Compliance with iron-folic acid (IFA) therapy among pregnant women in an urban area of south India
Open accessAbstract
BACKGROUND: Anaemia is highly prevalent among pregnant women and iron deficiency is the most important cause. Like many other countries, India has policies to give pregnant women iron supplements. Non-compliance is one important challenging factor in combating anaemia. OBJECTIVE: To estimate the compliance for IFA tablets among pregnant women and to study the social factors influencing it. METHODOLOGY: This study included 190 pregnant women seeking ante-natal care in tertiary health Centres in the Mangalore city in South India. After Institutional Ethics Committee (IEC) approval, data was collected by personal interview. Missing ≥2 doses consecutively was considered non-compliance. The data was analyzed using SPSS (Statistical Package for Social Sciences) version 11.5. RESULTS: The mean age of the study population was 25.8 years (SD: 4.1). Majority of the subjects consumed mixed diet and 72.1% belonged to lower socioeconomic status. Overall, compliance with IFA tablets was 64.7%. Compliance increased with the increase in age, birth order and single daily dose. Forgetfulness and both perceived as well as experienced side effects of IFA therapy were the important factors for non-compliance. CONCLUSION: There was a moderate level of Compliance towards IFA tablets with key social and demographic factors playing important role.
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Studies conducted in Nigeria, India, and Nepal support the association between not facing problems in health institution during supplement collection and adherence.
“The finding is supported by studies conducted in Nigeria, India and Nepal [31–33].”
From Magnitude and factors associated with adherence to Iron and folic acid supplementation among pregnant women in Aykel town, Northwest Ethiopia (2019) · cites this paper as [32]
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Pregnant women's perceptions of daily iron supplementation in rural Ghana
Ferka, L., Kumi-Kyereme, A., Yeboa, N. K., & Adu, K. (2024) · British Journal of Midwifery · doi:10.12968/bjom.2024.32.2.77 · Cited by 2 · see citing works
- Authors
- Mithra, P., Unnikrishnan, B., Rekha, T., Nithin, K., Mohan, K., Kulkarni, V, Kulkarni, V, & Agarwal, D.
- Affiliations
- Manipal Academy of Higher Education (IN)
- Corresponding author
- Mithra, P
- Venue
- African Health Sciences
- Publisher
- African Journals Online (AJOL)
- Published
- 2014-01-23
- Volume
- 13
- Issue
- 4
- Pages
- 880
- ISSN
- 1680-6905 (ISSN-L)
- PMC
- PMC4056486
- OpenAlex
- W2159161312
- Cited by
- 181
- References
- 11
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 14 · 2023: 60 · 2022: 16 · 2021: 19 · 2020: 21 · 2019: 16 · 2018: 8 · 2017: 6 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- African Health Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Bioline International (Bioline International) (submittedVersion)
- 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 and folic acid supplementation, medication adherence, pregnant women, anemia in pregnancy, iron deficiency, forgetfulness, adverse effects, once-daily dosing, socioeconomic status, Mangalore
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Female, Folic Acid, Humans, India, Patient Compliance, Pregnancy, Prenatal Care, Surveys and Questionnaires, Regression Analysis, Tablets, Anemia, Iron-Deficiency, Iron, Dietary, Dietary Supplements, Pregnant Women, Pregnant People, Young Adult
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