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
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Determinants of compliance with iron supplementation: Supplies, side effects, or psychology?
Galloway, R., & McGuire, J. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90135-x · Cited by 277
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Viswanathan, M., Golin, C. E., Jones, C. D., Ashok, M., Blalock, S. J., Wines, R. C. M., Coker-Schwimmer, E. J. L., Rosen, D. L., Sista, P., & Lohr, K. N. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-157-11-201212040-00538 · Cited by 754
Multiple-micronutrient supplementation for women during pregnancy
Haider, B. A., & Bhutta, Z. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004905.pub5 · Cited by 740
Daily oral iron supplementation during pregnancy
Peña-Rosas, J. P., De-Regil, L. M., Garcia-Casal, M. N., & Dowswell, T. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004736.pub5 · Cited by 565
Peña‐Rosas, J. P., & Viteri, F. E. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004736.pub3 · Cited by 278
Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of south India
Mithra, P., Unnikrishnan, B., Rekha, T., Nithin, K., Mohan, K., Kulkarni, V, Kulkarni, V, & Agarwal, D. (2014) · African Health Sciences · doi:10.4314/ahs.v13i4.3 · Cited by 181
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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