Factors associated with not using antenatal iron/folic acid supplements in Indonesia: the 2002/2003 and 2007 Indonesia Demographic and Health Survey.
BACKGROUND
This analysis examined factors associated with non-use of antenatal iron/folic acid supplements in Indonesia.


METHODS
Data from the 2002/2003 and 2007 Indonesia Demographic and Health Surveys (IDHS) were used, providing survival information for 26,591 most recent deliveries over the five-year period prior to each survey. The main outcome variable was non-use of iron/folic acid supplements. Using logistic regression, we examined the role of external environment, predisposing, enabling, need factors, and previous utilization of other maternal care services in non-use of antenatal iron/folic acid supplements.


RESULTS
Mothers from outer Java- Bali Region and rural areas (OR=1.73, 95% CI: 1.48-2.03) had increased odds for not using antenatal iron/folic acid supplements. The likelihood for not using the supplements increased with the reduction of household wealth index and parental education. The odds increased amongst mothers with low autonomy on her own health care (OR=1.24, 95% CI: 1.04-1.49), high birth-rank infants, mothers with low knowledge of obstetric complications and low exposure to mass media. Enabling factors associated with increased odds for non-use of iron/folic acid supplements included mothers reporting money to pay health services (OR=1.28, 95% CI: 1.13- 1.44) and distance to health services (OR=1.20, 95% CI: 1.02-1.40) were major problems. Our study demonstrated the importance of antenatal care as a distribution channel of the supplements.


CONCLUSIONS
Increasing community awareness, coverage and access to health services along with strengthening counselling sessions during antenatal care and community participation in health programs are necessary to improve the uptake of iron/folic acid supplements, to increase infant survival in Indonesia.
Center for Health Research Universitas Indonesia. Faculty of Public Health, G Building, Room 211. Universitas Indonesia Kampus UI, Depok 16424 West Java, Indonesia. Email: christiana_rialine@yahoo.com.
Christiana Rialine
CR
Titaley
The University of Sydney, NSW, 2006 Australia.
Michael John
MJ
Dibley
D000328:Adult; D003710:Demography; D019587:Dietary Supplements; D004522:Educational Status; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage*; D006306:Health Surveys; D006801:Humans; D007214:Indonesia; D019266:Iron, Dietary / Q000008:administration & dosage*; D010349:Patient Compliance / Q000706:statistics & numerical data; D011247:Pregnancy; D011295:Prenatal Care; D012424:Rural Population; D012959:Socioeconomic Factors
D019266:Iron, Dietary; D005492:Folic Acid