Perceptions of antenatal iron-folic acid supplements in urban and rural Pakistan: A qualitative study

BMC Pregnancy and Childbirth

Volumn 14, Issue 1, 2014, Pages

  Nisar, Yasir B ^a   Alam, Ashraful ^a   Aurangzeb, Brekhna ^b   Dibley, Michael J ^a  

^a UNIVERSITY OF SYDNEY   (Australia)

^b Children Hospital Islamabad   (Pakistan)

Author keywords

Barriers; Healthcare providers; IFA supplementation; Perceptions; Pregnant women

Indexed keywords

CONTRACEPTIVE AGENT; FOLIC ACID; IRON; VITAMIN B COMPLEX;

ADULT; ARTICLE; COUNSELING; EDUCATIONAL STATUS; FAMILY; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE PERSONNEL; HUMAN; INTERVIEW; KNOWLEDGE; MEDICAL INFORMATION; MOTHER; PAKISTAN; PHYSICIAN; PREGNANT WOMAN; PRENATAL CARE; QUALITATIVE RESEARCH; TRUST; VITAMIN SUPPLEMENTATION; ATTITUDE TO HEALTH; DIETARY SUPPLEMENT; ECONOMICS; ETHNOLOGY; FAMILY RELATION; PATIENT ATTITUDE; PERCEPTION; PREGNANCY; PSYCHOLOGY; RURAL POPULATION; SUPPLY AND DISTRIBUTION; URBAN POPULATION; UTILIZATION; YOUNG ADULT;

ADULT; DIETARY SUPPLEMENTS; FAMILY RELATIONS; FEMALE; FOLIC ACID; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; IRON; PAKISTAN; PATIENT ACCEPTANCE OF HEALTH CARE; PERCEPTION; PREGNANCY; RURAL POPULATION; TRUST; URBAN POPULATION; VITAMIN B COMPLEX; YOUNG ADULT;

EID: 84908068210     PISSN: None     EISSN: 14712393     Source Type: Journal    
DOI: 10.1186/1471-2393-14-344     Document Type: Article

References (37)

1. World Health Organization, Centers for Disease Control and Prevention Worldwide prevalence of anaemia 1993-2005. WHO Global Database on Anaemia 2008, Geneva: World Health Organization, de Benoist B, McLean E, Egli I, Cogswell M, World Health Organization, Centers for Disease Control and Prevention.
2. UNICEF, Nutrition Wing Planning Commission Government of Pakistan, Aga Khan University National Nutrition Survey Pakistan 2011, Islamabad: UNICEF, UNICEF, Nutrition Wing Planning Commission Government of Pakistan, Aga Khan University.
3. Stoltzfus R, Dreyfuss M. Guidelines for the Use of Iron Supplements to Prevent and Treat Iron Deficiency Anaemia 1998, Washington: ILSI Press.
4. World Health Organization Micronutrient deficiencies: iron deficiency anaemia. [cited on September 9, 2014]. Available from: http://www.who.int/nutrition/topics/ida/en/], World Health Organization.
5. Murray-Kolb LE, Chen L, Chen P, Shapiro M, Caulfield L. CHERG iron report: maternal mortality, child mortality, perinatal mortality, child cognition, and estimates of prevalence of anemia due to iron deficiency. [cited on September 9, 2014]; Available from: http://cherg.org/publications/iron-report.pdf.
6. Murphy JF, Newcombe RG, O'Riordan J, Coles EC, Pearson JF. Relation of haemoglobin levels in first and second trimesters to outcome of pregnancy. Lancet 1986, 327(8488):992-995.
7. Sekhavat L, Davar R, Hosseinidezoki S. Relationship between maternal hemoglobin concentration and neonatal birth weight. Hematology 2011, 16(6):373-376. 10.1179/102453311X13085644680186, 22183073.
8. Zhou LM, Yang WW, Hua JZ, Deng CQ, Tao X, Stoltzfus RJ. Relation of hemoglobin measured at different times in pregnancy to preterm birth and low birth weight in Shanghai. China Am J Epidemiol 1998, 148(10):998-1006.
9. Laflamme EA. Maternal hemoglobin concentration and pregnancy outcome: a study of the effects of elevation in El Alto, Bolivia. Mcgill J Med 2010, 13(1):47-55.
10. World Health Organization Guideline: Daily Iron and Folic Acid Supplementation in Pregnant Women 2012, Geneva: World Health Organization, World Health Organization.
11. Haider BA, Olofin I, Wang M, Spiegelman D, Ezzati M, Fawzi WW, . Nutrition Impact Model Study Group (anaemia) Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: systematic review and meta-analysis. BMJ 2013, 346:f3443. 10.1136/bmj.f3443, 3689887, 23794316, Nutrition Impact Model Study Group (anaemia).
12. Dibley MJ, Titaley CR, d'Este C, Agho K. Iron and folic acid supplements in pregnancy improve child survival in Indonesia. Am J Clin Nutr 2012, 95(1):220-230. 10.3945/ajcn.111.022699, 22170356.
13. National Institute of Population Studies (NIPS) [Pakistan] and Macro International Inc Pakistan Demographic and Health Survey 2006-07 2008, Islamabad, Pakistan: NIPS and Macro International Inc, National Institute of Population Studies (NIPS) [Pakistan] and Macro International Inc.
14. National Institute of Population Research and Training (NIPORT), Mitra and Associates, Macro International Bangladesh Demographic and Health Survey 2007 2009, Dhaka, Bangladesh and Calverton, Maryland, USA: NIPORT, Mitra and Associates, and Macro International, National Institute of Population Research and Training (NIPORT), Mitra and Associates, Macro International.
15. International Institute for Population Sciences (IIPS), Macro International National Family Health Survey (NFHS-3), 2005-06: India 2007, Mumbai: IIPS, International Institute for Population Sciences (IIPS), Macro International.
16. Ministry of Health and Population (MOHP) [Nepal], New ERA, ICF International Inc Nepal Demographic and Health Survey 2011 2012, Kathmandu, Nepal and Calverton, Maryland: MOHP, New ERA, and ICF International, Ministry of Health and Population (MOHP) [Nepal], New ERA, ICF International Inc.
17. Ministry of Health and Population (MOHP) [Nepal], New ERA, Macro International Inc Nepal Demographic and Health Survey 2006 2007, Kathmandu, Nepal: MOHP, New ERA, and Macro International Inc, Ministry of Health and Population (MOHP) [Nepal], New ERA, Macro International Inc.
18. Galloway R, Dusch E, Elder L, Achadi E, Grajeda R, Hurtado E, Favin M, Kanani S, Marsaban J, Meda N, Moore KM, Morison L, Raina N, Rajaratnam J, Rodriquez J, Stephen C. Women's perceptions of iron deficiency and anemia prevention and control in eight developing countries. Soc Sci Med 2002, 55(4):529-544. 10.1016/S0277-9536(01)00185-X, 12188461.
19. Nisar YB, Ashraf M. Baseline Household Survey: Swabi District 2010, Islamabad: Population Council.
20. Nisar YB, Dibley MJ, Mir MA. Factors associated with non-use of antenatal iron and folic acid supplements among Pakistani women: A cross sectional household survey. BMC Pregnancy Childbirth 2014, 14:305. 10.1186/1471-2393-14-305, 4162926, 25189220.
21. National Institute of Population Studies (NIPS) [Pakistan], Macro International Inc Pakistan Demographic and Health Survey 2012-13 2013, Islamabad, Pakistan: NIPS, Macro International Inc, National Institute of Population Studies (NIPS) [Pakistan], Macro International Inc.
22. Tessema J, Jefferds ME, Cogswell M, Carlton E. Motivators and barriers to prenatal supplement use among minority women in the United States. J Am Diet Assoc 2009, 109(1):102-108. 10.1016/j.jada.2008.10.013, 19103329.
23. Wulff M, Ekstrom EC. Iron supplementation during pregnancy in Sweden: to what extent is the national recommendation followed?. Acta Obstet Gynecol Scand 2003, 82(7):628-635. 10.1034/j.1600-0412.2003.00186.x, 12790844.
24. Seck BC, Jackson RT. Determinants of compliance with iron supplementation among pregnant women in Senegal. Public Health Nutr 2008, 11(6):596-605.
25. Ejidokun OO. Community attitudes to pregnancy, anaemia, iron and folate supplementation in urban and rural Lagos, south-western Nigeria. Midwifery 2000, 16(2):89-95. 10.1054/midw.1999.0196, 11151555.
26. Ghanekar J, Kanani S, Patel S. Toward better compliance with iron-folic acid supplements: understanding the behavior of poor urban pregnant women through ethnographic decision models in Vadodara. India Food Nutr Bull 2002, 23(1):65-72.
27. Aguayo VM, Kone D, Bamba SI, Diallo B, Sidibe Y, Traore D, Signe P, Baker SK. Acceptability of multiple micronutrient supplements by pregnant and lactating women in Mali. Public Health Nutr 2005, 8(1):33-37. 10.1079/PHN2005665, 15705243.
28. Bilimale A, Anjum J, Sangolli HN, Mallapur M. Improving adherence to oral iron supplementation during pregnancy. Australas Med J 2010, 3(5):281-290.
29. Henry JD, Rendell PG. A review of the impact of pregnancy on memory function. J Clin Exp Neuropsychol 2007, 29(8):793-803. 10.1080/13803390701612209, 18030631.
30. Pai N, Supe P, Kore SJ, Nandanwar YS, Hegde A, Thies W. Automated Voice Calls to Improve Adherence to Iron Supplementation during Pregnancy: A Pilot Study in Urban India 2012, Washington, DC: 4th Annual mHealth Summit.
31. Galloway R, McGuire J. Determinants of compliance with iron supplementation: supplies, side effects, or psychology?. Soc Sci Med 1994, 39(3):381-390. 10.1016/0277-9536(94)90135-X, 7939855.
32. Khan NC, Thanh HT, Berger J, Hoa PT, Quang ND, Smitasiri S, Cavalli-Sforza T. Community mobilization and social marketing to promote weekly iron-folic acid supplementation: a new approach toward controlling anemia among women of reproductive age in Vietnam. Nutr Rev 2005, 63(12 Pt 2):S87-S94.
33. Ekstrom EC, Kavishe FP, Habicht JP, Frongillo EAJ, Rasmussen KM, Hemed L. Adherence to iron supplementation during pregnancy in Tanzania: determinants and hematologic consequences. Am J Clin Nutr 1996, 64(3):368-374.
34. Hyder SM, Persson LA, Chowdhury AM, Ekstrom EC. Do side-effects reduce compliance to iron supplementation? A study of daily- and weekly-dose regimens in pregnancy. J Health Popul Nutr 2002, 20(2):175-179.
35. Nisar YB. Corrections needed to Pakistani programme details. Bull World Health Organ 2008, 86(11):B.
36. Ministry of Health [Nepal], New ERA, ORC Macro Nepal Demographic and Health Survey 2001 2002, Calverton, Maryland, USA: Family Health Division, Ministry of Health; New ERA; and ORC Macro, Ministry of Health [Nepal], New ERA, ORC Macro.
37. Pokharel RK, Maharjan MR, Mathema P, Harvey PWJ. Success in delivering interventions to reduce maternal anemia in Nepal: a case study of the intensification of maternal and neonatal Micronutrient Program. 2011, Washington, DC: 20009: United States Agency for International Development (USAID).