Compliance To Iron Supplementation Among Pregnant Women: A Cross Sectional Study in Urban Slum
Keywords:
Compliance, Iron folic acid supplementation, Pregnant womenAbstract
Background: Noncompliance to the iron-folic acid tablets is one of the most important challenging factors in combating anaemia. The study was conducted to assess compliance to Iron folic acid supplementation in pregnancy and to study the factors affecting it.
Methods: The study included 239 pregnant women of gestational age 4th to 6th months from anganwadis of Surat Municipal Corporation area. Data was collected by personal interview with prestructured questionnaire. The data was analyzed using epi info software.
Results: The results show that compliance to iron pills is increases with increase in level of education, early registration, increase in number of antenatal visits and knowledge of haemoglobin status and iron pill dose. Women from nuclear family with less number of children have better compliance. The overall compliance was found to be 61.7%. Forgetfulness, ignorance toward self-health care and to visit health facility, big size of tablets and palatability, and frustration to take daily pills appears to main causes of non-compliance.
Conclusion: Every six out of ten pregnant women were found taking iron supplement pills. As number of antenatal visits and knowledge of dose and duration of iron supplementation pills are independently affecting compliance to iron pills, increasing number of antenatal visits and imparting knowledge about dose and duration of iron supplementation pills will improve compliance to iron pills.
References
Guidelines for control of Iron Deficiency Anaemia: National Iron plus Initiative 2013.
World Health Organisation, Geneva. The world health report 2002: Reducing risks, promoting healthy life. Geneva, Switzerland:WHO;2002.
Pena-Rosas JP, Viteri FE. Effect and safety of preven-tive oral iron+folic acid supplementation for women during pregnancy. The Cochrane Library; 2009
World Health Organisation, CDC Atlanta. Worldwide prevalence of anaemia, WHO Global Database on Anaemia. WHO; 1993–2005
Anil Bilimale, Jawad Anjum, H N Sangoli, Mahesh Mallapur. Improving Adherence To Oral Iron Sup-plementation During Pregnancy. AMJ; 2010. 3(5) 281-290
Werner Schultink, Marriane Van Der Ree, Paul Ma-ruressi, Rainer Gross. Low Compliance With An Iron Supplementation Programe, A Study Among Preg-nant Women In Jakarta, Indonesia. AMJ Clin Nutr ;1993.57, 135-9
Maria Ana C Ordenes. Factors Influencing Compli-ance With Iron Supplementation Among Pregannt Women. Social Science Diliman;2006, 3(1-2) 84-107
Nelly Zavaleta, Laura E Caulfield, Aberto Figueroa and Ping Chen. Pattern of compliance with prenatal iron supplementation among Peruvian women. Wiley Online Library: 2012 Doi 10.1111/j. 1740-8709
Godara S, Hooda R, Nanda S, Mann S. To Study Compliance of Antenatal Women In Relation To Iron Supplementation In Routine Antenatal Clinic at A Tertiary Health Care Centre. JDDT. 2013;3(3):71-75
Galloway R, Dusch E, Elder L, Achadi E, Grajeda R, Hurtado E, et al. Women’s perceptions of iron defi-ciency and anaemia prevention and control in eight developing countries. Social science & medicine;1982
Samson Gebremedhin, Girma Mamo, Tibebu, Tsehai Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethopia, A cross-sectional study. BMC Public Health; 2014, 14:607
Mitra p et el. Compliance with iron folic (IFA) therapy among pregnant women in an urban area of south In-dia. African Health sciences; 2014(14)
Seck BC, Jackson RT. Determinants of compliance with iron supplementation among pregnant women in Senegal. Public Health Nutr. 2008;11(6): 596-60
Pamela L, David D, Ellen V, Shiela V and Ofelia L. Iron supplementation compliance among pregnant women in Bicol, Philippines. Keller International
Ahmad Lilly. Assessment of Factors Affecting Non-compliance for Iron Supplementation among Anemic Pregnant Women in Two Localities in Gaza Strip. Ahmad Lilly Private Pharmacist
Galloway R et el. Determinants of compliance with iron supplement: supplies, side effects or psychology. Soc Sci Med. 1994;39(3):381-390
Sant R, Beverley AB, Prasanth NS, Sudarshan H, Rob M, Jim B, Arun S Factors influencing receipt of iron supplement by young children and their mothers in rural India, local and national cross-sectional studies. BMC Public Health. 2011;11:617
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.