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Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study.
BMC Public Health 2014; 14:607BP

Abstract

BACKGROUND

Despite the efforts to reduce iron deficiency during pregnancy, information on the coverage and factors associated with utilization of iron supplements is lacking. The study is intended to assess the coverage, compliance and factors associated with the use of prenatal iron supplements in eight rural districts of Ethiopia.

METHODS

The study comprised two independent surveys conducted among pregnant women (n = 414) and women who gave birth in the preceding year of the survey (n = 1573). In both cases, respondents were selected using multistage sampling technique and data were collected via structured questionnaire. Predictors of iron supplement utilization (ranked categories of number of prenatal supplements taken) were identified using ordinal logistic regression. The outputs of the analysis are given using adjusted Odds Ratio (OR) with 95% Confidence Interval (CI).

RESULTS

Among women who gave birth in the preceding year, 35.4% (95% CI: 31.3-39.5) were given/prescribed prenatal iron supplement during the index pregnancy and only 3.5% were supplemented for the recommended 91 or more days. Compared to women who had 4 or more ANC visits, those with 0, 1, 2 and 3 visits had 0.04, 0.33, 0.50 and 0.60 times less odds of iron supplement utilization, respectively. Women lacking comprehensive knowledge of anemia (OR = 0. 75 (95% CI: 0.57-0.97)) and those who weren't informed about the importance of iron supplementation during the pregnancy (OR = 0. 05 (95% CI: 0.04-0.07)) had significantly lower utilization. On the other hand, in pregnant women the prevalence of anemia was 33.2%. Among pregnant women who were given/prescribed supplements, the average level of compliance was 74.9% and about 25.1% had less than 70% adherence. The leading reported reasons for non-adherence were side-effects (63.3%) and forgetfulness (16.7%).

CONCLUSION

Promoting early and frequent ANC, enhancing the quality of ANC counseling and promoting the knowledge of women on anemia are essential strategies for improving the utilization of iron supplements.

Authors+Show Affiliations

School of Public and Environmental Health, Hawassa University, Hawassa, Ethiopia. samsongmgs@yahoo.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24930036

Citation

Gebremedhin, Samson, et al. "Coverage, Compliance and Factors Associated With Utilization of Iron Supplementation During Pregnancy in Eight Rural Districts of Ethiopia: a Cross-sectional Study." BMC Public Health, vol. 14, 2014, p. 607.
Gebremedhin S, Samuel A, Mamo G, et al. Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study. BMC Public Health. 2014;14:607.
Gebremedhin, S., Samuel, A., Mamo, G., Moges, T., & Assefa, T. (2014). Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study. BMC Public Health, 14, p. 607. doi:10.1186/1471-2458-14-607.
Gebremedhin S, et al. Coverage, Compliance and Factors Associated With Utilization of Iron Supplementation During Pregnancy in Eight Rural Districts of Ethiopia: a Cross-sectional Study. BMC Public Health. 2014 Jun 14;14:607. PubMed PMID: 24930036.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study. AU - Gebremedhin,Samson, AU - Samuel,Aregash, AU - Mamo,Girma, AU - Moges,Tibebu, AU - Assefa,Tsehai, Y1 - 2014/06/14/ PY - 2013/12/12/received PY - 2014/06/09/accepted PY - 2014/6/16/entrez PY - 2014/6/16/pubmed PY - 2015/7/15/medline SP - 607 EP - 607 JF - BMC public health JO - BMC Public Health VL - 14 N2 - BACKGROUND: Despite the efforts to reduce iron deficiency during pregnancy, information on the coverage and factors associated with utilization of iron supplements is lacking. The study is intended to assess the coverage, compliance and factors associated with the use of prenatal iron supplements in eight rural districts of Ethiopia. METHODS: The study comprised two independent surveys conducted among pregnant women (n = 414) and women who gave birth in the preceding year of the survey (n = 1573). In both cases, respondents were selected using multistage sampling technique and data were collected via structured questionnaire. Predictors of iron supplement utilization (ranked categories of number of prenatal supplements taken) were identified using ordinal logistic regression. The outputs of the analysis are given using adjusted Odds Ratio (OR) with 95% Confidence Interval (CI). RESULTS: Among women who gave birth in the preceding year, 35.4% (95% CI: 31.3-39.5) were given/prescribed prenatal iron supplement during the index pregnancy and only 3.5% were supplemented for the recommended 91 or more days. Compared to women who had 4 or more ANC visits, those with 0, 1, 2 and 3 visits had 0.04, 0.33, 0.50 and 0.60 times less odds of iron supplement utilization, respectively. Women lacking comprehensive knowledge of anemia (OR = 0. 75 (95% CI: 0.57-0.97)) and those who weren't informed about the importance of iron supplementation during the pregnancy (OR = 0. 05 (95% CI: 0.04-0.07)) had significantly lower utilization. On the other hand, in pregnant women the prevalence of anemia was 33.2%. Among pregnant women who were given/prescribed supplements, the average level of compliance was 74.9% and about 25.1% had less than 70% adherence. The leading reported reasons for non-adherence were side-effects (63.3%) and forgetfulness (16.7%). CONCLUSION: Promoting early and frequent ANC, enhancing the quality of ANC counseling and promoting the knowledge of women on anemia are essential strategies for improving the utilization of iron supplements. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/24930036/Coverage_compliance_and_factors_associated_with_utilization_of_iron_supplementation_during_pregnancy_in_eight_rural_districts_of_Ethiopia:_a_cross_sectional_study_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-607 DB - PRIME DP - Unbound Medicine ER -