Skip to main content
    • Aa
    • Aa
  • Access
  • Cited by 10
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Harding, Kassandra L. Matias, Susana L. Mridha, Malay K. Moniruzzaman, Md. Vosti, Stephen A. Hussain, Sohrab Dewey, Kathryn G. and Stewart, Christine P. 2016. Adherence to recommendations on lipid-based nutrient supplement and iron and folic acid tablet consumption among pregnant and lactating women participating in a community health programme in northwest Bangladesh. Maternal & Child Nutrition, p. n/a.

    Arega Sadore, Abinet Abebe Gebretsadik, Lakew and Aman Hussen, Mamusha 2015. Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study. Journal of Environmental and Public Health, Vol. 2015, p. 1.

    Juma, M Oiye, Shadrack O and Konyole, Silvernus O 2015. Predictors of optimum antenatal iron-folate supplementation in a low resource rural set-up in Eastern Kenya. Journal of Public Health and Epidemiology, Vol. 7, Issue. 11, p. 337.

    Nisar, Yasir Bin Dibley, Michael J and Mir, Ali Mohammad 2014. Factors associated with non-use of antenatal iron and folic acid supplements among Pakistani women: a cross sectional household survey. BMC Pregnancy and Childbirth, Vol. 14, Issue. 1,

    Pereira, Dora IA Couto Irving, Susana S Lomer, Miranda CE and Powell, Jonathan J 2014. A rapid, simple questionnaire to assess gastrointestinal symptoms after oral ferrous sulphate supplementation. BMC Gastroenterology, Vol. 14, Issue. 1,

    Schumer, Jean E. Bernell, Stephanie L. Bovbjerg, Viktor E. and Long, Marie L. 2014. Factors Influencing Maternal Nutrition in Rural Nepal: An Exploratory Research Project. Health Care for Women International, Vol. 35, Issue. 10, p. 1201.

    Zavaleta, Nelly Caulfield, Laura E. Figueroa, Alberto and Chen, Ping 2014. Patterns of compliance with prenatal iron supplementation among Peruvian women. Maternal & Child Nutrition, Vol. 10, Issue. 2, p. 198.

    Ogundipe, Olukemi Hoyo, Cathrine Østbye, Truls Oneko, Olola Manongi, Rachael Lie, Rolv Terje and Daltveit, Anne Kjersti 2012. Factors associated with prenatal folic acid and iron supplementation among 21,889 pregnant women in Northern Tanzania: A cross-sectional hospital-based study. BMC Public Health, Vol. 12, Issue. 1,

    Kulkarni, Bharati Christian, Parul LeClerq, Steven C and Khatry, Subarna K 2010. Determinants of compliance to antenatal micronutrient supplementation and women’s perceptions of supplement use in rural Nepal. Public Health Nutrition, Vol. 13, Issue. 01, p. 82.

    Hughes, Roger 2008. Public Health Nutrition: a truly global journal. Public Health Nutrition, Vol. 11, Issue. 01,


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)
  • DOI:
  • Published online: 01 January 2008

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


Cross-sectional interviews and Hb measurements.


Albay and Sorsogon provinces, Bicol, Philippines.


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


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.


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.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure 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 or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ 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
      Your Kindle email address
      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
Corresponding author
*Corresponding author: Email
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

14R Galloway , J McGuire . Determinants of compliance with iron supplementation: supplies, side effects, or psychology. Social Science and Medicine 1994; 39 (3): 381390.

17R Galloway , E Dusch , L Elder , E Achadi , R Grajeda , E Hurtado , . Women’s perceptions of iron deficiency and anemia prevention and control in eight developing countries. Social Science and Medicine 2002; 55 (4): 529544.

19I Chanarin , D Rothman . 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? *