Mithra P, Unnikrishnan B, Rekha T, Nithin K, Mohan K, Kulkarni V, Kulkarni V, Agarwal D
Department of Community Medicine, Kasturba Medical College (Manipal University), Mangalore, India.
Afr Health Sci. 2013 Dec;13(4):880-5. doi: 10.4314/ahs.v13i4.3.
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.
To estimate the compliance for IFA tablets among pregnant women and to study the social factors influencing it.
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.
The mean age of the study population was 25.8 years (SD: 4.1). Most 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.
There was a moderate level of compliance towards IFA tablets with key social and demographic factors playing an important role.
贫血在孕妇中极为普遍，缺铁是其最重要的原因。与许多其他国家一样，印度制定了为孕妇提供铁补充剂的政策。不依从是对抗贫血的一个重要挑战因素。
评估孕妇对铁叶酸片（IFA）的依从性，并研究影响其依从性的社会因素。
本研究纳入了190名在印度南部芒格洛尔市三级医疗中心寻求产前护理的孕妇。经机构伦理委员会（IEC）批准后，通过个人访谈收集数据。连续漏服超过2剂被视为不依从。使用社会科学统计软件包（SPSS）11.5版对数据进行分析。
研究人群的平均年龄为25.8岁（标准差：4.1）。大多数受试者饮食种类多样，72.1%属于社会经济地位较低者。总体而言，铁叶酸片的依从率为64.7%。依从性随年龄、产次和每日单次剂量的增加而提高。遗忘以及铁叶酸治疗的主观和实际副作用是导致不依从的重要因素。
对铁叶酸片的依从性处于中等水平，关键的社会和人口因素发挥着重要作用。
