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.Keywords: Compliance, Iron, Folic Acid, IFA tablets, Demographic, SocialAfrican Health sciences Vol 14 No. 1 March 2014
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The observed adherence to IFAS was lower than that reported in studies conducted in India, Senegal, eight rural districts of Ethiopia, and Bench Maji Zone Ethiopia.
“But it was lower than the study conducted from India [25], Senegal [31], eight rural district of Ethiopia [32] and Bench Maji Zone, Ethiopia [33].”
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- Authors
- Mithra, P., Unnikrishnan, B., Rekha, T., Nithin, K., Mohan, K., Kulkarni, V, Holla, R., & Agarwal, D.
- Affiliations
- Manipal Academy of Higher Education (IN)
- Corresponding author
- Mithra, P
- Venue
- African Health Sciences
- Publisher
- African Journals Online (AJOL)
- Published
- 2014-03-12
- Volume
- 14
- Issue
- 1
- Pages
- 255
- ISSN
- 1680-6905 (ISSN-L)
- OpenAlex
- W4246727355
- Cited by
- 62
- References
- 11
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 6 · 2017: 3 · 2015: 1 · 2014: 1
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- African Health Sciences (publishedVersion, cc-by)
- 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, prenatal care, iron deficiency anemia, forgetfulness, adverse effects, socioeconomic status, demographic factors, Mangalore
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