Abstract
BackgroundIron deficiency anemia during pregnancy is a public health problem across the globe that adversely affects maternal and perinatal outcome. World Health Organization recommends that universal iron folic acid supplementation of pregnant women. Therefore, the aim of this study was to determine compliance and identify factors associated with Iron folic acid among pregnant women.MethodsCommunity based cross-sectional study was conducted from November 01–December 30, 2015 on pregnant women from Hawassa city. An Interviewer administered questionnaire was used to collect data from 422 selected study subjects using simple random sampling technique. Data were entered in to Epi-Data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariable analyses were employed to test presence of association between dependent and independent variables. P value < 0.05 was considered as statistically significant.ResultIn this study prevalence of compliance with iron folic acid was reported 38.3% (95%CI: 33.1, 42.5). Women who know the importance of iron folic acid had 6 times higher odds of compliance with iron folic acid than counterpart (AOR = 6.1, 95% CI: 3.53, 10.24).Pregnant women who develop complication during the previous pregnancy had 0.34 times lower odds of compliance with counterpart (AOR = 0.34, 95% CI: 0.16–0.76), experiencing iron folic acid related side effects during the previous pregnancy had 8.5 time higher odds to decrease compliance with than those did not experience iron folic acid related side effects (AOR = 8.5, 95% CI: 4.65.-15.35).ConclusionIn this study demonstrated that compliance with iron folic acid among pregnant women through pill count is low. Women who know the importance of iron folic acid, women who develop complications during previous pregnancy, experiencing iron folic acid related side effects during the previous pregnancy were independent predictor of compliance with iron folic acid. Health care providers shall strongly counsel the importance and side effect of iron folic acid before prescribing. The responsible bodies avail suitable iron folic acid pill and less side effect brands. Health care providers and health extension workers shall be monitored iron folic acid by pill count during their home to home visits.
Highlights
Iron deficiency anemia during pregnancy is a public health problem across the globe that adversely affects maternal and perinatal outcome
In this study demonstrated that compliance with iron folic acid among pregnant women through pill count is low
The findings showed that 38.3% pregnant compliance with iron folic acid through pills count
Summary
Iron deficiency anemia during pregnancy is a public health problem across the globe that adversely affects maternal and perinatal outcome. Anemia remains a public health problem across the globe It affected more than 2 billion people globally, accounting for 60,534 deaths in 2010 for reproductive age women. Pregnant women are predominantly at high risk of iron deficiency anemia (IDA) due to increase nutrient requirement during pregnancy [1, 2]. Iron deficiency anemia during pregnancy is associated with an increased risk factor for maternal low weight gain, preterm labour, placenta previa, premature rupture of membrane, cardiac arrest, and hemorrhage, lowered resistance to infection, poor cognitive development and reduced work capacity. Iron deficiency anemia on fetal and neonatal are increasing risk factor of prematurity, low birth weight, fetal distress which contribute to perinatal morbidity and mortality [5, 6]
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