The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Determinants of compliance with iron supplementation among pregnant women in Senegal
Open accessAbstract
Background: Community iron supplementation programmes for pregnant women have lacked effectiveness, partly because of low compliance. Objective: To determine factors that influence compliance among pregnant women in Senegal. Design: Two hundred and twenty-one pregnant women, recruited from six health centres in Dakar during their first prenatal visit, were randomly assigned to receive either a prescription to purchase iron/folic acid tablets (control, n = 112) to be taken daily, according to official policy, or to receive free tablets (treatment, n = 109). Compliance was assessed 20 weeks after enrolment through interviews and pill count. Women with low or high compliance (<70% or ≥70%) were asked to explain what influenced their adherence to supplementation. Results: Overall compliance was 69%; it was significantly higher in the treatment than in the control group (86% vs. 48%; P < 0.0001). Women with high compliance (58%) were motivated by: (1) the perception of improved health upon taking the tablets (treatment = 24%, control = 10%); (2) the insistence by midwives that they take the tablets; and (3) the mention that the tablets would improve health. Women with low compliance (42%) reported: (1) the experience of side-effects that they associated with the tablets (treatment = 13%, control = 14%); (2) misunderstanding that they needed to continue taking the tablets throughout pregnancy (treatment = 0%, control = 18%); and (3) forgetfulness. Conclusion: Compliance with iron/folic acid supplementation in Senegal can be increased by providing women with clear instructions about tablet intake and educating them on the health benefits of the tablets.
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“Side-effect is frequently considered as a major obstacle to compliance.”
Citations
Cites
Iron status during pregnancy: setting the stage for mother and infant
Scholl, T. O. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.5.1218 · Cited by 664
Determinants of compliance with iron supplementation: Supplies, side effects, or psychology?
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Cited by
Sorted by citations
Items 101–131 of 131
Delie, A. M., Gezie, L. D., Gebeyehu, A. A., Tarekegn, G. E., & Muche, A. A. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.955819 · Cited by 7
“Miscarriage, stillbirths, preterm, low birth weight, congenital deformities, and perinatal mortality are some risks of iron– folic acid deficiency during pregnancy (16, 17).”
BackgroundPenerimaan remaja putri terhadap tablet tambah darah di Kota Yogyakarta
Masfufah, M., Kandarina, I., & Padmawati, R. S. (2022) · Jurnal Gizi Klinik Indonesia · doi:10.22146/ijcn.37031 · Cited by 7
“Penelitian di Senegal juga melaporkan alasan ketidakpatuhan perempuan dalam mengonsumsi TTD karena adanya efek samping seperti mual, muntah, sembelit, dan diare [9].”
BackgroundInfluentialMultiple-micronutrient supplementation for women during pregnancy.
Haider, B., & Bhutta, Z. A. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004905 · Cited by 7
Daily oral iron supplementation during pregnancy
Finkelstein, J. L., Cuthbert, A., Weeks, J., Venkatramanan, S., Larvie, D. Y., De‐Regil, L. M., & Garcia‐Casal, M. N. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004736.pub6 · Cited by 55
Drivers of Anemia Reduction among Women of Reproductive Age in Senegal: A Country Case Study.
Ndiaye, N. F., Owais, A., Diop, H., Lee, C., Merritt, C. E., González-Fernández, D., Diouf, A., Dossou, N., Rattan, P., & Bhutta, Z. (2024) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2024.05.031 · Cited by 6
Jaber, N., Al-Remawi, M., Qatouseh, L. F., Ahmad, M. I., & Aiedeh, K. (2020) · Journal of Drug Delivery Science and Technology · doi:10.1016/j.jddst.2020.101761 · Cited by 6
Strengthen iron folate supplementation of pregnant women in Ntchisi District, Malawi
Saidi, T. M., Trust Mlambo, Aburto, N., & Keith, R. M. (2018) · World Nutrition · doi:10.26596/wn.201893254-260 · Cited by 9
“Studies elsewhere have reported low compliance due to forgetfulness, disliking the taste of the supplements, fear of negative outcomes for mother or baby from taking the supplements and fear of having big babies (Lutsey et al., 2007; Seck and Jackson, 2007; Taye et al., 2015).”
BackgroundKusfriyadi, M. K., Hadi, H., & Fuad, A. (2012) · doi:10.22146/ijcn.15385 · Cited by 5
Shimada, K., Kawase, M., Shibahara, N., Nakamura, Y., Saito, T., & Takahashi, K. (2010) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2010.08.023 · Cited by 4
Méda, N., Coulibaly, M., Nebié, Y., Diallo, I., Traoré, Y., & Ouédraogo, L. (2016) · doi:10.1155/2016/9364046 · Cited by 4
“The low compliance rate is attributed to long treatment with side effects, forgetfulness, and the feeling of not being ill to take tablets [8, 9].”
BackgroundConrad, A., Burns, J., Sherburne, L., Kaled, M. D., Souley, H., & Nielsen, J. (2024) · Public Health Nutrition · doi:10.1017/s1368980024002192 · Cited by 3
Hidayatunnikmah, N. (2021) · Jurnal Kesehatan LLDikti Wilayah 1 (JUKES) · doi:10.54076/jukes.v1i1.126 · Cited by 3
“…Andani, 2018) This is in line with research conducted by Seck et.al which states that low compliance is more common in groups of individuals with low education (Seck & Jackson, 2008) A person's level of knowledge about iron tablets affects a person's behavior in choosing foods that contain iron.”
Shumi, L., Geda, A., & Bidira, K. (2024) · Health Science Reports · doi:10.1002/hsr2.1998 · Cited by 2
Konlan, M. Y., Abiwu, H. A. K., & Adokiya, M. N. (2023) · World Nutrition · doi:10.26596/wn.202314242-50 · Cited by 1
“Our finding is similar to those of (Seck and Jackson 2008) who reported that IFA adherence was significantly higher in expectant mothers who received free IFA tablets in a health facility than those who merely received a prescription (86% vs 48%; p<0.0001).”
InfluentialThe Impact of Iron and Folate Adherence on the Prevalence of Anaemia in Pregnant Nigerian Women
Ifeoluwapo, A. O., Noel, U., Nwagu, M. U., Ohenhen, V., Egbo, H. O., Erhabor, J., Sunday, O. E., Gabriella, O., & Adeyemi, O. (2020) · Journal of Gynecology and Obstetrics · doi:10.11648/j.jgo.20200806.15 · Cited by 1
“[9, 27] The prevalence of anaemia we found (46.”
BackgroundLiyeh, T. M., Goshu, Y. A., Ayele, A. S., & Abebe, Y. (2019) · Research Square · doi:10.21203/rs.2.13116/v1
“This finding is consistent with study conducted in Khartoum, Sudan (15).”
ResultInfluentialA METHOD TO IMPROVE IRON COMPLIANCE IN TREATING IRON DEFICIENCY ANAEMIA IN PREGNANCY
Balakrishnan, D. (2019) · Journal of Evolution of Medical and Dental Sciences · doi:10.14260/jemds/2019/66 · Cited by 1
Factors Influencing Antenatal Haematinics Prescription Behaviour of Physicians in Calabar, Nigeria
Akpan, U. B., Agan, T. U., Monjok, E. M., Okpara, C., & Etuk, S. J. (2017) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2017.036 · Cited by 1
“251 with folic acid to pregnant women aimed at increasing the haemoglobin concentration so that the level of anaemia could be significantly reduced [6-9].”
BackgroundEvaluation of the Use of Intravenous Iron Supplements in an Obstetrics and Gynecology Department
Michon, N., Bernier, P., & Ferreira, E. (2014) · Journal of Pharmacy Technology · doi:10.1177/8755122514528808 · Cited by 1
“However, they are not always taken as prescribed due to digestive complaints such as nausea and constipation and due to forgetfulness.(8,9) In case of severe nausea and vomiting, when a rapid increase in hemoglobin is desired or when oral iron therapy was not tolerated or efficient, intramuscular (IM) and intravenous…”
Background[Ferrous sulfate supplementation in pregnant women: a time series study in the far South of Brazil].
Linhares, A. O., & Cesar, J. A. (2022) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00095821 · Cited by 1
Horino, M., Al-Khatib, L., Habash, R., Al-Rahahleh, T., Ahmed, S., Kraemer, K., Hurley, K. M., Seita, A., & West, K. P. (2026) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2026.101587
Helamo, D., Morankar, S., & Abamecha, F. (2026) · Scientific Reports · doi:10.1038/s41598-026-70674-4
“Astuti and colleagues’ systematic review found that women experiencing side effects were significantly more likely to discontinue supplementation 44,45 .”
John, S. (2024) · International Journal For Multidisciplinary Research · doi:10.36948/ijfmr.2024.v06i04.25194
Turanzomwe, S., Amanyire, J., & Tumwebaze, M. (2022) · American Journal of Health Medicine and Nursing Practice · doi:10.47672/ajhmn.1302
“In a cross-sectional study conducted among pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia, women who had support from their partners were about 2.2 times more likely to adhere to IFAS compared to their counterparts [25].”
ResultInfluentialAwareness regarding Anemia in Antenatal women attending tertiary care hospitals in South IndiaPreprint
Sinha, M. (2021) · medRxiv · doi:10.1101/2021.06.30.21259550
Kashi, B., Godin, C., Kurzawa, Z. A., Verney, A., Busch-Hallen, J., & De-Regil, L. (2018) · doi:10.2139/ssrn.3219542
“Possible reasons include lack of compliance attributable to commonly reported side-effects (nausea, constipation, diarrhoea) [5, 6], concerns about the safety of this intervention among women with an adequate iron intake, and variable availability of the supplements at community level [7].”
BackgroundEFEKTIFITAS PROGRAM INTERVENSI ANEMIA ZAT BESI PADA IBU HAMIL BERBASIS MASYARAKAT: SYSTEMATIC REVIEW
Kusumajaya, A. A. N. (2017) · JURNAL SKALA HUSADA : THE JOURNAL OF HEALTH · doi:10.33992/jsh:tjoh.v13i2.66
Monitoring and surveillance of population dietary trends.
Hughes, R. (2008) · Public Health Nutrition · doi:10.1017/s136898000800236x
Hughes, R. (2002) · Public Health Nutrition · doi:10.1007/s10393-018-1366-x
“Seck and Jackson((1)) report on a study exploring the determinants of compliance with Fe supplementation among pregnant”
Akham, N., & Thounaojam, U. D. (2023) · Journal of Public Health and Primary Care · doi:10.4103/jphpc.jphpc_34_21
Merse, F., Fanta, A., & Kelbiso, L. (2022) · SOJ Medical and Clinical Case Reports · doi:10.53902/sojmccr.2022.02.000512 · Cited by 1
Metadata
- Authors
- Seck, B. C., & Jackson, R. T.
- Affiliations
- University of Maryland, College Park (US)
- Corresponding author
- Seck, Binetou C
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2008-06
- Volume
- 11
- Issue
- 6
- Pages
- 596-605
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- OpenAlex
- W2035452438
- Cited by
- 154
- References
- 0
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 12 · 2023: 2 · 2022: 13 · 2021: 9 · 2020: 5 · 2019: 20 · 2018: 8 · 2017: 14 · 2016: 11 · 2015: 13 · 2014: 14 · 2013: 5 · 2012: 12
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Keywords
- iron supplementation, folic acid, medication adherence, pregnant women, prenatal care, free medication, pill count, adverse effects, health education, midwife counseling, Senegal
- MeSH terms
- Adult, Female, Folic Acid, Folic Acid Deficiency, Humans, Patient Acceptance of Health Care, Patient Compliance, Patient Education as Topic, Pregnancy, Prenatal Care, Surveys and Questionnaires, Senegal, Anemia, Iron-Deficiency, Iron, Dietary, Dietary Supplements, Maternal Nutritional Physiological Phenomena
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