Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia

Suleyiman Hassen Ali; Ziyad Ahmed Abdo

doi:doi:10.11648/j.ajhr.20221002.11

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Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia

Suleyiman Hassen Ali, Ziyad Ahmed Abdo

Published in American Journal of Health Research (Volume 10, Issue 2)

Received: 4 January 2022 Accepted: 1 March 2022 Published: 11 March 2022

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Abstract

Background: Iron deficiency is the leading and single nutrient deficiency in the world affecting over 30% of the world’s population particularly in developing countries. Pregnant women are at high risk of iron deficiency due to increased nutrient requirements during pregnancy. In Ethiopia, only 0.4% of pregnant women take Iron supplements more than 90 days of the recommended 180 days. The factors for this low adherence are not clearly known. Objective: To assess the level of adherence and factors associated with iron-folic acid supplementation among pregnant women attending antenatal service of selected health facilities in Borena South Wollo, Amhara region, Ethiopia. Methodology: Institution-based cross-sectional study design was used to conduct the study. About 340 pregnant women attended health centers in Borena, South Wollo, Amhara region, Ethiopia was included in the study by using a systematic random sampling technique. Data were entered into Epi info version-7 and exported to SPSS version 25 for analysis. Logistic regression was employed to identify the predictor variables. Statistical significance was considered at P<0.05 with an adjusted odds ratio calculated at 95% CI. Result: The overall adherence to iron folate supplement was 45.6%. Husbands educational level [AOR=1.95; 95% CI: 1.07-3.57], history of abortion [AOR=0.162; 95% CI: 0.050-0.53], having diseases diagnosed other than anemia [AOR=0.476; 95% CI: 0.284-0.798], taking of IFA in months [AOR=2.81; 95% CI: 1.365-5.786] and encouragement to take IFA [AOR=0.125; 95% CI: 0.037-0.418] were significantly associated with adherence to iron folate acid supplementation. Conclusion: Adherence to IFA supplement utilization was low in the study area. Provision of health education to pregnant mothers and the community on anemia and the importance of IFA during pregnancy through adequate counseling, community education, and media would increase adherence.

Published in	American Journal of Health Research (Volume 10, Issue 2)
DOI	10.11648/j.ajhr.20221002.11
Page(s)	24-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Adherence, Iron/Folic Acid, Pregnant Women, Borena, Ethiopia

References

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APA Style

Suleyiman Hassen Ali, Ziyad Ahmed Abdo. (2022). Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. American Journal of Health Research, 10(2), 24-32. https://doi.org/10.11648/j.ajhr.20221002.11

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ACS Style

Suleyiman Hassen Ali; Ziyad Ahmed Abdo. Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. Am. J. Health Res. 2022, 10(2), 24-32. doi: 10.11648/j.ajhr.20221002.11

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AMA Style

Suleyiman Hassen Ali, Ziyad Ahmed Abdo. Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. Am J Health Res. 2022;10(2):24-32. doi: 10.11648/j.ajhr.20221002.11

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@article{10.11648/j.ajhr.20221002.11,
  author = {Suleyiman Hassen Ali and Ziyad Ahmed Abdo},
  title = {Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia},
  journal = {American Journal of Health Research},
  volume = {10},
  number = {2},
  pages = {24-32},
  doi = {10.11648/j.ajhr.20221002.11},
  url = {https://doi.org/10.11648/j.ajhr.20221002.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20221002.11},
  abstract = {Background: Iron deficiency is the leading and single nutrient deficiency in the world affecting over 30% of the world’s population particularly in developing countries. Pregnant women are at high risk of iron deficiency due to increased nutrient requirements during pregnancy. In Ethiopia, only 0.4% of pregnant women take Iron supplements more than 90 days of the recommended 180 days. The factors for this low adherence are not clearly known. Objective: To assess the level of adherence and factors associated with iron-folic acid supplementation among pregnant women attending antenatal service of selected health facilities in Borena South Wollo, Amhara region, Ethiopia. Methodology: Institution-based cross-sectional study design was used to conduct the study. About 340 pregnant women attended health centers in Borena, South Wollo, Amhara region, Ethiopia was included in the study by using a systematic random sampling technique. Data were entered into Epi info version-7 and exported to SPSS version 25 for analysis. Logistic regression was employed to identify the predictor variables. Statistical significance was considered at PResult: The overall adherence to iron folate supplement was 45.6%. Husbands educational level [AOR=1.95; 95% CI: 1.07-3.57], history of abortion [AOR=0.162; 95% CI: 0.050-0.53], having diseases diagnosed other than anemia [AOR=0.476; 95% CI: 0.284-0.798], taking of IFA in months [AOR=2.81; 95% CI: 1.365-5.786] and encouragement to take IFA [AOR=0.125; 95% CI: 0.037-0.418] were significantly associated with adherence to iron folate acid supplementation. Conclusion: Adherence to IFA supplement utilization was low in the study area. Provision of health education to pregnant mothers and the community on anemia and the importance of IFA during pregnancy through adequate counseling, community education, and media would increase adherence.},
 year = {2022}
}

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TY - JOUR
T1 - Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia
AU - Suleyiman Hassen Ali
AU - Ziyad Ahmed Abdo
Y1 - 2022/03/11
PY - 2022
N1 - https://doi.org/10.11648/j.ajhr.20221002.11
DO - 10.11648/j.ajhr.20221002.11
T2 - American Journal of Health Research
JF - American Journal of Health Research
JO - American Journal of Health Research
SP - 24
EP - 32
PB - Science Publishing Group
SN - 2330-8796
UR - https://doi.org/10.11648/j.ajhr.20221002.11
AB - Background: Iron deficiency is the leading and single nutrient deficiency in the world affecting over 30% of the world’s population particularly in developing countries. Pregnant women are at high risk of iron deficiency due to increased nutrient requirements during pregnancy. In Ethiopia, only 0.4% of pregnant women take Iron supplements more than 90 days of the recommended 180 days. The factors for this low adherence are not clearly known. Objective: To assess the level of adherence and factors associated with iron-folic acid supplementation among pregnant women attending antenatal service of selected health facilities in Borena South Wollo, Amhara region, Ethiopia. Methodology: Institution-based cross-sectional study design was used to conduct the study. About 340 pregnant women attended health centers in Borena, South Wollo, Amhara region, Ethiopia was included in the study by using a systematic random sampling technique. Data were entered into Epi info version-7 and exported to SPSS version 25 for analysis. Logistic regression was employed to identify the predictor variables. Statistical significance was considered at PResult: The overall adherence to iron folate supplement was 45.6%. Husbands educational level [AOR=1.95; 95% CI: 1.07-3.57], history of abortion [AOR=0.162; 95% CI: 0.050-0.53], having diseases diagnosed other than anemia [AOR=0.476; 95% CI: 0.284-0.798], taking of IFA in months [AOR=2.81; 95% CI: 1.365-5.786] and encouragement to take IFA [AOR=0.125; 95% CI: 0.037-0.418] were significantly associated with adherence to iron folate acid supplementation. Conclusion: Adherence to IFA supplement utilization was low in the study area. Provision of health education to pregnant mothers and the community on anemia and the importance of IFA during pregnancy through adequate counseling, community education, and media would increase adherence.
VL - 10
IS - 2
ER -

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Author Information

Suleyiman Hassen Ali

Department of Maternal, Child Health and Nutrition, Addis Ababa Health Bureau, Addis Ababa, Ethiopia
Ziyad Ahmed Abdo

Department of Hygiene and Environmental Health, Ethiopian Ministry of Health, Addis Ababa, Ethiopia

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APA Style

Suleyiman Hassen Ali, Ziyad Ahmed Abdo. (2022). Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. American Journal of Health Research, 10(2), 24-32. https://doi.org/10.11648/j.ajhr.20221002.11

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ACS Style

Suleyiman Hassen Ali; Ziyad Ahmed Abdo. Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. Am. J. Health Res. 2022, 10(2), 24-32. doi: 10.11648/j.ajhr.20221002.11

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AMA Style

Suleyiman Hassen Ali, Ziyad Ahmed Abdo. Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia. Am J Health Res. 2022;10(2):24-32. doi: 10.11648/j.ajhr.20221002.11

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@article{10.11648/j.ajhr.20221002.11,
  author = {Suleyiman Hassen Ali and Ziyad Ahmed Abdo},
  title = {Adherence to Iron-folic Acid Supplementation and Associated Factors Among Pregnant Women in Borena Woreda, South Wollo, Ethiopia},
  journal = {American Journal of Health Research},
  volume = {10},
  number = {2},
  pages = {24-32},
  doi = {10.11648/j.ajhr.20221002.11},
  url = {https://doi.org/10.11648/j.ajhr.20221002.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20221002.11},
  abstract = {Background: Iron deficiency is the leading and single nutrient deficiency in the world affecting over 30% of the world’s population particularly in developing countries. Pregnant women are at high risk of iron deficiency due to increased nutrient requirements during pregnancy. In Ethiopia, only 0.4% of pregnant women take Iron supplements more than 90 days of the recommended 180 days. The factors for this low adherence are not clearly known. Objective: To assess the level of adherence and factors associated with iron-folic acid supplementation among pregnant women attending antenatal service of selected health facilities in Borena South Wollo, Amhara region, Ethiopia. Methodology: Institution-based cross-sectional study design was used to conduct the study. About 340 pregnant women attended health centers in Borena, South Wollo, Amhara region, Ethiopia was included in the study by using a systematic random sampling technique. Data were entered into Epi info version-7 and exported to SPSS version 25 for analysis. Logistic regression was employed to identify the predictor variables. Statistical significance was considered at PResult: The overall adherence to iron folate supplement was 45.6%. Husbands educational level [AOR=1.95; 95% CI: 1.07-3.57], history of abortion [AOR=0.162; 95% CI: 0.050-0.53], having diseases diagnosed other than anemia [AOR=0.476; 95% CI: 0.284-0.798], taking of IFA in months [AOR=2.81; 95% CI: 1.365-5.786] and encouragement to take IFA [AOR=0.125; 95% CI: 0.037-0.418] were significantly associated with adherence to iron folate acid supplementation. Conclusion: Adherence to IFA supplement utilization was low in the study area. Provision of health education to pregnant mothers and the community on anemia and the importance of IFA during pregnancy through adequate counseling, community education, and media would increase adherence.},
 year = {2022}
}

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