Adherence to folic acid and iron supplementation among pregnant women at Makongoro Health Centre, Mwanza City, Tanzania

Atupakisye Isakwisa Kasanga CUHAS/MD/4002007/T/17

Adherence to folic acid and iron supplementation among pregnant women at Makongoro Health Centre, Mwanza City, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2022 - 62 Pages Includes References

Abstract:

Background: Iron deficiency during pregnancy is a risk factor for anemia, preterm delivery, and low birth weight. Iron and Folic Acid supplementation with optimal adherence can effectively prevent anemia in pregnancy. However, studies that address this area of adherence to Iron and Folic acid supplements are very limited.

Objective: the study was conducted to assess the adherence and to identify factors associated with Iron and Folic acid uptake during pregnancy among pregnant women attending at Makongoro health centre antenatal care clinic.

Methodology: It was a cross sectional study which was conducted among pregnant women attending at Makongoro antenatal clinic from August 2021 to December 2021 in which 189 women were included in the study. Structured questionnaire was used to collect data which was then entered into SPSS version 20 for analysis.

Results: The results showed that the overall adherence to Iron and Folic Acid Supplementation (IFAS) was low. Whereas only 24.7% of pregnant women involved in the study had high adherence score to IFAS. Factors identified which contributed to low adherence included, age, education level, occupation, marital status, gravidity, gestation age at starting ANC, regular clinic attendance, knowledge about anemia, and knowledge about IFAS.

Conclusion: Adherence to iron and folic acid among pregnant women was low. Factors associated with adherence to IFAS included, time to start ANC, marital status, gravidity, education level, knowledge about anemia, knowledge about IFAS, regular clinic attendance, occupation, gestation age at the starting of ANC and age. Therefore modifying factors that influence adherence to IFAS is very essential for preventing anemia in pregnant, congenital anomalies, intrauterine fetal death and other consequences of maternal anemia. This includes, providing adequate education to pregnant women on the significant of IFAS, encouraging women to have regular clinic attendance, encourage early booking of ANC and ensuring that IFAS tablets are provided at all ANC visits.


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-- Obstetrics & Gynecology--Parasitology and Entomology --Biochemistry and Molecular Biology
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