Feasibility of integrating calcium and iron-folate supplementation to prevent preeclampsia and anemia in pregnancy in primary healthcare facilities in Kenya

Maternal & Child Nutrition
Moshood O OmotayoRebecca J Stoltzfus

Abstract

Calcium (Ca) supplementation to prevent preeclampsia can save maternal and newborn lives, but there are no program models for integration into existing antenatal care platforms. We used a program impact pathway model to guide the design of integrated Ca and iron-folate (IFA) supplementation in Kenya. We provided healthcare providers with job aids (posters and counseling cards), trained them on counseling techniques and supplementation guidelines, and developed behavior change materials for pregnant women (pill-taking calendars). We allocated health facilities to prescribe either 1.0 or 1.5 g/day Ca, with standard IFA. We collected implementation data from 16 facilities and 990 women. We also explored effects of supplementation on percentage of the population meeting recommended daily allowance. Supplements and job aids were available during 90% of facility spot-check episodes; calendar availability was lower (78%). Over 98% of clients received Ca and IFA supplements, but only 76% received enough Ca supplements to last between antenatal care visits. Among clients that still had pills by return date, adherence was 77% and 83% for the IFA and Ca regimen, respectively. When 1.5 g/day of Ca supplements were prescribed, over 75% of p...Continue Reading

References

Mar 4, 2011·The Journal of Nutrition·Rebecca J Stoltzfus
May 24, 2012·American Journal of Community Psychology·Duncan C MeyersAnnie Wright
Nov 13, 2013·BMC Pregnancy and Childbirth·Erika Barbosa CamargoMaria Regina Torloni
Jan 16, 2014·Advances in Nutrition·Jean-Pierre Habicht, Gretel H Pelto
Mar 13, 2015·Nutrients·Ian Darnton-Hill, Uzonna C Mkparu
Nov 26, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Mduduzi N N MbuyaUNKNOWN Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team
Mar 17, 2016·Advances in Nutrition·Moshood O OmotayoRebecca J Stoltzfus
Apr 5, 2016·Hematology/oncology Clinics of North America·Nicholas J Kassebaum, UNKNOWN GBD 2013 Anemia Collaborators
Jun 30, 2016·Global Health, Science and Practice·Moshood OmotayoRebecca Stolzfus

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