Gorgora Health Center, University of Gondar, Gondar, Ethiopia.
Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pregnancy Childbirth. 2019 Aug 14;19(1):296. doi: 10.1186/s12884-019-2422-4.
Physiological changes during pregnancy, foetal growth and development increase the requirement for Iron and Folic Acid. The increased demand of these nutrients is not meet through diet alone due to decreased bioavailability of nutrients during pregnancy. In 2004, Ethiopia adopted the global Iron and Folic Acid supplementation strategy targeting to reduce the prevalence of Iron deficiency anemia in women of reproductive age and children under five, by one third. However, the prevalence of anemia remains high and only 5% of pregnant women took Iron and Folic Acid tablets for 90 days or more during their most recent pregnancy in Ethiopia. Therefore, we conducted this study to assess the magnitude and associated factors of adherence to Iron and Folic Acid supplementation during pregnancy.
A facility based cross sectional study was conducted from February to May, 2018 among pregnant women in Northwest Ethiopia. Systematic random sampling technique was used to select 418 study subjects. Bivariable and multivariable logistic regression analyses were computed to identify predictor variables.
Rate of adherence to Iron and Folic Acid supplementation among pregnant women was 47.6%. Pregnant women who had a past history of abortion, knowledge of anemia and received health education were more likely to be adherent with Iron and Folic Acid supplementation. Furthermore, knowledge about benefits of the supplement and not facing any problem in the health facilities during Iron and Folic Acid tablet collection were factors associated with Iron and Folic Acid supplementation adherence.
Rate of adherence to Iron and Folic Acid supplementation was low in Aykel town. Therefore, strengthening and promoting health education, creating awareness and avoiding discouraging conditions in health facilities during tablet collection are very crucial to improve and increase the low rate of Iron and Folic Acid supplementation adherence in the study area.
怀孕期间的生理变化、胎儿生长和发育增加了对铁和叶酸的需求。由于怀孕期间营养物质的生物利用度降低，这些营养物质的需求增加不能仅通过饮食来满足。2004 年，埃塞俄比亚采用了全球铁和叶酸补充策略，旨在将育龄妇女和五岁以下儿童缺铁性贫血的患病率降低三分之一。然而，贫血的患病率仍然很高，在埃塞俄比亚，只有 5%的孕妇在最近一次怀孕时服用了 90 天或以上的铁和叶酸片。因此，我们进行了这项研究，以评估怀孕期间铁和叶酸补充的依从性的程度和相关因素。
这是一项 2018 年 2 月至 5 月在埃塞俄比亚西北部的医疗机构中进行的横断面研究。采用系统随机抽样技术选择了 418 名研究对象。进行了单变量和多变量逻辑回归分析，以确定预测变量。
孕妇服用铁和叶酸补充剂的依从率为 47.6%。有流产史、了解贫血和接受健康教育的孕妇更有可能坚持服用铁和叶酸补充剂。此外，了解补充剂的益处以及在收集铁和叶酸片时在卫生机构中没有遇到任何问题，这些都是与铁和叶酸补充剂依从性相关的因素。
在 Aykel 镇，孕妇服用铁和叶酸补充剂的依从率较低。因此，加强和推广健康教育，提高认识，并在收集片剂时避免卫生机构中的不利条件，对于改善和增加该地区铁和叶酸补充剂的低依从率非常重要。
