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首页> 外文期刊>International Journal of Reproductive Medicine >Adherence to Iron-Folate Supplementation and Associated Factors among Pastoralist’s Pregnant Women in Burji Districts, Segen Area People’s Zone, Southern Ethiopia: Community-Based Cross-Sectional Study
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Adherence to Iron-Folate Supplementation and Associated Factors among Pastoralist’s Pregnant Women in Burji Districts, Segen Area People’s Zone, Southern Ethiopia: Community-Based Cross-Sectional Study

机译：埃塞俄比亚南部塞根地区人民区布尔吉地区牧民孕妇坚持铁叶补充剂及其相关因素的研究：基于社区的跨部门研究

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Background. Iron deficiency anemia among pregnant women is one of the most common public health problems in developing country particularly in Ethiopia. Iron/folic acid supplementation with optimal adherence is the main cost-effective strategy for prevention and control of iron deficiency anemia in pregnant women. However, level of adherence to iron/folic acid supplementation and its associated factors were not well identified in study area. Therefore, the aim of this study was to determine the level of adherence to iron/folic acid supplementation and associated factors among pregnant women in Burji Districts, southern Ethiopia. Methods. A community-based cross-sectional study was conducted among 317 pregnant women in Burji Districts from March to April 2017 using interviewer administered questionnaires. Data were entered into Epi Info 3.5.1 and exported to SPSS version 20.0 for analysis. Binary and multivariable logistic regression was used to identify factors associated with iron/folic acid supplementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value <0.05 were used to declare statistical significance. Results. Among women participating in the study, 163(51.4%) were adherent to iron/folate acid supplementation. Factors significantly associated with adherence to iron and folic acid supplementation were maternal educational status (AOR 2.47, 95% CI 1.13-4.97), early registration for ANC (AOR 2.49, 95% CI 1.45 – 4.27), history of anemia during current pregnancy (AOR 2.02, 95% CI 1.09-3.72), and knowledge about iron and folic acid supplementation (AOR 1.96, 95% CI 1.02-3.76). Forgetfulness and fear of side effects were among the leading reasons of pregnant women for nonadherence to iron and folic acid supplementation. Conclusions. This study revealed that adherence to iron /folic acid supplementation was found to be 51.4%. Maternal educational status, early registration for ANC, history of anemia during current pregnancy, and knowledge about iron and folic acid supplementation were significant factors associated with adherence to iron/folic acid supplementation among pastoralist’s pregnant women. Therefore, anemia prevention strategy should include strengthening giving awareness, counseling, strengthening community health education, and participation in health programs which are necessary to improve the uptake of iron/folic acid supplements.
机译：背景。孕妇缺铁性贫血是发展中国家特别是埃塞俄比亚最常见的公共卫生问题之一。具有最佳依从性的铁/叶酸补充剂是预防和控制孕妇缺铁性贫血的主要经济有效策略。然而，在研究区域中并未很好地确定铁/叶酸补充剂的依从性水平及其相关因素。因此，本研究的目的是确定埃塞俄比亚南部Burji地区孕妇对铁/叶酸补充剂的依从水平及其相关因素。方法。 2017年3月至2017年4月，采用访谈员管理的问卷调查法对Burji地区的317名孕妇进行了社区横断面研究。将数据输入Epi信息3.5.1，并导出到SPSS 20.0版进行分析。二元和多变量逻辑回归用于确定与铁/叶酸补充相关的因素。具有95％置信区间（CI）和p值<0.05的调整比值比（AOR）用于声明统计显着性。结果。在参加研究的女性中，有163名（51.4％）坚持补充铁/叶酸。与坚持补充铁和叶酸显着相关的因素包括孕产妇的教育状况（AOR 2.47，95％CI 1.13-4.97），ANC的早期注册（AOR 2.49，95％CI 1.45 – 4.27），当前怀孕期间的贫血史（ AOR 2.02，95％CI 1.09-3.72），以及有关铁和叶酸补充剂的知识（AOR 1.96，95％CI 1.02-3.76）。健忘和对副作用的恐惧是孕妇不坚持补充铁和叶酸的主要原因。结论。这项研究表明，坚持补充铁/叶酸的比例为51.4％。产妇的教育状况，ANC的早期注册，当前怀孕期间的贫血病史以及对铁和叶酸补充的了解是牧民孕妇坚持铁/叶酸补充的重要因素。因此，预防贫血的策略应包括加强意识，提供咨询，加强社区健康教育以及参与健康计划，这些对于提高铁/叶酸补充剂的摄取是必不可少的。

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