Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study
Background: Iron folic-acid deficiency anemia among pregnant women is a common public health problem in developing countries, particularly in low-income countries, and is associated with serious adverse health outcomes. Objective: This study aimed to determine the level of Iron-Folic Acid Supplement...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | International Journal of Africa Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221413912300001X |
| _version_ | 1797804618846044160 |
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| author | Abdela Edeo Berarti Meless Gebrie Bereket Beyene |
| author_facet | Abdela Edeo Berarti Meless Gebrie Bereket Beyene |
| author_sort | Abdela Edeo Berarti |
| collection | DOAJ |
| description | Background: Iron folic-acid deficiency anemia among pregnant women is a common public health problem in developing countries, particularly in low-income countries, and is associated with serious adverse health outcomes. Objective: This study aimed to determine the level of Iron-Folic Acid Supplementation (IFAS) adherence and associated factors among pregnant women in Sire District, Ethiopia. Methods: A facility-based study was conducted among randomly selected 345 pregnant women in Sire District. A structured and pre-tested interviewer-administered questionnaire was used to collect the data. EPI INFO7 was used to enter the data and export it to SPSS Version-21.0 for analysis. An AOR with a 95%CI was used to display the level of significance with a p-value of less than 0.05. Result: The overall adherence rate was 59.4%. Maternal information access [AOR = 2.49, 95%CI (1.21, 5.13)], knowledge on IFAS [AOR = 2.94, 95%CI (1.86, 4.62)], knowledge of anemia prevention [AOR = 2.56, 95%CI (1.40, 4.68)], medical advice during antenatal care [AOR = 10.7, 95%CI (2.33, 48.9)], anemia history [AOR = 15.2, 95%CI (8.69, 26.5)], and currently diagnosed anemia [AOR = 5.33, 95%CI (2.98, 9.57) had positively significant association. Whereas, having children [AOR = 0.57, 95%CI = (0.21, 0.70)] and awareness about iron-folic acid supplementation prevent low birth weight [AOR = 0.34, 95%CI = (0.19, 0.60)] had negatively significant association. Conclusion and Recommendation: The overall adherence was lower than WHO recommendations. Therefore, health workers regularly provide information for all antenatal care users about iron-folic acid supplementation and its adherence to preventing anemia and its consequence. MOH mobilizes the community for timely initiation and delivers comprehensive nutrition education to enhance adherence. |
| first_indexed | 2024-03-13T05:39:54Z |
| format | Article |
| id | doaj.art-c4d4c5ab0e77469fb8787957e3a11f14 |
| institution | Directory Open Access Journal |
| issn | 2214-1391 |
| language | English |
| last_indexed | 2024-03-13T05:39:54Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Africa Nursing Sciences |
| spelling | doaj.art-c4d4c5ab0e77469fb8787957e3a11f142023-06-14T04:33:10ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912023-01-0118100526Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional studyAbdela Edeo Berarti0Meless Gebrie1Bereket Beyene2Save the Children Ethiopia, Oromia Region Sub-Office, Adama, EthiopiaHawassa University, College of Medicine and Health Sciences, School of Nursing, P.O. Box 1560, Hawassa, Ethiopia; Corresponding author.Hawassa University, College of Medicine and Health Sciences, School of Nursing, P.O. Box 1560, Hawassa, EthiopiaBackground: Iron folic-acid deficiency anemia among pregnant women is a common public health problem in developing countries, particularly in low-income countries, and is associated with serious adverse health outcomes. Objective: This study aimed to determine the level of Iron-Folic Acid Supplementation (IFAS) adherence and associated factors among pregnant women in Sire District, Ethiopia. Methods: A facility-based study was conducted among randomly selected 345 pregnant women in Sire District. A structured and pre-tested interviewer-administered questionnaire was used to collect the data. EPI INFO7 was used to enter the data and export it to SPSS Version-21.0 for analysis. An AOR with a 95%CI was used to display the level of significance with a p-value of less than 0.05. Result: The overall adherence rate was 59.4%. Maternal information access [AOR = 2.49, 95%CI (1.21, 5.13)], knowledge on IFAS [AOR = 2.94, 95%CI (1.86, 4.62)], knowledge of anemia prevention [AOR = 2.56, 95%CI (1.40, 4.68)], medical advice during antenatal care [AOR = 10.7, 95%CI (2.33, 48.9)], anemia history [AOR = 15.2, 95%CI (8.69, 26.5)], and currently diagnosed anemia [AOR = 5.33, 95%CI (2.98, 9.57) had positively significant association. Whereas, having children [AOR = 0.57, 95%CI = (0.21, 0.70)] and awareness about iron-folic acid supplementation prevent low birth weight [AOR = 0.34, 95%CI = (0.19, 0.60)] had negatively significant association. Conclusion and Recommendation: The overall adherence was lower than WHO recommendations. Therefore, health workers regularly provide information for all antenatal care users about iron-folic acid supplementation and its adherence to preventing anemia and its consequence. MOH mobilizes the community for timely initiation and delivers comprehensive nutrition education to enhance adherence.http://www.sciencedirect.com/science/article/pii/S221413912300001XPregnant womenAdherenceIron Folic Acid Supplementation |
| spellingShingle | Abdela Edeo Berarti Meless Gebrie Bereket Beyene Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study International Journal of Africa Nursing Sciences Pregnant women Adherence Iron Folic Acid Supplementation |
| title | Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study |
| title_full | Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study |
| title_fullStr | Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study |
| title_full_unstemmed | Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study |
| title_short | Adherence to iron folic acid supplementation and associated factors among antenatal CARE attending women in Sire district primary health care units, South-East Ethiopia: A facility based cross-sectional study |
| title_sort | adherence to iron folic acid supplementation and associated factors among antenatal care attending women in sire district primary health care units south east ethiopia a facility based cross sectional study |
| topic | Pregnant women Adherence Iron Folic Acid Supplementation |
| url | http://www.sciencedirect.com/science/article/pii/S221413912300001X |
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