Workineh Yinager, Semachew Ayele, Ayalew Emiru, Temesgen Worku Animaw
Department of Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Ethiopia.
Department of Adult Health Nursing, College of Medicine and Health Science, Bahir Dar University, Ethiopia.
Adv Prev Med. 2019 Dec 22;2019:3602585. doi: 10.1155/2019/3602585. eCollection 2019.
The World Health Organization recommended that 80% of communities in all countries should receive the standard dose of iron folic acid. But, in Ethiopia, this target was not yet achieved. The compliance of iron folic acid was also variable across each district. Therefore, the aim of this study was to assess women compliance with iron-folic acid supplementation and its association with a number of antenatal care visits in Ethiopia using systematic review and meta-analysis, 2018.
In the current meta-analysis, the target variables were searched from different electronic database system like PubMed, Google Scholar, Science Direct, and Cochrane Library. To predict the pooled prevalence of compliance with iron-folic acid supplementation in Ethiopia, all original studies were considered. All necessary data were extracted by using a standardized data extraction format. The data were analyzed by using STATA 14 statistical software. Heterogeneity between the studies was assessed by Cochrane and tests. A random effect model was computed to estimate the pooled compliance with iron-folic acid supplementation.
Twelve full-text studies were included in the meta-analysis. The findings of this meta-analysis revealed that the pooled prevalence of compliance with iron-folic acid supplementation in Ethiopia was 43.63% (CI: 28.00, 59.25%). The women from the city administration had a high rate of compliance as compared with other regions of Ethiopia. The odds of having four or more antenatal care visit were the independent pooled predictor of compliance with iron-folic acid supplementation.
Current compliance with iron-folic supplementation was lower than the World health organization recommendation. Mothers from the city administration who utilized the antenatal care four and above times, had high level compliance with iron-folic acid supplementation. Therefore, we recommended that women should visit the antenatal clinic four times to compliance with the iron folic acid supplementation.
世界卫生组织建议，所有国家80%的社区应接受标准剂量的铁叶酸。但是，在埃塞俄比亚，这一目标尚未实现。铁叶酸的依从性在每个地区也存在差异。因此，本研究的目的是通过系统评价和荟萃分析评估2018年埃塞俄比亚妇女对铁叶酸补充剂的依从性及其与产前检查次数的关联。
在当前的荟萃分析中，从不同的电子数据库系统（如PubMed、谷歌学术、科学Direct和Cochrane图书馆）中搜索目标变量。为了预测埃塞俄比亚铁叶酸补充剂依从性的合并患病率，考虑了所有原始研究。使用标准化的数据提取格式提取所有必要的数据。使用STATA 14统计软件对数据进行分析。通过Cochrane和检验评估研究之间的异质性。计算随机效应模型以估计铁叶酸补充剂的合并依从性。
荟萃分析纳入了12项全文研究。该荟萃分析的结果显示，埃塞俄比亚铁叶酸补充剂依从性的合并患病率为43.63%（CI：28.00，59.25%）。与埃塞俄比亚其他地区相比，来自市辖区的妇女依从率较高。进行四次或更多次产前检查的几率是铁叶酸补充剂依从性的独立合并预测因素。
目前铁叶酸补充剂的依从性低于世界卫生组织的建议。来自市辖区且产前检查四次及以上的母亲，对铁叶酸补充剂的依从性较高。因此，我们建议妇女应进行四次产前检查以确保铁叶酸补充剂的依从性。
