title: Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study.
abstract: Background. In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia. Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement. Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777)), knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537)), and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368)) were significantly associated with compliance to iron-folate supplement. Conclusions. Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation.
authors.affiliation: Hadiya Zone Health Department, Southern Nations, Nationalities and Peoples, Ethiopia.
authors.forename: Abinet
authors.initials: A
authors.lastname: Arega Sadore
authors.affiliation: Department of Health Education and Behavioral Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia.
authors.forename: Lakew
authors.initials: L
authors.lastname: Abebe Gebretsadik
authors.affiliation: Department of Health Education and Behavioral Sciences, Jimma University, P.O. Box 378, Jimma, Ethiopia.
authors.forename: Mamusha
authors.initials: M
authors.lastname: Aman Hussen
mesh_terms: D000293:Adolescent; D000328:Adult; D018798:Anemia, Iron-Deficiency / Q000188:drug therapy / Q000523:psychology; D003430:Cross-Sectional Studies; D019587:Dietary Supplements / Q000032:analysis*; D005002:Ethiopia; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007501:Iron / Q000008:administration & dosage*; D016015:Logistic Models; D008875:Middle Aged; D009035:Mothers / Q000523:psychology / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D055815:Young Adult
chemical_list: D005492:Folic Acid; D007501:Iron
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