Pal Partha Pratim, Sharma Shilpi, Sarkar Tarun Kumar, Mitra Pevel
Department of Community Medicine, North Bengal Medical College, Darjeeling, West Bengal, India.
Int J Prev Med. 2013 Oct;4(10):1213-6.
The average rural Indian women enter her reproductive life, particularly in pregnancy, suffer from nutritional anemia due to iron deficiency. National program of India had implemented a strategy for supplementation of iron folic acid by means of iron folic acid (IFA) tablets at least 3 months during antenatal period. The study had been conducted to assess the proportion of pregnant mothers consumes the IFA tablets and the factors determine compliance.
A cross-sectional, community-based study was conducted in rural area of India on 50 antenatal mothers by multistage sampling technique. The data were analyzed by using SPSS 16 (Statistical Package for the Social Sciences, ver. 16), Chicago, considering the level of significance at 95%.
The IFA tablet was adequately consumed by 62% mother among the study population. The consumption is more among the mother who were explained properly than those who were not explained by the health worker (χ(2)= 4.529, P < 0.05).
The compliance of iron folic acid tablets was still far behind to reach the National Goal though the service component are quite strong by the front line workers and health providers. An effort should be given at the level of front line health workers by training and re-training them to improve the compliance of IFA consumption.
印度农村地区的普通女性进入生育期后，尤其是在孕期，会因缺铁而患营养性贫血。印度国家计划已实施一项战略，即在孕期至少3个月通过服用铁叶酸（IFA）片来补充铁和叶酸。本研究旨在评估服用IFA片的孕妇比例以及决定依从性的因素。
采用多阶段抽样技术，在印度农村地区对50名产前母亲进行了一项基于社区的横断面研究。使用SPSS 16（社会科学统计软件包，版本16）对数据进行分析，显著性水平设定为95%。
研究人群中62%的母亲充分服用了IFA片。与未得到医护人员正确解释的母亲相比，得到正确解释的母亲服用情况更好（χ(2)= 4.529，P < 0.05）。
尽管一线工作人员和医疗服务提供者的服务力度很大，但铁叶酸片的依从性仍远未达到国家目标。应通过对一线卫生工作者进行培训和再培训，努力提高IFA服用的依从性。
