Ethiopian women's perspectives on antenatal care and iron-folic acid supplementation: Insights for translating global antenatal calcium guidelines into practice

Maternal & Child Nutrition
Zewdie BirhanuKatherine L Dickin

Abstract

After decades of global response to iron-deficiency anemia, lessons learned from antenatal iron-folic acid (IFA) supplementation can inform new micronutrient supplementation efforts. The World Health Organization recommends calcium supplementation for the prevention of preeclampsia; however, little is documented on how to design programs to integrate calcium into the standard of care. Twenty interviews with pregnant women and 22 interviews with health providers and volunteers in two districts in Ethiopia were conducted to examine how barriers and facilitators to antenatal care, IFA supplementation, and initial reactions to calcium supplements and regimen might influence adherence and inform future programs. Women viewed supplementation positively but cited lack of information on benefits and risks, forgetfulness, and inconsistent IFA supply as challenges. Though knowledge and awareness of anemia and IFA supplements were widespread, preeclampsia was mostly unknown. Some symptoms of preeclampsia were viewed as normal in pregnancy, making it difficult to convey risk to motivate supplement use. Some women viewed co-consumption of IFA and calcium as potentially harmful and were confused regarding the simultaneous risks of anemia and...Continue Reading

References

Aug 21, 2004·Health Affairs·David H ThomL Gregory Pawlson
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
Jun 15, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·G J HofmeyrA Atallah
Sep 17, 2008·Lancet·Wairagala Wakabi
May 26, 2009·Seminars in Perinatology·Lelia Duley
Aug 19, 2010·Food and Nutrition Bulletin·Tina G SanghviEmily Wainwright
Mar 11, 2011·Mayo Clinic Proceedings·Marie T Brown, Jennifer K Bussell
Jul 4, 2012·Nutrition Reviews·Andrea N HackerJanet C King
Mar 14, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·G J HofmeyrUNKNOWN Calcium and Pre-eclampsia (CAP) Study Group
Mar 29, 2014·Annals of the New York Academy of Sciences·Margaret E BentleyMelissa Cunningham
Mar 17, 2016·Advances in Nutrition·Moshood O OmotayoRebecca J Stoltzfus

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