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- Title
Role of family support and women's knowledge on pregnancy-related risks in adherence to maternal iron-folic acid supplementation in Indonesia.
- Authors
Wiradnyani, Luh Ade Ari; Khusun, Helda; Achadi, Endang L; Ocviyanti, Dwiana; Shankar, Anuraj H
- Abstract
<bold>Objective: </bold>To examine whether women's knowledge of pregnancy-related risks and family support received during pregnancy are associated with adherence to maternal iron-folic acid (IFA) supplementation.<bold>Design: </bold>Secondary data analysis of the 2002-03, 2007 and 2012 Indonesia Demographic and Health Survey. Analysis of the association between factors associated with adherence (consuming ≥90 IFA tablets), including the women's knowledge and family support, was performed using multivariate logistic regression.<bold>Setting: </bold>National household survey.<bold>Subjects: </bold>Women (n 19 133) who had given birth within 2 years prior to the interview date.<bold>Results: </bold>Knowledge of pregnancy-related risks was associated with increased adherence to IFA supplementation (adjusted OR=1·8; 95 % CI 1·6, 2·0), as was full family (particularly husband's) support (adjusted OR=1·9; 95 % CI 1·6, 2·3). Adequate antenatal care (ANC) visits (i.e. four or more) was associated with increased adherence (adjusted OR=2·2; 95 % CI 2·0, 2·4). However, ANC providers missed opportunities to distribute tablets and information, as among women with adequate ANC visits, 15 % reported never having received/bought any IFA tablets and 30 % had no knowledge of pregnancy-related risks. A significant interaction was observed between family support and the women's educational level in predicting adherence. Family support significantly increased the adherence among women with <9 years of education.<bold>Conclusions: </bold>Improving women's knowledge of pregnancy-related risks and involving family members, particularly the husband and importantly for less-educated women, improved adherence to IFA supplementation. ANC visit opportunities must be optimized to provide women with sufficient numbers of IFA tablets along with health information (especially on pregnancy-related risks) and partner support counselling.
- Subjects
INDONESIA; DIETARY supplements; FAMILIES; FOLIC acid; HEALTH attitudes; IRON; NUTRITION policy; NUTRITIONAL requirements; PATIENT compliance; PRENATAL care; SOCIAL support
- Publication
Public Health Nutrition, 2016, Vol 19, Issue 14, p2818
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980016001002