Iron with Folic Acid Supplement Utilization Among Pregnant Women in Hawassa Ethiopia

Introduction

Understanding Iron and Folic Acid Supplementation

Study Overview

  • Objective: To assess the factors influencing the utilization of Iron with Folic Acid (IFA) supplements among pregnant women.
  • Location: Hawassa City Administration, Ethiopia.
  • Participants: 412 pregnant women attending antenatal care (ANC) at government facilities and family guidance clinics.

Key Findings

  • High IFA Coverage: 81% of women reported taking IFA supplements during pregnancy.
  • Compliance Challenges: Only 37.7% maintained high compliance (taking supplements as recommended).
  • Major Barriers:
    • Side effects from the supplements.
    • Low acceptance due to poor tablet quality.
    • Forgetfulness and misconceptions about supplement necessity.

Broader Implications of Maternal Anemia

The World Health Organization (WHO) emphasizes that iron and folic acid supplementation is essential in areas with anemia prevalence under 40%. Despite global initiatives, many regions, particularly in Africa, still grapple with maternal anemia at concerning rates. According to WHO, poor compliance with supplementation is often linked to side effects and inadequate counseling efforts.

In this study, pregnant women in Hawassa were more compliant than national averages but still below global targets, highlighting the need for stronger health education programs. The Centers for Disease Control and Prevention (CDC) also stress that addressing iron deficiency improves both maternal and fetal outcomes, reducing risks like low birth weight and premature delivery.

Key Recommendations for Improved Compliance

  • Strengthen counseling services to manage side effects.
  • Enhance supplement quality and palatability.
  • Educate families and communities on the importance of consistent IFA supplementation.
  • Improve supply chain systems to ensure consistent access to supplements.

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