Tarekegn Missa, Wubshet Mamo, Atenafu Azeb, Derso Terefe, Woretaw Abere
Kolladiba Health center, Maternal and child health department, Gondar, Ethiopia.
2Paulos Medical College Addis Ababa University, Addis Ababa, Ethiopia.
Arch Public Health. 2019 Jun 25;77:30. doi: 10.1186/s13690-019-0356-y. eCollection 2019.
Anemia is the leading public health problem among pregnant women worldwide. Iron-Folic Acid (IFA) supplementation is the strategy to control pregnancy induced anemia, but its adherence status was not well studied.
The aim of this study was to assess the prevalence of IFA adherence and associated factors among pregnant women attending antenatal care at Denbiya district health centers.
Cross -sectional study design was conducted in Denbiya district health centers from April 2 to May 27, 2016. A total of 395 study participants were enrolled in the study. Systematic random sampling was used to select study participants. Data were collected using the interviewer-administered technique. Adherence to IFA supplementation was assessed by the pills count method. A logistic regression model was used.
The study revealed that the prevalence of good adherence towards IFA supplementation among Antenatal care (ANC) service users' at Denbiya district health centers were found to be 28.01% [95% CI, 24.01, 35.9]. Attending secondary school and above [Adjusted Odds Ratio (AOR) = 3.44, 95% CI: 1.09, 10.92], having two ANC visits [AOR = 2.53, 95% CI: 1.34, 4.76] and three and above ANC visits [AOR = 4.14, 95% CI: 2.14, 8.01] were significantly associated with good adherence of IFA supplementation. To the contrary, husband education status; secondary school and above reduced the odds of good adherence by 77% compared to illiterates to IFA supplementation [AOR = 0.23, 95% CI: 0.07, 0.72].
The prevalence of good adherence among pregnant women towards IFA supplementation was low. Mothers' education and having two or more ANC visits were positively associated with good adherence towards IFA supplementation.
贫血是全球孕妇中首要的公共卫生问题。补充铁叶酸（IFA）是控制妊娠贫血的策略，但其依从性状况尚未得到充分研究。
本研究旨在评估登比亚区卫生中心接受产前护理的孕妇中 IFA 依从性及其相关因素的患病率。
2016 年 4 月 2 日至 5 月 27 日在登比亚区卫生中心进行横断面研究设计。共有 395 名研究参与者纳入研究。采用系统随机抽样法选择研究参与者。通过访谈员实施技术收集数据。采用药丸计数法评估 IFA 补充剂的依从性。使用逻辑回归模型。
研究发现，登比亚区卫生中心产前护理（ANC）服务使用者中 IFA 补充剂良好依从性的患病率为 28.01%[95%可信区间，24.01，35.9]。接受过中学及以上教育[调整优势比（AOR）=3.44，95%可信区间：1.09，10.92]、进行两次 ANC 就诊[AOR=2.53，95%可信区间：1.34，4.76]以及三次及以上 ANC 就诊[AOR=4.14，95%可信区间：2.14，8.01]与 IFA 补充剂的良好依从性显著相关。相反，丈夫的教育程度；中学及以上学历与文盲相比，IFA 补充剂良好依从性的几率降低了 77%[AOR=0.23，95%可信区间：0.07，0.72]。
孕妇对 IFA 补充剂的良好依从性患病率较低。母亲的教育程度以及进行两次或更多次 ANC 就诊与 IFA 补充剂的良好依从性呈正相关。
