Individual and facility-level determinants of iron and folic acid receipt and adequate consumption among pregnant women in rural Bihar, India

PloS One
Amanda WendtReynaldo Martorell

Abstract

In Bihar, India, high maternal anemia prevalence and low iron and folic acid supplement (IFA) receipt and consumption have continued over time despite universal IFA distribution and counseling during pregnancy. To examine individual and facility-level determinants of IFA receipt and consumption among pregnant women in rural Bihar, India. Using District Level Household Survey (2007-08) data, multilevel modeling was conducted to examine the determinants of two outcomes: IFA receipt (any IFA receipt vs. none) and IFA consumption (≥90 days vs. <90 days). Individual-level and facility-level factors were included. Factor analysis was utilized to construct antenatal care (ANC) quality and health sub-center (HSC) capacity variables. Overall, 37% of women received any IFA during their last pregnancy. Of those, 24% consumed IFA for 90 or more days. Women were more likely to receive any IFA when they received additional ANC services and counseling, and attended ANC earlier and more frequently. Significant interactions were found between ANC quality factors (odds ratio (OR): 0.37, 95% confidence interval (CI): 0.25, 0.56) and between ANC services and ANC timing and frequency (OR: 0.68, 95% CI: 0.56, 0.82). No HSC factors were significantly...Continue Reading

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Citations

May 9, 2019·Maternal & Child Nutrition·Phuong Hong NguyenPurnima Menon
Aug 5, 2018·BMC Pregnancy and Childbirth·Sara Rizvi JafreeFlorian Fischer
Dec 1, 2018·Maternal & Child Nutrition·Sophie GoudetJennifer Busch-Hallen
Jun 25, 2019·Journal of Dietary Supplements·Canaan Negash SeifuTewodros Getachew Hailemariam
Aug 1, 2021·Clinical Nutrition ESPEN·Mohamed EweisSherwet Shawky

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