Author:
Yalew Melaku,Getachew Shiferaw,Mohammed Keriya,Hankarso Hailu,Bayile Adane,Asmamaw Shambel Dessale,Assefa Mesfin Getahun,Bazie Getaw Walle,Mebratu Wondwosen,Kefale Bereket,Damtie Yitayish,Arefaynie Mastewal,Birhane Tesfaye,Dewau Reta,Cherie Nigus,Addisu Elsabeth,Mitiku Kefale,Tadese Fentaw,Wendie Teklehaimanot Fentie,Habtie Adane,Mekonnen Tefera Chane,Tadesse Sisay Eshete,Bedane Getachew Tadesse,Wasihun Yitbarek,Tsega Tilahun Degu,Taddele Mekuanint,Tefera Zenebe,Adane Bezawit,Wagaye Birhanu,Ayele Fanos Yeshanew,Zerga Aregash Abebayehu,Molla Abebaw,Desalegn Biruk,Birkie Mengesha,Bewket Bekalu,Alemu Belete Kassa,Zewdie Segenet,Tsegaye Meseret Kefale,Bitew Abebayehu,Mehari Kassu,Derseh Lemma
Abstract
AbstractBackgroundAnemia is still one of the major public health problems in many developing countries including Ethiopia. Thus, this study aimed to assess individual and contextual-level factors associated with iron-folic acid supplement intake during pregnancy in Ethiopia.MethodsA secondary analysis was done on the 2019 mini-Ethiopian Demographic and Health Survey (EDHS) dataset. A total of 3,927 pregnant women who gave birth five years before the survey were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA/SE version 14.0 to identify individual and contextual-level factors. Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to show the strength and direction of the association. The level of statistical significance was declared at a P value less than 0.05.ResultsThose primary educated [AOR = 1.83, 95% CI: (1.24, 2.74)], secondary educated [AOR = 2.75, 95% CI: (1.57, 4.824)], women who had greater than 5 living children [AOR = 2.02, 95% CI: (1.25, 3.27)], women who had ANC visit [AOR = 21.26, 95% CI: (13.56, 33.32)] and women who lived in a cluster with high proportion of women had ANC visit [AOR = 1.72, 95% CI: (1.17, 2.54)] and women who lived in Somali [AOR = 0.44 0.73, 95% CI: (0.22, 0.87)] were significantly associated with iron-folic acid intake during pregnancy.ConclusionsBoth individual and contextual-level factors were significantly associated with iron-folic acid intake during pregnancy. From individual-level factors: education status of women, the total numbers of living children, and ANC follow-up are significant and from contextual-level factors: region and living in a high proportion of women who had ANC follow-up were found to have a statistically significant association. Promoting women’s education and maternal health services like ANC and intervention targeting the Somali region would be the recalled area of the government.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
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