Adherence Status and Associated Factors of Iron and Folic Acid Supplementation among Pregnant Women Attending Antenatal Care Service in Debre Markos Town, Northwest Ethiopia: Health Institution Based Cross sectional Study

Adherence Status and Associated Factors of Iron and Folic Acid Supplementation among Pregnant Women Attending Antenatal Care Service in Debre Markos Town, Northwest Ethiopia: Health Institution Based Cross sectional Study

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Title: Adherence Status and Associated Factors of Iron and Folic Acid Supplementation among Pregnant Women Attending Antenatal Care Service in Debre Markos Town, Northwest Ethiopia: Health Institution Based Cross sectional Study
Author: Berhanu, Abebaw; Dr.Yadeta, Dessie
Abstract: T Background: Iron and folic acid supplementation is the feasible and cost effective strategy to control and prevent anemia in pregnancy. In Ethiopia, the national data suggests that from all pregnant women supplemented with these tablets only 0.4% consumed more than 90 tablets during their pregnancy time. The factors for this low adherence are not clearly known. Objective: To assess adherence status and associated factors of iron and folic acid supplementation among pregnant women attending Antenatal care in public health facilities of Debre Markos town administration, Northwest Ethiopia from March 03- 23/ 2016. Method: Health institution based cross sectional study was conducted using both quantitative and qualitative methods on 395 pregnant women attending Antenatal care clinic in four public health facilities. Systematic random sampling method was used. An interview with pre tested structured questionnaire was carried out. Data was entered into Epi data version 3.3.1 and exported to Statistical Package for Social Science version 20.0 for analysis. Bivariate and multivariable Logistic regression with odds ratios along with the 95% confidence interval was computed and interpreted accordingly. A P-value <0.05 was declared as statistically significant. For qualitative data, 8 in depth interviews were conducted. The data was entered and analyzed using opencode software. Ethical clearance was obtained from Haramaya University College of Health and Medical Sciences Institutional Health Research Ethics Review Committee. Result: Totally 384 (for quantitative study) and 8 (for qualitative study using in-depth interviews) respondents were included in the analysis. The adherence rate was 55.5% (95%CI, 50.5%-60.4%). Factors significantly associated with adherence to Iron and folic acid supplementation were maternal educational status (AOR = 4.0, 95% CI=1.88 - 8.54), early registration for Antenatal care (AOR = 1.8, 95% CI=1.06 – 3.11), knowledge of Iron and folic acid supplementation (AOR = 2.1, 95% CI = 1.24 - 3.56), and history of anemia during current pregnancy (AOR= 7.9, 95% CI = 4.44 - 14.01). Forgetfulness and fear of side effects were the major reasons for missing the doses of tablets. Conclusion and Recommendations: Adherence rate is low. Thus, increasing knowledge of women about the supplementation through adequate counseling, community education and media would increase adherence.
Description: 69p.
URI: http://hdl.handle.net/123456789/3082
Date: 2016-04


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