Low compliance with an iron-supplementation program: a study among pregnant women in Jakarta, Indonesia
Open accessAbstract
The efficiency of an established iron-supplementation program for pregnant women in Jakarta, Indonesia was investigated. Hemoglobin, serum ferritin, and packed cell volume (PCV) were measured at the start of the study and after 2 mo supplementation with 300 mg ferrous sulphate/d. The women (n = 45) were questioned about compliance and stool samples were checked for iron content to control for tablet intake. Twelve women dropped out. Prevalence of anemia (42%) did not decrease during the study period. Of the remaining 33 women, 64% (n = 21) claimed to have taken all iron tablets. This was only confirmed by positive stool tests in 12 women. Serum ferritin and PCV increased in women with positive stool tests (P < 0.05 and P < 0.01, respectively) after supplementation. It is concluded that compliance was low and that the iron dose needs to be increased. Supplementation programs need reliable monitoring and evaluation systems.
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Self-reporting overestimates compliance with iron supplementation as compared with pill count or biochemical method.
“A reasonable number of studies witnessed that self-reporting overestimates compliance as compared with pill count or biochemical method.”
The reported level of compliance (75%) might have been overestimated because it was measured by self-reporting.
“Nonetheless, the reported level of compliance (75%) might have been overestimated as it is measured based on the self-reporting method.”
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Gebremedhin, S., Samuel, A., Mamo, G., Moges, T., & Assefa, T. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-607 · Cited by 156 · see citing works
“Schultink W, Van der Ree M, Matulessi P, Gross R: Low compliance with an iron-supplementation program: a study among pregnant women in Jakarta, Indonesia.”
BackgroundPill Count Adherence to Prenatal Multivitamin/Mineral Supplement Use among Low-Income Women
Jasti, S., Siega-Riz, A. M., Cogswell, M. E., Hartzema, A. G., & Bentley, M. E. (2005) · The Journal of Nutrition · doi:10.1093/jn/135.5.1093 · Cited by 87 · see citing works
Determinants of Iron Consumption among Pregnant Women in Southern Senegal
Niang, K., Faye, A., Diégane Tine, J. A., Diongue, F. B., Ndiaye, B., Ndiaye, M. B., Ndiaye, P., & Tal-Dia, A. (2017) · Open Journal of Obstetrics and Gynecology · doi:10.4236/ojog.2017.71005 · Cited by 32 · see citing works
- Authors
- Schultink, W., van der Ree, M., Matulessi, P., & Gross, R.
- Affiliations
- University of Indonesia (ID)
- Corresponding author
- Schultink, W
- ORCID
- Schultink, W
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 1993-02
- Volume
- 57
- Issue
- 2
- Pages
- 135-139
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1823955430
- Cited by
- 138
- References
- 0
- Citations by year
- 2025: 1 · 2021: 2 · 2019: 6 · 2018: 1 · 2017: 4 · 2016: 4 · 2014: 5 · 2013: 6 · 2012: 6
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- green
- research.wur.nl
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Socio-Environmental Systems Modeling (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Hematology › Iron Metabolism and Disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Keywords
- iron supplementation, compliance, pregnant women, anemia, ferrous sulfate, serum ferritin, hemoglobin, hematocrit, iron dosage, maternal nutrition, Jakarta
- MeSH terms
- Adult, Anemia, Hypochromic, Erythrocyte Indices, Feces, Female, Ferritins, Hemoglobins, Humans, Indonesia, Iron, Patient Compliance, Pregnancy, Pregnancy Complications, Hematologic, Drug Monitoring
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