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Time to start and adherence to iron-folate supplement for pregnant women in antenatal care follow up; Northern Ethiopia

Authors Gebremichael TG, Haftu H, Gereziher TA

Received 9 March 2019

Accepted for publication 29 May 2019

Published 4 July 2019 Volume 2019:13 Pages 1057—1063

DOI https://doi.org/10.2147/PPA.S184168

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Teklu Gebrehiwot Gebremichael,1 Hansa Haftu,2 Teklebrhan Aregawi Gereziher1

1Clinical Pharmacy Department, School of Pharmacy, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 2Pediatrics and Child Health Department, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, Ethiopia

Background: Iron folate supplementation is a cost-effective way of reducing iron deficiency anemia, low birth weight, and neural tube defects in resource-limited countries like Ethiopia. Late to start and poor adherence to iron-folate supplement has restricted its effectiveness. The aim of this study was to determine the time to start and adherence level of iron-folate supplementation to pregnant women attending at the Ayder Comprehensive Specialized Hospital.
Methods: Two hundred pregnant women were recruited in cross-sectional study design between February and April 2018.
Results: From the total participant pregnant women the urban dweller constituted the major proportion of 182 (91%). Seventy-eight (39%) of the participants had two antenatal care visits, whereas only, 21 (10.5%) of them had an antenatal care visit three and above. One hundred fifty-five (77.5%) participants women had knowledge about the cause of anemia in pregnancy. In this study, 143 (71.5%) of the pregnant women started their iron folate supplement in the second and third trimester. The adherence of iron folate intake was 10.5%. Healthcare education and counseling about iron-folate supplementation (AOR =4.55, 95% CI =[1.534, 13.512]), number of pregnancies (AOR =6.941, 95% CI =[1.511, 31.09]), and number of antenatal visit (AOR =0.242, 95% CI =[0.069, 0.852]) were significantly associated with adherence to iron-folate supplementation.
Conclusion: Time to start iron folate supplement in the first trimester was low and the adherence level was also very poor, which can be attributed by the number of antenatal care visits, frequency of pregnancy and healthcare education and counseling about iron folate supplement.

Keywords: adherence, iron-folate supplementation, anemia, Ethiopia, right time to start

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