{"title":"印度东部产后妇女补充铁-叶酸的依从性、相关因素和障碍","authors":"Moonjelly Vijayan Smitha , Indumathi P , Saswati Parichha , Sandhya Kullu , Sanchari Roy , Sapana Gurjar , Sapna Meena","doi":"10.1016/j.hnm.2023.200237","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Anemia is a widespread health issue that affects approximately one-third of women of reproductive age in developing countries. While anemia during pregnancy is adequately addressed, it is often overlooked postpartum. This study aimed to determine the compliance with and barriers to Iron-Folic Acid supplementation (IFA) and its associated factors.</p></div><div><h3>Methodology</h3><p>A cross-sectional study was conducted among 312 postpartum women who met the inclusion criteria. These women were interviewed to assess their compliance with and barriers to IFA supplementation.</p></div><div><h3>Results</h3><p>Only 20.80 % of participants complied with IFA supplementation after childbirth, compared to 56.8 % who were compliant during pregnancy. The primary reason for noncompliance with IFA supplementation was a lack of counseling (93.5 %) by healthcare workers, forgetfulness (23.6 %), and bloating (30.8 %). Other barriers included a lack of awareness, sociocultural barriers, healthcare-related barriers, side effects, and misconceptions. Postnatal women aged 19–35 with obstetrical complications and who maintained Mother Child Protection cards were more likely to comply with IFA supplements.</p></div><div><h3>Conclusion</h3><p>Poor compliance with IFA supplementation reflects gross negligence of self-health care during the postpartum period, which can have long-term deleterious consequences on the mother's and her baby's health. Healthcare providers must deliver quality education, screen and monitor for anemia, and follow up on IFA supplementation to address the barrier postnatal women face. This can be achieved through culturally acceptable, comprehensive, and context-specific strategies.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149723000543/pdfft?md5=a259b8e27b34079315e7ed954692dfbe&pid=1-s2.0-S2666149723000543-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Compliance with Iron-Folic Acid supplementation, associated factors, and barriers among postpartum women in Eastern India\",\"authors\":\"Moonjelly Vijayan Smitha , Indumathi P , Saswati Parichha , Sandhya Kullu , Sanchari Roy , Sapana Gurjar , Sapna Meena\",\"doi\":\"10.1016/j.hnm.2023.200237\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Anemia is a widespread health issue that affects approximately one-third of women of reproductive age in developing countries. While anemia during pregnancy is adequately addressed, it is often overlooked postpartum. This study aimed to determine the compliance with and barriers to Iron-Folic Acid supplementation (IFA) and its associated factors.</p></div><div><h3>Methodology</h3><p>A cross-sectional study was conducted among 312 postpartum women who met the inclusion criteria. These women were interviewed to assess their compliance with and barriers to IFA supplementation.</p></div><div><h3>Results</h3><p>Only 20.80 % of participants complied with IFA supplementation after childbirth, compared to 56.8 % who were compliant during pregnancy. The primary reason for noncompliance with IFA supplementation was a lack of counseling (93.5 %) by healthcare workers, forgetfulness (23.6 %), and bloating (30.8 %). Other barriers included a lack of awareness, sociocultural barriers, healthcare-related barriers, side effects, and misconceptions. Postnatal women aged 19–35 with obstetrical complications and who maintained Mother Child Protection cards were more likely to comply with IFA supplements.</p></div><div><h3>Conclusion</h3><p>Poor compliance with IFA supplementation reflects gross negligence of self-health care during the postpartum period, which can have long-term deleterious consequences on the mother's and her baby's health. Healthcare providers must deliver quality education, screen and monitor for anemia, and follow up on IFA supplementation to address the barrier postnatal women face. This can be achieved through culturally acceptable, comprehensive, and context-specific strategies.</p></div>\",\"PeriodicalId\":36125,\"journal\":{\"name\":\"Human Nutrition and Metabolism\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-12-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666149723000543/pdfft?md5=a259b8e27b34079315e7ed954692dfbe&pid=1-s2.0-S2666149723000543-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Human Nutrition and Metabolism\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666149723000543\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Human Nutrition and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666149723000543","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
摘要
背景贫血是一个普遍的健康问题,影响着发展中国家约三分之一的育龄妇女。虽然孕期贫血问题已得到充分解决,但产后贫血问题却常常被忽视。本研究旨在确定补充铁-叶酸(IFA)的依从性和障碍及其相关因素。 研究方法 对 312 名符合纳入标准的产后妇女进行了横断面研究。结果只有 20.80% 的参与者在产后坚持补充叶酸,而在孕期坚持补充叶酸的比例为 56.8%。不补充 IFA 的主要原因是缺乏医护人员的指导(93.5%)、健忘(23.6%)和腹胀(30.8%)。其他障碍包括缺乏认识、社会文化障碍、医疗相关障碍、副作用和误解。有产科并发症且持有母婴保护卡的 19-35 岁产后妇女更有可能遵守补充 IFA 的规定。医护人员必须提供优质教育,筛查和监测贫血情况,并跟踪 IFA 补充情况,以解决产后妇女面临的障碍。这可以通过文化上可接受的、全面的和针对具体情况的策略来实现。
Compliance with Iron-Folic Acid supplementation, associated factors, and barriers among postpartum women in Eastern India
Background
Anemia is a widespread health issue that affects approximately one-third of women of reproductive age in developing countries. While anemia during pregnancy is adequately addressed, it is often overlooked postpartum. This study aimed to determine the compliance with and barriers to Iron-Folic Acid supplementation (IFA) and its associated factors.
Methodology
A cross-sectional study was conducted among 312 postpartum women who met the inclusion criteria. These women were interviewed to assess their compliance with and barriers to IFA supplementation.
Results
Only 20.80 % of participants complied with IFA supplementation after childbirth, compared to 56.8 % who were compliant during pregnancy. The primary reason for noncompliance with IFA supplementation was a lack of counseling (93.5 %) by healthcare workers, forgetfulness (23.6 %), and bloating (30.8 %). Other barriers included a lack of awareness, sociocultural barriers, healthcare-related barriers, side effects, and misconceptions. Postnatal women aged 19–35 with obstetrical complications and who maintained Mother Child Protection cards were more likely to comply with IFA supplements.
Conclusion
Poor compliance with IFA supplementation reflects gross negligence of self-health care during the postpartum period, which can have long-term deleterious consequences on the mother's and her baby's health. Healthcare providers must deliver quality education, screen and monitor for anemia, and follow up on IFA supplementation to address the barrier postnatal women face. This can be achieved through culturally acceptable, comprehensive, and context-specific strategies.