). Respondents who consumed ≥70% (5/7 per week) of IFA tablets were considered to be adherent and vice-versa. Logistic regression models were used to determine factors associated with IFA adherence.
Results
IFA adherence was 41% among the respondents. Using multivariate logistic regression, secondary education [AOR=1.37, (95% CI= 1.18-1.82)], having ≥4 ANC visits [AOR=1.44, (95% CI= 1.28-1.67)], urban residence [AOR=1.59, (95% CI= 1.36-1.97)] and receiving IFA supplements at a health facility [AOR=1.98, (95% CI=1.02-3.83)] were associated with higher IFA adherence.
Conclusion
Iron-folic acid adherence was low (41%). Education, residence, ANC visits and supply of IFA supplements at the health facility attended were associated with IFA adherence. Barriers to IFA adherence were mainly forgetfulness, unavailability of IFA, and perceived side effects.
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| first_indexed | 2024-03-13T02:11:16Z |
| format | Article |
| id | doaj.art-a31f08cd8dfe4ad38fe0fa49d87e4d2a |
| institution | Directory Open Access Journal |
| issn | 2041-9775 |
| language | English |
| last_indexed | 2024-03-13T02:11:16Z |
| publishDate | 2023-06-01 |
| publisher | World Public Health Nutrition Association |
| record_format | Article |
| series | World Nutrition |
| spelling | doaj.art-a31f08cd8dfe4ad38fe0fa49d87e4d2a2023-07-01T01:54:30ZengWorld Public Health Nutrition AssociationWorld Nutrition2041-97752023-06-0114210.26596/wn.202314242-50Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, GhanaMatthew Yosah Konlan, MPH0Hilarius A. K. AbiwuMartin Nyaaba Adokiya, PhD1Department of Public Health, Northern Regional Health Directorate, Ghana Health ServiceDepartment of Epidemiology, Biostatistics and Disease Control, School of Public Health, University for Development Studies Background This study assessed self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Northern Ghana. Methods This was a health facility-based cross-sectional design. A total of 389 pregnant women attending antenatal care (ANC) were consented and recruited to participate in the study, using systematic sampling. Data were collected using a questionnaire on socio-demographic characteristics, obstetric factors, iron-folic acid (IFA) supplements, and adherence (self-reported). Respondents who consumed ≥70% (5/7 per week) of IFA tablets were considered to be adherent and vice-versa. Logistic regression models were used to determine factors associated with IFA adherence. Results IFA adherence was 41% among the respondents. Using multivariate logistic regression, secondary education [AOR=1.37, (95% CI= 1.18-1.82)], having ≥4 ANC visits [AOR=1.44, (95% CI= 1.28-1.67)], urban residence [AOR=1.59, (95% CI= 1.36-1.97)] and receiving IFA supplements at a health facility [AOR=1.98, (95% CI=1.02-3.83)] were associated with higher IFA adherence. Conclusion Iron-folic acid adherence was low (41%). Education, residence, ANC visits and supply of IFA supplements at the health facility attended were associated with IFA adherence. Barriers to IFA adherence were mainly forgetfulness, unavailability of IFA, and perceived side effects. https://wphna.org/worldnutritionjournal/index.php/wn/article/view/917Ghananorthern Ghanairon-folic acid supplementationpregnant womenanemiaadherence |
| spellingShingle | Matthew Yosah Konlan, MPH Hilarius A. K. Abiwu Martin Nyaaba Adokiya, PhD Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana World Nutrition Ghana northern Ghana iron-folic acid supplementation pregnant women anemia adherence |
| title | Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana |
| title_full | Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana |
| title_fullStr | Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana |
| title_full_unstemmed | Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana |
| title_short | Self-reported adherence to iron-folic acid supplementation and its associated factors among pregnant women attending antenatal care in Tamale Metropolis, Ghana |
| title_sort | self reported adherence to iron folic acid supplementation and its associated factors among pregnant women attending antenatal care in tamale metropolis ghana |
| topic | Ghana northern Ghana iron-folic acid supplementation pregnant women anemia adherence |
| url | https://wphna.org/worldnutritionjournal/index.php/wn/article/view/917 |
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