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
Oct 22, 2008·Journal of Biomedical Informatics·Paul A HarrisJose G Conde
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
Jan 12, 2016·Journal of Public Health Research·Moshood O OmotayoRebecca J Stoltzfus
Feb 24, 2016·Maternal & Child Nutrition·Stephanie L MartinKatherine L Dickin
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
Sep 8, 2017·The Journal of Nutrition·Moshood O OmotayoRebecca J Stoltzfus
Dec 2, 2017·Maternal & Child Nutrition·Moshood O OmotayoKatherine L Dickin
Citations
Oct 16, 2018·Public Health Nutrition·Biniyam TesfayeKatherine L Dickin
Jan 17, 2020·PloS One·Mary Wanjira Kamau
Oct 4, 2020·Global Health, Science and Practice·Gina C KlemmKatherine L Dickin
Nov 17, 2020·Public Health Nutrition·Kelechi WezeMoshood Omotayo
Mar 25, 2021·The Journal of Nutrition·Ajibola Ibraheem AbioyeMoshood O Omotayo