Skip to main content
×
Home
    • Aa
    • Aa

Iron supplementation compliance among pregnant women in Bicol, Philippines

  • Pamela L Lutsey (a1), David Dawe (a2), Ellen Villate (a3), Shiela Valencia (a4) and Ofelia Lopez (a5)...
Abstract
AbstractObjective

To quantify factors influencing iron supplementation compliance and haemoglobin (Hb) concentrations among pregnant women participating in an iron supplementation programme under routine field conditions.

Design

Cross-sectional interviews and Hb measurements.

Settings

Albay and Sorsogon provinces, Bicol, Philippines.

Subjects

Three hundred and forty-six pregnant women receiving iron supplements via the Philippine iron supplementation programme.

Results

Women had a mean Hb concentration of 10.75 ± 1.43 g dl−1, and 56.4% were anaemic (Hb < 11.0 g dl−1). On average, the first prenatal visit occurred at nearly 4 months (3.80 ± 1.56). The ratio of visits to number of months pregnant was 0.51 ± 0.24. Self-reported consumption of pills received was 85% (0.85 ± 0.23), although pill counts suggested that consumption was 70% (0.70 ± 0.35). Using multiple regression, an earlier first prenatal visit and greater self-reported compliance were positively associated with Hb concentrations. Additionally, perceived health benefits from taking the supplements and higher health programme knowledge were positively associated with pill consumption, while experiencing side-effects and disliking the taste of the supplements were associated with lower pill consumption. A greater number of living children was negatively associated with the frequency of prenatal visits. The number of children was also directly negatively associated with Hb concentrations.

Conclusions

Compliance was positively related to Hb concentrations. Several factors associated with greater compliance were identified, including marital status, number of children, health programme knowledge, side-effects, perceived health benefits, and dislike of taste. Some of these factors may serve as avenues for interventions to increase compliance, and ultimately Hb concentrations.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Iron supplementation compliance among pregnant women in Bicol, Philippines
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Iron supplementation compliance among pregnant women in Bicol, Philippines
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Iron supplementation compliance among pregnant women in Bicol, Philippines
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email lutsey@epi.umn.edu
References
Hide All
1United Nations Administrative Committee on Coordination, Sub-committee on Nutrition (ACC/SCN) . Fourth Report on the World Nutrition Situation. Geneva: ACC/SCN in collaboration with International Policy Research Institute, 2004; 4. Also available at http://www.unsystem.org/scn/Publications/rwns/4RWNS.html.
2Beard JL . Effectiveness and strategies of iron supplementation during pregnancy. American Journal of Clinical Nutrition 2000; 71 (5 Suppl.): 1288S1294S.
3World Health Organization (WHO) . Iron Deficiency Anaemia – Assessment, Prevention and Control: A Guide for Programme Managers. Geneva: WHO, 2001. Also available at http://www.who.int/reproductive-health/docs/anaemia.pdf.
4Philippine Food and Nutrition Research Institute . Philippine Nutrition Facts and Figures Survey. Bicutan, Philippines: Food and Nutrition Research Institute, Department of Science and Technology, 1998. Also available at http://www.fnri.dost.gov.ph/facts/mainpn.html.
5Yip R . Iron deficiency: contemporary scientific issues and international programmatic approaches. Journal of Nutrition 1994; 124: 1479S1490S.
6 Why iron is important and what to do about it: a new perspective. INACG Symposium. Manila: Chromaprints, 2004.
7Wardlaw GM, Kessel M. Perspectives in Nutrition, 5th ed. Boston, MA: McGraw-Hill, 2002.
8Philippine Department of Health . Guidelines on Vitamin A and Iron Supplementation, undated.
9Yip R . Iron supplementation during pregnancy: is it effective? American Journal of Clinical Nutrition 1996; 63: 853855.
10Pappagallo S, Bull DL. Operational problems of an iron supplementation programme for pregnant women: an assessment of UNRWA experience. Bulletin of the World Health Organization 1996; 71 (1): 2533.
11Philippine National Statistics Office . Maternal and Child Health Survey – Final Report. Manila: Philippine National Statistics Office, 2001.
12Burger SE, Pierre-Louis JN. How to Assess Iron Deficiency Anemia and Use the HemoCue. New York: Helen Keller International, 2002.
13Cromer B, Steinberg K, Gardner L, Thornton D, Shannon B. Psychosocial determinants of compliance in adolescents with iron deficiency. American Journal of Diseases of Children 1989; 143: 5558.
14Galloway R, McGuire J. Determinants of compliance with iron supplementation: supplies, side effects, or psychology. Social Science and Medicine 1994; 39 (3): 381390.
15Ekstrom EC, Hyder SM, Chowdhury AM, Chowdhury SA, Lonnerdal B, Habicht JP, et al. . Efficacy and trial effectiveness of weekly and daily iron supplementation among pregnant women in rural Bangladesh: disentangling the issues. American Journal of Clinical Nutrition 2002; 76 (6): 13921400.
16Hyder 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. Journal of Health, Population and Nutrition 2002; 20 (2): 175179.
17Galloway R, Dusch E, Elder L, Achadi E, Grajeda R, Hurtado E, et al. . Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries. Social Science and Medicine 2002; 55 (4): 529544.
18Ramadhani H, Thielman N, Landman K, Ndosi E, Shao H, Morpeth S, et al. . Predictors of maladherence among patients receiving fixed-dose combination stavudine/lamivudine/nevirapine in northern Tanzania. Abstract presented at 13th Conference on Retroviruses and Opportunistic Infections, Denver, CO, 5–9 February 2006.
19Chanarin I, Rothman D. Further observation in the relationship between iron and folate status in pregnancy. British Medical Journal 1971; 2: 8184.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 8
Total number of PDF views: 143 *
Loading metrics...

Abstract views

Total abstract views: 264 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 22nd October 2017. This data will be updated every 24 hours.