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Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh

Effective coverage of antenatal iron and folic acid (IFA) supplementation is important to prevent adverse maternal and newborn health outcomes. We interviewed 2572 women from two rural districts in Bangladesh who had a live birth in the preceding six months. We analysed the number of IFA tablets rec...

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Autores principales: Billah, Sk Masum, Raynes-Greenow, Camille, Ali, Nazia Binte, Karim, Farhana, Lotus, Sharif Uddin, Azad, Rashidul, Sari, Mayang, Mustaphi, Piyali, Maniruzzaman, Md., Rahman, Shah Mohammad Mustafizur, Dibley, Michael John, Kelly, Patrick John, El Arifeen, Shams
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9370216/
https://www.ncbi.nlm.nih.gov/pubmed/35956291
http://dx.doi.org/10.3390/nu14153114
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author Billah, Sk Masum
Raynes-Greenow, Camille
Ali, Nazia Binte
Karim, Farhana
Lotus, Sharif Uddin
Azad, Rashidul
Sari, Mayang
Mustaphi, Piyali
Maniruzzaman, Md.
Rahman, Shah Mohammad Mustafizur
Dibley, Michael John
Kelly, Patrick John
El Arifeen, Shams
author_facet Billah, Sk Masum
Raynes-Greenow, Camille
Ali, Nazia Binte
Karim, Farhana
Lotus, Sharif Uddin
Azad, Rashidul
Sari, Mayang
Mustaphi, Piyali
Maniruzzaman, Md.
Rahman, Shah Mohammad Mustafizur
Dibley, Michael John
Kelly, Patrick John
El Arifeen, Shams
author_sort Billah, Sk Masum
collection PubMed
description Effective coverage of antenatal iron and folic acid (IFA) supplementation is important to prevent adverse maternal and newborn health outcomes. We interviewed 2572 women from two rural districts in Bangladesh who had a live birth in the preceding six months. We analysed the number of IFA tablets received and consumed during pregnancy and examined the factors influencing IFA consumption by multiple linear regression and user adherence-adjusted effective coverage of IFA (consuming ≥180 IFA tablets) by Poisson regression. Overall, about 80% of women consumed IFA supplements in any quantity. About 76% of women received antenatal care at least once, only 8% received ≥180 IFA tablets, and 6% had user adherence-adjusted coverage of antenatal IFA supplementation. Multivariable analysis showed a linear relationship between the number of antenatal care (ANC) visits and the number of IFA supplements consumed, which was modified by the timing of the first ANC visit. Women’s education, free IFA, and advice on IFA were also associated with higher IFA consumption. Interventions targeting at least eight ANC contacts, starting early in pregnancy, providing advice on the importance of IFA, and providing IFA supplements in higher quantity at ANC contacts are likely to increase effective coverage of antenatal IFA supplementation.
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spelling pubmed-93702162022-08-12 Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh Billah, Sk Masum Raynes-Greenow, Camille Ali, Nazia Binte Karim, Farhana Lotus, Sharif Uddin Azad, Rashidul Sari, Mayang Mustaphi, Piyali Maniruzzaman, Md. Rahman, Shah Mohammad Mustafizur Dibley, Michael John Kelly, Patrick John El Arifeen, Shams Nutrients Article Effective coverage of antenatal iron and folic acid (IFA) supplementation is important to prevent adverse maternal and newborn health outcomes. We interviewed 2572 women from two rural districts in Bangladesh who had a live birth in the preceding six months. We analysed the number of IFA tablets received and consumed during pregnancy and examined the factors influencing IFA consumption by multiple linear regression and user adherence-adjusted effective coverage of IFA (consuming ≥180 IFA tablets) by Poisson regression. Overall, about 80% of women consumed IFA supplements in any quantity. About 76% of women received antenatal care at least once, only 8% received ≥180 IFA tablets, and 6% had user adherence-adjusted coverage of antenatal IFA supplementation. Multivariable analysis showed a linear relationship between the number of antenatal care (ANC) visits and the number of IFA supplements consumed, which was modified by the timing of the first ANC visit. Women’s education, free IFA, and advice on IFA were also associated with higher IFA consumption. Interventions targeting at least eight ANC contacts, starting early in pregnancy, providing advice on the importance of IFA, and providing IFA supplements in higher quantity at ANC contacts are likely to increase effective coverage of antenatal IFA supplementation. MDPI 2022-07-28 /pmc/articles/PMC9370216/ /pubmed/35956291 http://dx.doi.org/10.3390/nu14153114 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Billah, Sk Masum
Raynes-Greenow, Camille
Ali, Nazia Binte
Karim, Farhana
Lotus, Sharif Uddin
Azad, Rashidul
Sari, Mayang
Mustaphi, Piyali
Maniruzzaman, Md.
Rahman, Shah Mohammad Mustafizur
Dibley, Michael John
Kelly, Patrick John
El Arifeen, Shams
Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title_full Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title_fullStr Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title_full_unstemmed Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title_short Iron and Folic Acid Supplementation in Pregnancy: Findings from the Baseline Assessment of a Maternal Nutrition Service Programme in Bangladesh
title_sort iron and folic acid supplementation in pregnancy: findings from the baseline assessment of a maternal nutrition service programme in bangladesh
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9370216/
https://www.ncbi.nlm.nih.gov/pubmed/35956291
http://dx.doi.org/10.3390/nu14153114
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