ASSOCIATION BETWEEN KNOWLEDGE AND COMPLIANCE OF TAKING IRON/FOLIC ACID SUPPLEMENTS DURING PREGNANCY


Christiana R Titaley, Enrika Rahayu, Rita Damayanti, Dini Dachlia, Ratu Ayudewi Sartika, Amry Ismail, Adhi Sanjaya, Elvina Karyadi

Abstract


 

Objective: In Indonesia, pregnant women are recommended to take a minimum of 90 tablets of iron/folic acid (IFA), to prevent iron deficiency anemia. Our analysis aimed at examining the extent to which improved knowledge on IFA supplementation is associated with women’s compliance with taking a minimum of 90 IFA tablets during their last pregnancy in four districts in Indonesia.

Methods: Data were derived from a cross-sectional study conducted in four districts, that is, Lebak and Pandeglang District (Banten Province) as well as Purwakarta and Subang District of West Java Province, Indonesia on June 2014. We used information from 436 mothers who delivered their baby in the last 6 months from the time of the survey and received at least 90 IFA tablets during her last pregnancy. Logistic regression analysis was used to examine the role of knowledge after controlling for confounders and other significant predictor on compliance with taking a minimum of 90 IFA tablets during pregnancy.

Result: Significant association was found between knowledge of IFA supplements and compliance. Compared to women with poor knowledge of IFA supplementation, the odds of taking a minimum of 90 IFA tables increased by almost 100% in women with moderate knowledge (adjusted odd ratio [aOR]=1.96, 95% confidence interval [CI]: 1.17-3.30, p=0.011); and by more than four times (aOR=5.42, 95% CI: 1.76-16.68, p=0.003) in women with good knowledge of IFA supplementation. Other factors associated with compliance was attendance in at least four antenatal services (aOR=5.71, 95% CI: 1.28-25.53, p=0.023) and pregnant women experience of no side effects resulting from taking IFA tablets during pregnancy (aOR=2.70, 95% CI: 1.63-4.46, p<0.001).

Conclusions: Efforts to increase women’s knowledge on IFA supplementation through community-based education will increase women’s compliance of taking IFA supplements. Strengthening counseling services on potential side effects of IFA supplementation and ways to manage them will also help to improve compliance.


Keywords


Iron/folic acid supplementation, Knowledge, Compliance, Indonesia.

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About this article

Title

ASSOCIATION BETWEEN KNOWLEDGE AND COMPLIANCE OF TAKING IRON/FOLIC ACID SUPPLEMENTS DURING PREGNANCY

Keywords

Iron/folic acid supplementation, Knowledge, Compliance, Indonesia.

DOI

10.22159/ajpcr.2017.v10s5.23126

Date

01-10-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol. 10, Special Issue (Oct.), 2017 [PTMDS 2017] Page: 177-182

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

90 Views | 45 Downloads

Authors & Affiliations

Christiana R Titaley
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Indonesia

Enrika Rahayu
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Indonesia

Rita Damayanti
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia. Department of Health Education and Behaviour Science, Faculty of Public Health Universitas Indonesia, Depok, Indonesia.
Indonesia

Dini Dachlia
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Indonesia

Ratu Ayudewi Sartika
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia. Department of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Indonesia

Amry Ismail
Center for Health Research, Faculty of Public Health, Universitas Indonesia, Depok, Indon
Indonesia

Adhi Sanjaya
Micronutrient Initative, Indonesia.
Indonesia

Elvina Karyadi
Micronutrient Initative, Indonesia.
Indonesia


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