compliance of iron and folic acid supplementation, its determinants and anemia during pregnancy in the eastern Terai of Nepal.
SUMMARY: Anemia during pregnancy is severe public health problem in Nepal. Global evidences suggest that at least half of the anemia during pregnancy is due to iron deficiency. Despite government's free iron and folic acid supplementation program, compliance is low nationwide. So this study tr...
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| Format: | Book |
| Language: | English |
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c2017.
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| Summary: | SUMMARY: Anemia during pregnancy is severe public health problem in Nepal. Global evidences suggest that at least half of the anemia during pregnancy is due to iron deficiency. Despite government's free iron and folic acid supplementation program, compliance is low nationwide. So this study tried to identify determinants of adherence to Iron and Folic Acid supplementation. Furthermore, study also tried to assess the association between anemia and IFA compliance. Study design was hospital based cross sectional descriptive. Mix method was applied. Study was conducted in five government hospitals of the Eastern Terai. Total 328 post partum mothers were interviewed applying proportionate simple random sampling. Data was collected in between October to December 2016. Collected data was entered into EPIDATA version 3.2 and analyzed in IBM-SPSS version 21. Logistic regression analysis was applied for statistical analysis at 95% CI. Considered common causes of anemia were adjusted while showing the effect of IFA compliance on anemia. Findings showed that mean age of respondent was 23 (±3.98) years. Among them, 58.2 percent were compliant to IFA supplementation whereas 42 percent were anemic. Post partum mothers with at least four ANC visit was 2.4 times more likely to have IFA compliance than those with less than four visits. Similarly, those mothers who had first ANC visit before 18 weeks were 37.8 time more likely to have compliance in comparison to their counterpart. Those who faced difficulty in getting IFA were 3.67 times less likely to have IFA compliance than those who didn't face any difficulty. Furthermore, poor were 2.57 times less likely to have IFA compliance than non-poor. Those who knew the importance of IFA intake were 2.69 times more likely to have compliance than those who didn't know. Those who had got counseled during their ANC visit were 10.26 times more likely to be compliant than those who didn't. Whereas, ethnicity, religion, heard about anemia, experienced benefit, literacy of women, occupation of women were not found significant in multivariate analysis. Similarly, women with non compliance to IFA supplementation were 24.16 times more likely to be anemic than those with IFA compliance. Similarly, anemia was found 3.35 times more in women who were not taking heme source of iron than those who were taking whereas, history of fever during pregnancy, intake of non heme iron rich food, intake of yellow fruit, birth gap and ethnicity were not found significant in multivariate analysis. From the study findings, it is concluded that compliance is determined by number of ANC visits, timing of first ANC visit, getting counseled about IFA during ANC visit, easy access to get IFA, knowledge about importance of IFA intake as well as economic status of family. Similarly, stock status, misconceptions, forgetfulness and other socio cultural aspects also play role in compliance. Findings also showed that anemia was significantly associated with IFA compliance and intake of heme source of iron rich food. So to reduce anemia among pregnant women compliance of IFA supplementation should be increased by focusing on its determinants on one hand and promoting intake of heme source of iron on the other hand. |
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| Item Description: | Thesis Report. |
| Physical Description: | xiii,48p. |