Department of Nutrition, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Asia Pac J Public Health. 2011 May;23(3):315-23. doi: 10.1177/1010539511403133.
Iron supplementation can effectively control and prevent anemia in pregnancy. However, limited adherence is thought to be a major reason for the low effectiveness of iron supplementation programs.This research describes the factors influencing the adherence to iron/folate supplementation during pregnancy in Siem Reap and Kampong Cham provinces in Cambodia.Triangulation method, combining the quantitative and qualitative data collection methods, was performed for this study. A total of 177 women who gave birth during the year prior to the interview were selected for the quantitative survey. Ten women who gave birth during the year prior to the interview and 10 pregnant women were interviewed in-depth for the qualitative data.The χ2 test and binary logistic regression were used for statistical analysis. The findings showed an adherence rate of 47%. The logistic regression revealed that the number of supplements received, number of prenatal visits, and access to antenatal care were determinants of adherence (P<.05). In conclusion, access to and follow-up of antenatal care were considered elements essential to improve iron/folate supplementation. Community-based interventions, such as nutrition education and distribution of supplements, should be prioritized in the interventions to improve adherence in Cambodia.
铁补充剂可有效控制和预防妊娠贫血。然而，依从性有限被认为是铁补充计划效果不佳的主要原因。本研究描述了柬埔寨暹粒省和磅湛省影响孕妇铁/叶酸补充剂依从性的因素。本研究采用了定量和定性数据收集方法的三角测量方法。共选择了 177 名在访谈前一年内分娩的妇女进行定量调查。对 10 名在访谈前一年内分娩的妇女和 10 名孕妇进行了深入访谈以获取定性数据。采用卡方检验和二项逻辑回归进行统计分析。结果显示，依从率为 47%。逻辑回归显示，接受的补充剂数量、产前检查次数和获得产前保健是依从性的决定因素（P<.05）。结论是，获得和后续产前保健被认为是改善铁/叶酸补充的重要因素。在干预措施中，应优先考虑以社区为基础的干预措施，如营养教育和补充剂的分发，以提高柬埔寨的依从性。
