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Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers

CONTEXT: Neural tube defects (NTDs) are one of the most common congenital anomalies. NTDs are preventable if folic acid (FA) is supplemented before and during conception. Knowledge and supplementation of FA by pregnant women as well as it's timely provision by health providers is crucial in red...

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Autores principales: Saxena, Vartika, Naithani, Manisha, Kumari, Ranjeeta, Singh, Richa, Das, Pranoti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5084567/
https://www.ncbi.nlm.nih.gov/pubmed/27843847
http://dx.doi.org/10.4103/2249-4863.192374
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author Saxena, Vartika
Naithani, Manisha
Kumari, Ranjeeta
Singh, Richa
Das, Pranoti
author_facet Saxena, Vartika
Naithani, Manisha
Kumari, Ranjeeta
Singh, Richa
Das, Pranoti
author_sort Saxena, Vartika
collection PubMed
description CONTEXT: Neural tube defects (NTDs) are one of the most common congenital anomalies. NTDs are preventable if folic acid (FA) is supplemented before and during conception. Knowledge and supplementation of FA by pregnant women as well as it's timely provision by health providers is crucial in reducing the burden of NTDs in the community. AIM: To study the knowledge and supplementation of FA by pregnant women and it's prescription/provision by health providers. SETTINGS AND DESIGN: A cross-sectional study was conducted in the block Doiwala, District Dehradun, Uttarakhand. SUBJECTS AND METHODS: A total of 400 pregnant women and 121 government health providers (5 medical officers, 25 auxiliary nurse midwives [ANMs], and 91 accredited social health activists [ASHAs]) were interviewed on predesigned, pretested questionnaire by study/field investigator. STATISTICAL ANALYSIS USED: Proportion of different variables calculated and Chi-square test with Yates correction was applied. RESULTS: Of 400, 73.50% of women had heard of FA. Overall, knowledge scores suggested intermediate to low level of knowledge about FA. Totally 94.25% of women had planned pregnancies; however, only 4.75% of women reported FA supplementation before conception. This indicates that if these women would have been properly counseled and prescribed FA, they might have taken it. About 60% of medical officers, 4% of ANMs, and 3.3% of ASHAs knew FA deficiency as one of the causes of NTD. None of the health providers reported to be prescribing/counseling FA to pregnant women. FA was out of supply on the block at the time of the study. CONCLUSIONS: Knowledge and supplementation practices related with FA are poor.
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spelling pubmed-50845672016-11-14 Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers Saxena, Vartika Naithani, Manisha Kumari, Ranjeeta Singh, Richa Das, Pranoti J Family Med Prim Care Original Article CONTEXT: Neural tube defects (NTDs) are one of the most common congenital anomalies. NTDs are preventable if folic acid (FA) is supplemented before and during conception. Knowledge and supplementation of FA by pregnant women as well as it's timely provision by health providers is crucial in reducing the burden of NTDs in the community. AIM: To study the knowledge and supplementation of FA by pregnant women and it's prescription/provision by health providers. SETTINGS AND DESIGN: A cross-sectional study was conducted in the block Doiwala, District Dehradun, Uttarakhand. SUBJECTS AND METHODS: A total of 400 pregnant women and 121 government health providers (5 medical officers, 25 auxiliary nurse midwives [ANMs], and 91 accredited social health activists [ASHAs]) were interviewed on predesigned, pretested questionnaire by study/field investigator. STATISTICAL ANALYSIS USED: Proportion of different variables calculated and Chi-square test with Yates correction was applied. RESULTS: Of 400, 73.50% of women had heard of FA. Overall, knowledge scores suggested intermediate to low level of knowledge about FA. Totally 94.25% of women had planned pregnancies; however, only 4.75% of women reported FA supplementation before conception. This indicates that if these women would have been properly counseled and prescribed FA, they might have taken it. About 60% of medical officers, 4% of ANMs, and 3.3% of ASHAs knew FA deficiency as one of the causes of NTD. None of the health providers reported to be prescribing/counseling FA to pregnant women. FA was out of supply on the block at the time of the study. CONCLUSIONS: Knowledge and supplementation practices related with FA are poor. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5084567/ /pubmed/27843847 http://dx.doi.org/10.4103/2249-4863.192374 Text en Copyright: © Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Saxena, Vartika
Naithani, Manisha
Kumari, Ranjeeta
Singh, Richa
Das, Pranoti
Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title_full Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title_fullStr Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title_full_unstemmed Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title_short Peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
title_sort peri-conceptional supplementation of folic acid-knowledge and practices of pregnant women and health providers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5084567/
https://www.ncbi.nlm.nih.gov/pubmed/27843847
http://dx.doi.org/10.4103/2249-4863.192374
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