Time to start and adherence to iron-folate supplement for pregnant women in antenatal care follow up; Northern Ethiopia

Time to start and adherence to iron-folate supplement for pregnant women in antenatal care follow up; Northern Ethiopia

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Teklu Gebrehiwot Gebremichael,1 Hansa Haftu,2 Teklebrhan Aregawi Gereziher11Clinical Pharmacy Department, School of Pharmacy, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; 2Pediatrics and Child Health Department, School of Medicine, College of Health Sciences, Mekelle University, Mekelle, EthiopiaBackground: Iron folate supplementation is a cost-effective way of reducing iron deficiency anemia, low birth weight, and neural tube defects in resource-limited countries like Ethiopia.Late to start and poor adherence to iron-folate supplement has restricted its effectiveness.The aim buy pooph of this study was to determine the time to start and adherence level of iron-folate supplementation to pregnant women attending at the Ayder Comprehensive Specialized Hospital.Methods: Two hundred pregnant women were recruited in cross-sectional study design between February and April 2018.

Results: From the total participant pregnant women the urban dweller constituted the major proportion of 182 (91%).Seventy-eight (39%) of the participants had two antenatal care visits, whereas only, 21 (10.5%) of them had an antenatal care visit three and above.One hundred fifty-five (77.

5%) participants women had knowledge about the cause of anemia in pregnancy.In this study, 143 (71.5%) of the pregnant women started their iron folate supplement in the second and third trimester.The adherence of iron folate intake was 10.

5%.Healthcare education and counseling about iron-folate supplementation (AOR =4.55, 95% CI =[1.534, 13.

512]), number of pregnancies (AOR =6.941, 95% CI =[1.511, 31.09]), and number of antenatal visit (AOR =0.

242, 95% CI =[0.069, 0.852]) were significantly associated with adherence to iron-folate supplementation.Conclusion: Time to start iron folate supplement in the first trimester was low and the adherence level microondas - lg mh6336gih, 1000w, grill, 23l, blanco was also very poor, which can be attributed by the number of antenatal care visits, frequency of pregnancy and healthcare education and counseling about iron folate supplement.

Keywords: adherence, iron-folate supplementation, anemia, Ethiopia, right time to start.