The Effectiveness of a New Model in Managing Pregnant Women with Iron Deficiency Anemia in Indonesia: A Nonrandomized Controlled Intervention Study

Birth
Widyawati WidyawatiAntoine L M Lagro-Janssen

Abstract

Indonesia has a major problem with iron deficiency anemia among pregnant women. A new model named the Four Pillars Approach was designed to improve antenatal care for these women. This study aimed to measure the effectiveness of the model in managing pregnant women with iron deficiency anemia. We used a nonrandomized controlled intervention study. The study, with the Four Pillars Approach as intervention versus usual care as its control, was conducted in two provinces in Java (Indonesia) during the period from March 2012 until May 2013. Main outcome measures were a difference of Hb level ≥ 0.5 g/dL, the number of women who attended five or more antenatal care visits, and birthing with a skilled birth attendant. Three hundred fifty-four participants were enrolled in the study. Participants in the intervention group had an adjusted odds ratio of 25.0 (95% CI 12.03-52.03, p = 0.001) for increased hemoglobin of ≥ 0.5 g/dL at 35-37 weeks of gestation, compared with the control group. In the intervention group, 95.0 percent of women had five or more antenatal care visits, compared with 57.2 percent (p = 0.001) in the control group. All births in both groups were assisted by skilled birth attendants. The Four Pillars Approach is effec...Continue Reading

References

May 30, 2001·Lancet·J VillarUNKNOWN WHO Antenatal Care Trial Research Group
Jan 31, 2002·American Journal of Public Health·Nancy L SloanBeverly Winikoff
Feb 1, 2006·European Journal of Public Health·Rosemary Rowe, Michael Calnan
Mar 23, 2012·BMC Pregnancy and Childbirth·Karin GrossBrigit Obrist
Oct 12, 2014·BMC Research Notes·Sam OnongeFlorence Mirembe

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