Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia.

Ejara, D; Ferede, A; Shifa, JE; Bekele, F; Ahmed Hassen, T

Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia.

Ejara, D Ferede, A Shifa, JE Bekele, F Ahmed Hassen, T

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: Sci Rep, 2024, 14, (1), pp. 13407
Issue Date:: 2024-06-11

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Field	Value	Language
dc.contributor.author	Ejara, D
dc.contributor.author	Ferede, A
dc.contributor.author	Shifa, JE
dc.contributor.author	Bekele, F
dc.contributor.author	Ahmed Hassen, T
dc.date.accessioned	2025-04-30T20:36:24Z
dc.date.available	2024-05-24
dc.date.available	2025-04-30T20:36:24Z
dc.date.issued	2024-06-11
dc.identifier.citation	Sci Rep, 2024, 14, (1), pp. 13407
dc.identifier.issn	2045-2322
dc.identifier.issn	2045-2322
dc.identifier.uri	http://hdl.handle.net/10453/187128
dc.description.abstract	Iron deficiency is a widespread micronutrient deficiency, impacting over 30% of the global population. Iron Folic Acid supplement is recommended for pregnant women to counter iron deficiency anemia and neural tube anomalies. Although Iron Folic Acid supplementation is integral to Ethiopian antenatal care, one in four women in Ethiopia experiences anemia during pregnancy suggesting poor compliance. This study aimed to investigate compliance level and associated factors of Iron Folic Acid supplementation among pregnant women attending antenatal care in Wuchale Woreda of North Shoa Zone, Ethiopia. An institutional-based cross-sectional study was conducted among 302 pregnant women from March 20 to April 5, 2021, who were selected using a systematic random sampling technique. Data were collected through face-to-face interview, entered epi-data, and exported to Statistical Package for the Social Sciences for analysis. A multivariable logistic regression was used to identify factors associated with compliance level. All the results were presented with 95% confidence intervals. The compliance with Iron Folic Acid supplementation was 47.0%. Residing nearest to the health facility (AOR = 2.46; 95% CI 1.32, 4.57), initiating antenatal care at health center (AOR = 2.23; 95% CI 1.17, 4.51), having a family size of 4 and above (AOR = 4.99; 95% CI 2.43, 10.24), and receiving information from health extension workers (AOR = 5.52; 95% CI 1.30, 23.54) increased compliance with Iron Folic Acid supplementation. Less than half of the pregnant women were compliant with Iron Folic Acid utilization. There is a need to prioritize promoting the importance of Iron Folic Acid supplementation through health education particularly by targeting pregnant women with identified factors.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	Sci Rep
dc.relation.isbasedon	10.1038/s41598-024-63111-x
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Folic Acid
dc.subject.mesh	Pregnancy
dc.subject.mesh	Ethiopia
dc.subject.mesh	Adult
dc.subject.mesh	Dietary Supplements
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Iron
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Anemia, Iron-Deficiency
dc.subject.mesh	Young Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Pregnant People
dc.subject.mesh	Patient Compliance
dc.subject.mesh	Humans
dc.subject.mesh	Anemia, Iron-Deficiency
dc.subject.mesh	Iron
dc.subject.mesh	Folic Acid
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Patient Compliance
dc.subject.mesh	Pregnancy
dc.subject.mesh	Dietary Supplements
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Ethiopia
dc.subject.mesh	Female
dc.subject.mesh	Young Adult
dc.subject.mesh	Pregnant People
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Folic Acid
dc.subject.mesh	Pregnancy
dc.subject.mesh	Ethiopia
dc.subject.mesh	Adult
dc.subject.mesh	Dietary Supplements
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Iron
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Anemia, Iron-Deficiency
dc.subject.mesh	Young Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Patient Compliance
dc.title	Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia.
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	England
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/School of Public Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-04-30T20:36:22Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	14
utslib.citation.issue	1

Abstract:

Iron deficiency is a widespread micronutrient deficiency, impacting over 30% of the global population. Iron Folic Acid supplement is recommended for pregnant women to counter iron deficiency anemia and neural tube anomalies. Although Iron Folic Acid supplementation is integral to Ethiopian antenatal care, one in four women in Ethiopia experiences anemia during pregnancy suggesting poor compliance. This study aimed to investigate compliance level and associated factors of Iron Folic Acid supplementation among pregnant women attending antenatal care in Wuchale Woreda of North Shoa Zone, Ethiopia. An institutional-based cross-sectional study was conducted among 302 pregnant women from March 20 to April 5, 2021, who were selected using a systematic random sampling technique. Data were collected through face-to-face interview, entered epi-data, and exported to Statistical Package for the Social Sciences for analysis. A multivariable logistic regression was used to identify factors associated with compliance level. All the results were presented with 95% confidence intervals. The compliance with Iron Folic Acid supplementation was 47.0%. Residing nearest to the health facility (AOR = 2.46; 95% CI 1.32, 4.57), initiating antenatal care at health center (AOR = 2.23; 95% CI 1.17, 4.51), having a family size of 4 and above (AOR = 4.99; 95% CI 2.43, 10.24), and receiving information from health extension workers (AOR = 5.52; 95% CI 1.30, 23.54) increased compliance with Iron Folic Acid supplementation. Less than half of the pregnant women were compliant with Iron Folic Acid utilization. There is a need to prioritize promoting the importance of Iron Folic Acid supplementation through health education particularly by targeting pregnant women with identified factors.

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http://hdl.handle.net/10453/187128