Adherence Level To Iron-Folic Acid Supplement And Associated Factors Among Pregnant Women Attending Antenatal Care In Selected Public Health Facilities Of Ilu Aba Bor Zone, Southwest, Ethiopia 2018.
Volume 5 - Issue 5, May 2022 Edition
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Author(s)
Tariku Nigussie, Ebisa Negera, Keneni Chali, Keneni Chali Regassa
Keywords
Adherence, Ethiopia, Iron Folic acid, Pregnant women
Abstract
Background: Nearly half (41.8%) of pregnant women in the world are anemic and more than 50% of anemia is due to iron deficiency anemia. Iron supplementation has been a major and effective strategy to reduce iron deficiency anemia in pregnancy. However, poor adherence to iron-folic acid supplements hinders the effectiveness of the iron-folic acid supplementation program. This study aimed to assess adherence levels to iron-folic acid supplements and associated factors among pregnant women. Methods: An institution-based cross-sectional study was conducted in selected public health facilities in Ilu Aba Bor Zone from April–to May 2021. A systematic sampling technique was employed to select 527 study participants. A Binary logistic regression model was used to determine the association of covariates and dependent variable Result: A total of 511 pregnant women participated in the study, making the response rate 96.9%. The adherence level to the IFA supplement was found to be 45.8 %. In multivariable analysis, knowledge of pregnant women on anemia (AOR: 8.2, 95%CI :( 4.23, 15.98)), knowledge of pregnant women on IFA supplement (AOR: 2.79, (95%CI: 1.42, 5.51)), experienced side effects (AOR: 0.04, 95%CI: (0.02, 0.07)), complaining faced problem (AOR: 0:33, 95%CI: (0.16, 0.67)) and health education during prenatal follow up(AOR:2.27, 95%CI: (1.17, 4.40)) were significantly associated with adherence level to IFA supplement. Conclusion and Recommendation: The adherence level to iron-folic acid was low among pregnant women. Knowledge of anemia, knowledge of IFA & health education were positively associated factors. While experienced side effects & facing problems were negatively associated. Strengthen health education to improve knowledge of pregnant women on anemia, preparing guidance to manage side effects of IFA supplements were recommended.
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