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Adherence to iron-folic acid supplementation among pregnant women in Ethiopia: a systematic review and meta-analysis
BMC Pregnancy and Childbirth ( IF 3.1 ) Pub Date : 2020-03-04 , DOI: 10.1186/s12884-020-2835-0
Fikadu Waltengus Sendeku , Getnet Gedefaw Azeze , Selamawit Lake Fenta

Despite the supplementation of iron-folic acid is the recommended strategy during the antenatal period; iron deficiency anemia is the commonest hematologic complication during pregnancy. Therefore, this systematic review and meta-analysis aimed to assess the level of adherence to iron-folic acid supplementation and its associated factors among pregnant women in Ethiopia. Systematic review and meta-analysis guideline was followed for this study. Different online databases were used for the review: PubMed, HINARI, EMBASE, Google Scholar and African Journals Online. Different searching terms were applied based on the adapted PICO principles to achieve and access all the essential articles. The data were entered and analyzed using Microsoft Excel and Stata 11 software respectively. Fifteen studies were included in this systematic review and meta-analysis with a total of 5808 pregnant women. The overall pooled prevalence of adherence to iron-folic acid supplementation among pregnant women in Ethiopia was 41.38% (95% CI: 33.09, 49.67). Having secondary and above educational status of the women (AOR:2.68,95%CI:1.25, 5.74), having an early registration of antenatal care follow-up (≤16 weeks) (AOR:2.54,95%CI:1.99, 3.24), having anemia complication during current pregnancy (AOR:3.01,95%CI:1.88, 4.81), having good knowledge of iron-folic acid supplementation (AOR: 2.96, 95%CI:1.76, 4.99), having four times or more antenatal care follow up (AOR:3.66, 95%CI:2.81, 4.77), getting health education about benefit of iron and folic acid (AOR:2.62,95%CI:1.46,4.72), and having good knowledge about anemia (AOR:2.99,95%CI:2.32, 3.85) were associated risk factors for adherence to iron-folic acid supplementation. The overall pooled prevalence adherence of IFAS among pregnant women was lower than the WHO recommendations. Educational status, early registration of ANC, anemia in the current pregnancy, good knowledge of IFAS, number of ANC visits, good knowledge of anemia and receiving health education about the benefit of IFAS were factors associated with the adherence of IFAS among pregnant women in Ethiopia. This finding is important to design strategic policies and to prevent anemia and congenital anomaly resulted from inadequate intake of iron and folic acid.

中文翻译:

埃塞俄比亚孕妇坚持补充铁叶酸:系统评价和荟萃分析

尽管在产前补充叶酸是推荐的策略;缺铁性贫血是怀孕期间最常见的血液系统并发症。因此,这项系统的综述和荟萃分析旨在评估埃塞俄比亚孕妇对铁叶酸补充剂的依从程度及其相关因素。本研究遵循系统评价和荟萃分析指南。评论使用了不同的在线数据库:PubMed,HINARI,EMBASE,Google Scholar和African Journals Online。根据改编的PICO原则应用了不同的搜索词,以获取和访问所有必不可少的文章。分别使用Microsoft Excel和Stata 11软件输入和分析数据。该系统评价和荟萃分析包括15项研究,总共5808名孕妇。埃塞俄比亚孕妇坚持叶酸补充的总体合并患病率为41.38%(95%CI:33.09,49.67)。具有中级及以上文化程度的女性(AOR:2.68,95%CI:1.25,5.74),及早登记产前保健随访(≤16周)(AOR:2.54,95%CI:1.99,3.24 ),在当前妊娠期间有贫血并发症(AOR:3.01,95%CI:1.88,4.81),具有补充铁叶酸的知识(AOR:2.96,95%CI:1.76,4.99),具有四倍以上进行产前检查(AOR:3.66,95%CI:2.81,4.77),接受有关铁和叶酸益处的健康教育(AOR:2.62,95%CI:1.46,4.72),并对贫血有很好的了解(AOR :2.99,95%CI:2.32,3。85)是坚持叶酸补充的相关危险因素。孕妇对IFAS的总合并患病率低于WHO的建议。教育状况,ANC的早期注册,当前妊娠的贫血,对IFAS的了解,对ANC的就诊次数,对贫血的了解以及对IFAS益处的健康教育是埃塞俄比亚孕妇遵守IFAS的相关因素。这一发现对于设计战略政策以及防止因铁和叶酸摄入不足而引起的贫血和先天性异常非常重要。ANC的早期注册,当前妊娠的贫血,对IFAS的充分了解,对ANC的就诊次数,对贫血的充分了解以及接受有关IFAS益处的健康教育是与IFAS在埃塞俄比亚孕妇中依从性相关的因素。这一发现对于设计战略政策以及防止由于铁和叶酸摄入不足而引起的贫血和先天性异常非常重要。ANC的早期注册,当前妊娠的贫血,对IFAS的充分了解,对ANC的访问次数,对贫血的充分了解以及接受有关IFAS益处的健康教育是与IFAS在埃塞俄比亚孕妇中依从性相关的因素。这一发现对于设计战略政策以及防止因铁和叶酸摄入不足而引起的贫血和先天性异常非常重要。
更新日期:2020-03-06
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