Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study
Open accessAbstract
Background. In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia. Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement. Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777)), knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537)), and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368)) were significantly associated with compliance to iron-folate supplement. Conclusions. Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation.
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The positive association between obtaining counseling about IFAS and adherence was in line with studies conducted in Senegal, Afar Ethiopia, South Ethiopia, and Bench Maji Zone Ethiopia.
“This is in line with the study conducted in Senegal [31], Afar, Ethiopia [34], South, Ethiopia [29] and Bench Maji Zone, Ethiopia [33].”
The positive association between having four or more ANC visits and adherence was similar to studies conducted in Senegal, South Ethiopia, and Tigray Ethiopia.
“Adherence status was better observed in those pregnant women’s who had four or more ANC visits which is similar to other studies conducted in Senegal [31], South, Ethiopia [29] and Tigray, Ethiopia [27].”
The positive association between good knowledge of IFAS and adherence was similar to studies conducted in Korea, South Ethiopia, and Western Amhara Ethiopia.
“Knowledge of iron and folic acid supplementation was also associated with women’s adherence to iron and folic acid supplementation in studies conducted in Korea [35], South, Ethiopia [29] and Western Amhara, Ethiopia [28].”
The positive association between good knowledge of anemia and adherence was similar to studies conducted in South Ethiopia, Bench Maji Zone Ethiopia, and Western Amhara Ethiopia.
“This finding is similar with the studies conducted in South, Ethiopia [29], Bench Maji Zone, Ethiopia [33], and Western Amhara, Ethiopia [28].”
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References 15 · Cited by 114
Research works printed but not linked: 2
- [17]Vongvichit P. Isaranurug S. Nanthamongkolchai S. Voramongkol N. Compliance of pregnant women regarding iron supplementation in Vientiane municipality, Lao P.D.R. Journal of Public Health and Development 2003 2 1 41 52 http://www.aihd.mahidol.ac.th/sites/default/files/images/new/pdf/journal/janapr2004/4.pdf
- [19]Valyasevi A. Delivery system for iron supplement in pregnant women—Thailand experience 2 Proceedings of the INACG Workshop ‘Maternal Anemia’ November 1988 Geneva, Switzerland
- Authors
- Arega Sadore, A., Abebe Gebretsadik, L., & Aman Hussen, M.
- Affiliations
- Hadiya Zone Health Department, Southern Nations, Nationalities and Peoples, Ethiopia
- Department of Health Education and Behavioral Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia
- Venue
- Journal of Environmental and Public Health
- Publisher
- Hindawi Limited
- Published
- 2015
- Volume
- 2015
- Pages
- 1-7
- ISSN
- 1687-9805 (ISSN-L)
- 1687-9813
- PMC
- PMC4709613
- OpenAlex
- W2200656516
- Cited by
- 114
- References
- 15
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 10 · 2023: 15 · 2022: 13 · 2021: 15 · 2020: 18 · 2019: 17 · 2018: 9 · 2017: 4
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Environmental and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Jimma University
- Topics
- 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
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- iron and folic acid supplementation, medication adherence, pregnant women, anemia in pregnancy, iron deficiency anemia, prenatal care, maternal knowledge, health counseling
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Ethiopia, Female, Folic Acid, Humans, Iron, Health Knowledge, Attitudes, Practice, Middle Aged, Mothers, Patient Compliance, Pregnancy, Prenatal Care, Socioeconomic Factors, Logistic Models, Anemia, Iron-Deficiency, Dietary Supplements, Young Adult
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