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Cited by 80Global Maternal and Child HealthPublic Health and NutritionMaternal and Neonatal Healthcare

High Adherence to Iron/Folic Acid Supplementation during Pregnancy Time among Antenatal and Postnatal Care Attendant Mothers in Governmental Health Centers in Akaki Kality Sub City, Addis Ababa, Ethiopia: Hierarchical Negative Binomial Poisson Regression

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Gebreamlak, Bisratemariam, Dadi, Abel Fekadu, Atnafu, Azeb·2017·PLOS ONE
DOI 10.1371/journal.pone.0169415PMC PMC5271309
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Abstract

BACKGROUND: Iron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron/Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence are very limited. Therefore, the current study was conducted to assess the adherence and to identify factors associated with a number of Iron/Folic Acid uptake during pregnancy time among mothers attending antenatal and postnatal care follow up in Akaki kality sub city. METHODS: Institutional based cross-sectional study was conducted on a sample of 557 pregnant women attending antenatal and postnatal care service. Systematic random sampling was used to select study subjects. The mothers were interviewed and the collected data was cleaned and entered into Epi Info 3.5.1 and analyzed by R version 3.2.0. Hierarchical Negative Binomial Poisson Regression Model was fitted to identify the factors associated with a number of Iron/Folic Acid uptake. Adjusted Incidence rate ratio (IRR) with 95% confidence interval (CI) was computed to assess the strength and significance of the association. RESULT: More than 90% of the mothers were supplemented with at least one Iron/Folic Acid supplement from pill per week during their pregnancy time. Sixty percent of the mothers adhered (took four or more tablets per week) (95%CI, 56%-64.1%). Higher IRR of Iron/Folic Acid supplementation was observed among women: who received health education; which were privately employed; who achieved secondary education; and who believed that Iron/Folic Acid supplements increase blood, whereas mothers who reported a side effect, who were from families with relatively better monthly income, and who took the supplement when sick were more likely to adhere. CONCLUSION: Adherence to Iron/Folic Acid supplement during their pregnancy time among mothers attending antenatal and postnatal care was found to be high. Activities that would address the above mentioned factors were highly recommended to ensure the sustainability of mothers' adherence to the supplement.

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  1. [3]Ogundipe O, Hoyo C, stbye T, Oneko O, Manongi R: Factors associated with prenatal folic acid and iron supplementation among 21,889 pregnant women in Northern Tanzania 2012; 12(481). PMC3438116 22734580
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Authors
Gebreamlak, B., Dadi, A. F., & Atnafu, A.
Affiliations
University of Gondar (ET)
Corresponding author
Dadi, Abel Fekadu
ORCID
Dadi, Abel Fekadu
Venue
PLOS ONE
Publisher
Public Library of Science (PLoS)
Published
2017-01-27
Volume
12
Issue
1
Pages
e0169415
ISSN
1932-6203 (ISSN-L)
DOI
10.1371/journal.pone.0169415
PMC
PMC5271309
OpenAlex
W2582454489
Cited by
80
References
23
Citations by year
2026: 3 · 2025: 4 · 2024: 11 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 15 · 2019: 17 · 2018: 6
FWCI
11.35
Type
journal article
Language
en
Open access
Licence
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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, pregnancy, prenatal care, postpartum care, anemia in pregnancy, iron deficiency, health education, maternal education, maternal employment, household income, supplement side effects
MeSH terms
Adult, Ethiopia, Female, Folic Acid, Humans, Infant, Low Birth Weight, Infant, Newborn, Iron, Mothers, Postnatal Care, Pregnancy, Pregnancy Complications, Hematologic, Prenatal Care, Anemia, Iron-Deficiency, Dietary Supplements, Premature Birth, Medication Adherence

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