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Prevalence and factors associated with compliance to iron and folic acid supplementation in pregnancy in Tamale Metropolis, Ghana

机译：加纳托马尔大都市怀孕符合钢铁和叶酸补充剂的患病率和因素

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BackgroundSupplementation with iron and folic acid (IFA) is recommended to prevent anaemia in pregnancy. However, the effectiveness of the supplementation in improving haemoglobin level depends on the degree of compliance. It is therefore necessary to periodically assess level of compliance with IFA supplementation. The aim of this study was to assess the prevalence and factors associated with compliance to IFA supplementation in pregnancy in Tamale Metropolis, Ghana.MethodsA health facility–based cross-sectional study was conducted among 403 pregnant women who accessed antenatal clinic (ANC) services in three health facilities in Tamale Metropolis, Ghana. Simple random sampling was used to select study health facilities and participants. Compliance to IFA was defined as use of IFA supplement in 4 of the last 7?days. Logistic regression analysis was used to identify the determinants of IFA supplementation compliance.ResultsThe mean age of the study population was 26.7 (±?4.18) years. The prevalence of compliance to IFA supplementation was 58.8% (215/403) and the main reason the women gave for non-compliance was forgetting to take the supplements (40.9%). Following multivariate analysis, factors that were significantly associated with compliance were pregnancy trimester at interview, educational level, IFA knowledge, sex of household head and household wealth index.ConclusionAbout 3 out of 5 women seeking ANC services in Tamale Metropolis are compliant with IFA supplementation with some of their socio-demographic and household characteristics predicting compliance. Efforts to increase compliance to IFA supplementation must focus on education on its benefits and improvement of socio-economic status of women.
机译：建议使用钢铁和叶酸（IFA）来预防妊娠期贫血。然而，补充改善血红蛋白水平的有效性取决于依从性程度。因此，有必要定期评估IFA补充的遵守水平。本研究的目的是评估与IFA补充在Tamale大都市的诉讼中遵守诉讼的患病率和因素，加纳在403名进入产前诊所（ANC）服务的孕妇中进行了基于403名孕妇的横断面研究塔蒙尔大都会，加纳的三个健康设施。简单的随机抽样用于选择学习卫生设施和参与者。符合IFA的符合性被定义为过去7天的4天的IFA补充。逻辑回归分析用于鉴定IFA补充遵守的决定因素。研究人群的平均年龄是26.7（±4.18）年。遵守IFA补充的普遍性为58.8％（215/403），妇女赋予不合规的主要原因是忘记了补充剂（40.9％）。在多变量分析后，在访谈，教育水平，IFA知识，家庭头部和家庭财富指数中具有显着与依从性的因素是妊娠期妊娠期，家庭头部和家庭财富指数。三个妇女在寻求托马尔大都市中寻求ANC服务的妇女兼容他们的一些社会人口统计和家庭特征预测合规性。增加对IFA补充遵守的努力必须侧重于教育其利益和改善妇女的社会经济地位。

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