Shumi Lensa, Gedefa Abdi Geda, Bidira Kebebe
Mettu Health Science College Mettu town Oromia Region Ethiopia.
Public Health Department College of Health Science, Mettu University Oromia Region Ethiopia.
Health Sci Rep. 2024 Apr 1;7(4):e1998. doi: 10.1002/hsr2.1998. eCollection 2024 Apr.
The prevalence of anemia among pregnant women remains high globally, particularly in low-income settings. Iron and folic acid supplementation (IFAS) during pregnancy is the most widely employed strategy to alleviate adverse pregnancy outcomes. This study aimed to explore the determinants of compliance with iron supplementation in the study area.
To identify determinants of IFAS compliance among pregnant women attending antenatal care (ANC) in Mettu town, South West Ethiopia, in 2021.
A facility-based, unmatched case-control study was conducted from May to July 2021 with a total sample size of 344 (115 cases and 229 controls). Cases and controls were selected using systematic random sampling. Data was collected using a structured, pretested interviewer-administered questionnaire, entered into Epi-data software version 3.1, and exported to SPSS version 23 for analysis. Variables with < 0.25 during bivariate analyses were entered into a multivariable logistic regression model. Then, variables with a < 0.05 at 95% confidence interval (CI) were declared to be statistically significant determinants of IFAS. The odds ratio was used to indicate the strength of the association.
Having Previous history of anaemia (adjusted odds ratio [AOR] = 5.8, 95% CI [2.5-13.6], < 0.01), having good knowledge about IFAS (AOR = 3.3, 95% CI [1.7-6.7], < 0.001), being a government employee (AOR = 5.2 [2.4-11.5], < 0.01], and receiving counseling service during ANC (2.495% CI [1.3-4.7] < 0.01) were among determinants of adherence to IFAS.
Maternal knowledge about IFAS, counseling about IFAS, occupation, and history of anaemia were found to be significantly associated factors with compliance with iron folate supplementation during pregnancy. This implies that adherence to IFAS can be improved through improving maternal knowledge about importance of IFAS, quality counseling services and strengthening an overall ANC follow-up services.
全球范围内，孕妇贫血患病率仍然很高，尤其是在低收入地区。孕期补充铁和叶酸（IFAS）是减轻不良妊娠结局最广泛采用的策略。本研究旨在探讨研究地区铁补充剂依从性的决定因素。
确定2021年在埃塞俄比亚西南部梅图镇接受产前保健（ANC）的孕妇中IFAS依从性的决定因素。
2021年5月至7月进行了一项基于机构的非匹配病例对照研究，总样本量为344例（115例病例和229例对照）。病例和对照采用系统随机抽样选取。使用结构化的、经过预测试的访谈式问卷收集数据，录入Epi-data软件3.1版本，并导出到SPSS 23版本进行分析。双变量分析中P<0.25的变量被纳入多变量逻辑回归模型。然后，在95%置信区间（CI）下P<0.05的变量被宣布为IFAS的统计学显著决定因素。比值比用于表示关联强度。
有贫血病史（调整后的比值比[AOR]=5.8，95%CI[2.5-13.6]，P<0.01）、对IFAS有良好认知（AOR=3.3，95%CI[1.7-6.7]，P<0.001）、为政府雇员（AOR=5.2[2.4-11.5]，P<0.01）以及在ANC期间接受咨询服务（AOR=2.4，95%CI[1.3-4.7]，P<0.01）是IFAS依从性的决定因素。
发现孕妇对IFAS的认知、IFAS咨询、职业和贫血病史是孕期铁叶酸补充剂依从性的显著相关因素。这意味着可以通过提高孕妇对IFAS重要性的认知、提供高质量咨询服务以及加强整体ANC随访服务来提高IFAS的依从性。
