Abstract
Abstract
Background
Iron and Folic Acid are two of the micronutrients recommended for pregnant women to support optimal maternal outcomes with regard to preventing anaemia and foetal birth defects. It is difficult to establish if women provided with iron and folic acid supplementation in Zambia benefit from it and how well it is implemented. The overall objective of this study was to determine the levels of uptake and compliance to iron and folic acid in pregnancy among women of child-bearing age in Zambia, with a focus on both supply and demand factors.
Methods
A cross sectional, mixed method study was done. Data was collected in August and September 2015 from six of the 14 districts in which Scaling Up Nutrition interventions were being undertaken as well as Lusaka district. A household survey covering 402 males and females of child-bearing age, 27 key informant interviews amongst key stakeholders and 12 focus group discussions at community level were conducted.
Results
Antenatal clinic attendance was almost universal (98.7%); the majority of both men (92.1%) and women (97.4%) had heard messages about iron and folic acid supplementation; the majority (96.5%) of women reported having taken iron and folic acid tablets during their last pregnancy, with 61.3% starting in the second trimester, 27.2% during the first trimester, and 7.7% in their third trimester. Eighty-five per cent (80.5%) of the women reported that they had taken all the tablets they were given with about 13.4% not taking all the tablets received.
Conclusions
Root cause analysis, using both qualitative and quantitative findings, showed that the main challenges faced were long distances to health facilities and high transport costs; some women not being reached with supplementation messaging; lack of formalised and uniform training around delivery of antenatal messages across health care workers; women not attending antenatal monthly to replenish supplements; and forgetfulness to take the drugs daily. While male involvement may be a supportive factor, it sometimes hinders women from accessing antenatal services. Results showed that both uptake and compliance to iron and folic acid supplementation in pregnancy in Zambia were sub-optimal.
Funder
Scaling Up Nutrition Programme
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology
Reference25 articles.
1. World Health Organisation. Nutritional Anaemias: report of a WHO scientific group. Geneva: World Health; 2012.
2. National Food and Nutrition Commission. Report of the National Survey to evaluate the impact of vitamin a interventions in Zambia in July and November 2003. Lusaka: National Food and Nutrition Commission; 2003.
3. Lubeya MKB Vwalika B. Anaemia in Pregnancy among Pregnant Women in Medical Journal of Zambia. 2017;44(4).
4. Rahman M, Abe SK, Rahman S, Kanda M, Narita S, Bilano V, Ota E, Gilmour S, Shibuya K. Maternal anemia and risk of adverse birth and health outcomes in low- and middle-income countries: systematic review and meta-analysis. Am J Clin Nutr. 2016;103(2):495–504 https://doi.org/10.3945/ajcn.115.107896.
5. World Bank. Prevalence of anaemia among pregnant women: Knoema; 2016. Available online: https://knoema.com/WBHNPS2018DEC/health-nutrition-and-population-statistics?tsId=1728550
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