ABSTRACT
Background: Iron-folic acid deficiency is the most common complication during pregnancy. Iron deficiency is responsible for various health complications among pregnant women. Compliance with IFA supplementation is variable across India several factors are associated with compliance with IFA supplementation. Objective: The objective of this systematic review is to assess the factors affecting compliance toward oral iron-folic acid supplementation among pregnant women in India. Methods: The primary search was carried out using PubMed, Google scholar, the WHO website, and Research Gate which provide access to full?text research articles from January 2012 to 25th January 2022 published data were searched. Result: A total of 74 studies were identified, and 20 were included in this review. Out of the 20 studies, sixteen were cross-sectional, two mixed methods, and two randomized control trials. knowledge of IFA, education, socioeconomic status, the timing of registration and number of antenatal visits, type of family, and age of the pregnant women were the factors that affect the compliance of IFA supplementation. Conclusion: Knowledge of iron-folic acid supplementation, Timing of registration and number of Antenatal Care visits, educational level of the pregnant women, and age of the pregnant women were factors associated with the compliance of IFA supplementation among pregnant women in India.
ABSTRACT
Anemia is a major public health problem in India affecting over half of population in almost all age groups. It has devastating effect on human health and affects the socio-economic development. Government has devised several programs like National Nutritional Anemia Control Program (NNACP), Weekly Iron and Folic Acid Supplementation (WIFS), National Iron Plus Initiative (NIPI) etc to combat anemia. The facts remain that in spite of all the programs, no marked improvement has been noticed in the magnitude of anemia. A holistic approach is required with special emphasis on community awareness about consequences of anaemia and benefits of Iron Folic Acid (IFA) supplementation, uninterrupted supply availability of Iron folic Acid tablets and syrups, hard to reach areas and monitoring and review system to find out adequacy in terms of participation and frequency of meetings and problem-solving in NIPI
ABSTRACT
Background: Iron deficiency anemia during pregnancy as it is associated with increased maternal and perinatal mortality and morbidity. Objective: To study the knowledge and practices of pregnant women regarding IFA supplementation during pregnancy. Methodology :A cross–sectional study was conducted for 2 months (May –July 2017) among 108 pregnant women in their third trimester attending the antenatal at Singur. Knowledge and practice assessed using structured schedule. Logistic regression was done to establish association. Results : Poor knowledge significantly associated with lower age(AOR= 0.80,CI=0.67–0.95), lower educational status( AOR= 3.75, CI= 1.5–9.34),lower per capita income ( AOR= 3.09, CI= 1.24–7.72). Poor practice associated lower educational status(AOR=3.30, CI=1.45–7.53) and improper guidance from health–care worker(AOR=3.15, CI=1.29–7.72) Conclusions : The present study indicated poor knowledge and practice regarding IFA supplementation. So intensive counselling, motivation and implementing this into practice would help in reducing the incidence of anemia during pregnancy.