Kiwanuka Tusuubira S, Ononge Sam, Kiondo Paul, Namusoke Fatuma
Department of Obstetrics and Gynaecology, School of Medicine, College of Health Sciences, Makerere University, P. O. Box 7072, Kampala, Uganda.
BMC Res Notes. 2017 Oct 25;10(1):510. doi: 10.1186/s13104-017-2834-z.
Antenatal iron supplementation is a cost effective way of reducing iron deficiency anaemia among pregnant women in resource limited countries like Uganda. Poor adherence to iron supplements has limited its effectiveness in reducing maternal anaemia as evidenced by the high burden of iron deficiency anemia in Sub-saharan Africa. The aim of this study was to determine the level of and factors associated with adherence to iron supplementation among women attending antenatal clinic at Mulago National Referral Hospital, Kampala, Uganda.
Three hundred and seventy pregnant women were recruited in a cross sectional survey in Mulago National Referral Hospital antenatal clinic after informed consent between February and April 2014. Levels of adherence to iron supplements were assessed using visual analogue scale and factors associated collected using an interviewer administered questionnaire.
About 12% (11.6%) of the mothers attending the antenatal clinic adhered to iron supplements over 30 day period. Mothers who had had four or more antenatal visits prior to the survey [odds ratio (OR) = 1.49, 95% confidence interval (CI) 1.12-1.97], had more than 2 week supply of iron supplements in the previous visit (OR 2.81, 95% CI 1.02-1.09), prior health education (OR 1.56, 95% CI 1.07-2.29) were more likely to adhere to iron supplements. Inadequate drug supplies and fear for side effects were the main reasons why participants missed the iron supplements.
There was low adherence to iron supplements among mothers attending antenatal clinic at Mulago National Referral Hospital. We recommend a national evaluation of adherence to iron supplements and look at ways of increasing adherence.
在乌干达等资源有限的国家，产前补充铁剂是减少孕妇缺铁性贫血的一种经济有效的方法。撒哈拉以南非洲地区缺铁性贫血负担沉重，这表明对铁剂补充剂的依从性差限制了其在减少孕产妇贫血方面的有效性。本研究的目的是确定乌干达坎帕拉穆拉戈国家转诊医院产前门诊就诊妇女的铁剂补充依从水平及其相关因素。
2014年2月至4月，在穆拉戈国家转诊医院产前门诊进行了一项横断面调查，招募了370名孕妇，在获得知情同意后进行研究。使用视觉模拟量表评估铁剂补充剂的依从水平，并通过访谈者管理的问卷收集相关因素。
在产前门诊就诊的母亲中，约12%（11.6%）在30天内坚持服用铁剂补充剂。在调查前进行过四次或更多次产前检查的母亲[比值比（OR）=1.49，95%置信区间（CI）1.12-1.97]、上次就诊时有超过两周的铁剂补充剂供应量（OR 2.81，95%CI 1.02-1.09）、之前接受过健康教育（OR 1.56，95%CI 1.07-2.29）的母亲更有可能坚持服用铁剂补充剂。药品供应不足和对副作用的恐惧是参与者错过铁剂补充剂的主要原因。
在穆拉戈国家转诊医院产前门诊就诊的母亲中，铁剂补充剂的依从性较低。我们建议对铁剂补充剂的依从性进行全国性评估，并探讨提高依从性的方法。
