Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data
BackgroundIron and folic acid deficiency is a worldwide public health concern, particularly in low and middle-income countries. In Ethiopia, adherence to iron and folic acid supplements is still very low. Despite the fact that a number of studies on IFA supplementation have been conducted in Ethiopi...
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| Format: | Article |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2024.1348275/full |
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| author | Habtamu Temesgen Habtamu Temesgen Wubetu Woyraw Wubetu Woyraw Fentaw Wassie Feleke Fentaw Wassie Feleke Getachew Sale Mezgebu Kefyalew Taye Kefyalew Taye Tadesse Awoke |
| author_facet | Habtamu Temesgen Habtamu Temesgen Wubetu Woyraw Wubetu Woyraw Fentaw Wassie Feleke Fentaw Wassie Feleke Getachew Sale Mezgebu Kefyalew Taye Kefyalew Taye Tadesse Awoke |
| author_sort | Habtamu Temesgen |
| collection | DOAJ |
| description | BackgroundIron and folic acid deficiency is a worldwide public health concern, particularly in low and middle-income countries. In Ethiopia, adherence to iron and folic acid supplements is still very low. Despite the fact that a number of studies on IFA supplementation have been conducted in Ethiopia, they do not indicate a nationwide problem and do not use advanced models to demonstrate clustering effects. The purpose of this study was to assess the level of non-adherence to iron folic acid supplementation and predictors among pregnant women in Ethiopia.ObjectiveTo assess iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia using data from the 2019 Mini-Ethiopian demographic health survey.MethodsThe Mini Ethiopian Demographic and Health Survey 2019 data were obtained from the official database website of the Demographic and Health Survey program (http://dhsprogram.com). The analysis included a sample of 2,356 weighted study participants. A multivariable multilevel mixed-effects logistic regression model was used Variables with p-values less than 5%) was reported as statistically significant variables in the multivariable analysis.ResultsThe proportion of mothers who did not adhere to iron and folic acid supplements was 81.03% (95 %CI, 79.39, and 82.56). Birth interval less than 2 years [AOR: 2.03; 95% CI: 1.12, 3.66], women ever born less than six children [AOR: 1.99; 95% CI: 1.09, 3.64], starting ANC visit during first trimester [AOR: 2.74; 95 %CI: 1.03, 7.30], region [AOR = 0.24; 95% CI: 0.10], and having a high no ANC visit in the community [AOR = 1.77; 95% CI: 1.08, 2.88] were statistically significant factors. There was Intra-Custer Correlation (ICC = 17.72%), indicating that 17.72% variability in non-adherence levels was due to clusters.Conclusion and recommendationIn Ethiopia, nearly four out of every five pregnant women did not receive iron folic acid supplementation for the recommended periods. Birth intervals, number of children, timing of ANC visits, region, and community level no ANC service were significant factors for non-adherence IFAS. As a result, the community, govern metal and non-governmental sectors enacting on health should focus on reducing non-adherence through tailored interventions on factors that influence it. |
| first_indexed | 2024-03-08T00:24:16Z |
| format | Article |
| id | doaj.art-dbc1e296c9ff401595ce78a18d4a6157 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-08T00:24:16Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-dbc1e296c9ff401595ce78a18d4a61572024-02-16T04:18:51ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-02-011110.3389/fnut.2024.13482751348275Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey dataHabtamu Temesgen0Habtamu Temesgen1Wubetu Woyraw2Wubetu Woyraw3Fentaw Wassie Feleke4Fentaw Wassie Feleke5Getachew Sale Mezgebu6Kefyalew Taye7Kefyalew Taye8Tadesse Awoke9Department of Nutrition, College of Health Science, Debre Markos University, Debre Marqos, EthiopiaSchool of Human Nutrition, College of Agriculture, Hawassa University, Hawassa, EthiopiaDepartment of Nutrition, College of Health Science, Debre Markos University, Debre Marqos, EthiopiaSchool of Human Nutrition, College of Agriculture, Hawassa University, Hawassa, EthiopiaSchool of Human Nutrition, College of Agriculture, Hawassa University, Hawassa, EthiopiaDepartment of Public Health, College of Health Science, Woldia University, Woldia, EthiopiaSchool of Human Nutrition, College of Agriculture, Hawassa University, Hawassa, EthiopiaSchool of Human Nutrition, College of Agriculture, Hawassa University, Hawassa, EthiopiaDepartment of Public Health, College of Health Science, Ambo University, Ambo, EthiopiaInstitute of Public Health, College of Health Science, University of Gondar, Gondar, EthiopiaBackgroundIron and folic acid deficiency is a worldwide public health concern, particularly in low and middle-income countries. In Ethiopia, adherence to iron and folic acid supplements is still very low. Despite the fact that a number of studies on IFA supplementation have been conducted in Ethiopia, they do not indicate a nationwide problem and do not use advanced models to demonstrate clustering effects. The purpose of this study was to assess the level of non-adherence to iron folic acid supplementation and predictors among pregnant women in Ethiopia.ObjectiveTo assess iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia using data from the 2019 Mini-Ethiopian demographic health survey.MethodsThe Mini Ethiopian Demographic and Health Survey 2019 data were obtained from the official database website of the Demographic and Health Survey program (http://dhsprogram.com). The analysis included a sample of 2,356 weighted study participants. A multivariable multilevel mixed-effects logistic regression model was used Variables with p-values less than 5%) was reported as statistically significant variables in the multivariable analysis.ResultsThe proportion of mothers who did not adhere to iron and folic acid supplements was 81.03% (95 %CI, 79.39, and 82.56). Birth interval less than 2 years [AOR: 2.03; 95% CI: 1.12, 3.66], women ever born less than six children [AOR: 1.99; 95% CI: 1.09, 3.64], starting ANC visit during first trimester [AOR: 2.74; 95 %CI: 1.03, 7.30], region [AOR = 0.24; 95% CI: 0.10], and having a high no ANC visit in the community [AOR = 1.77; 95% CI: 1.08, 2.88] were statistically significant factors. There was Intra-Custer Correlation (ICC = 17.72%), indicating that 17.72% variability in non-adherence levels was due to clusters.Conclusion and recommendationIn Ethiopia, nearly four out of every five pregnant women did not receive iron folic acid supplementation for the recommended periods. Birth intervals, number of children, timing of ANC visits, region, and community level no ANC service were significant factors for non-adherence IFAS. As a result, the community, govern metal and non-governmental sectors enacting on health should focus on reducing non-adherence through tailored interventions on factors that influence it.https://www.frontiersin.org/articles/10.3389/fnut.2024.1348275/fullnon-adherenceiron folic acid supplementationMini-EDHS 2019womenEthiopia |
| spellingShingle | Habtamu Temesgen Habtamu Temesgen Wubetu Woyraw Wubetu Woyraw Fentaw Wassie Feleke Fentaw Wassie Feleke Getachew Sale Mezgebu Kefyalew Taye Kefyalew Taye Tadesse Awoke Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data Frontiers in Nutrition non-adherence iron folic acid supplementation Mini-EDHS 2019 women Ethiopia |
| title | Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data |
| title_full | Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data |
| title_fullStr | Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data |
| title_full_unstemmed | Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data |
| title_short | Iron folic acid supplementation adherence level and its associated factors among pregnant women in Ethiopia: a multilevel complex data analysis of 2019 Ethiopian mini demographic and health survey data |
| title_sort | iron folic acid supplementation adherence level and its associated factors among pregnant women in ethiopia a multilevel complex data analysis of 2019 ethiopian mini demographic and health survey data |
| topic | non-adherence iron folic acid supplementation Mini-EDHS 2019 women Ethiopia |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2024.1348275/full |
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