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Maternal Iron Status in Pregnancy and Child Health Outcomes after Birth: A Systematic Review and Meta-Analysis
Article

Factors Influencing the Compliance of Pregnant Women with Iron and Folic Acid Supplementation in the Philippines: 2017 Philippine Demographic and Health Survey Analysis

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Department of Public Health, College of Health Sciences, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Sanmin District, Kaohsiung 807, Taiwan
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Department of Nursing, Mountain Province State Polytechnic College, Bontoc 2616, Mountain Province, Philippines
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Department of Anesthesiology, Chi Mei Medical Center, No 901, Zhonghua Road, Yongkang District, Tainan City 710, Taiwan
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Department of Medical Research, Chi Mei Medical Center, No 901, Zhonghua Road, Yongkang District, Tainan City 710, Taiwan
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Department of Medical Research, Kaohsiung Medical University Hospital, No.100, Tzyou 1st Road, Sanmin District, Kaohsiung 807, Taiwan
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Author to whom correspondence should be addressed.
Academic Editor: Faruk Ahmed
Nutrients 2021, 13(9), 3060; https://doi.org/10.3390/nu13093060
Received: 7 August 2021 / Revised: 28 August 2021 / Accepted: 30 August 2021 / Published: 31 August 2021
(This article belongs to the Special Issue Micronutrients and Pregnancy)
Anemia in pregnancy, which is a public health concern for most developing countries, is predominantly caused by iron deficiency. At least, 180 days of iron and folic acid (IFA) supplementation is recommended for pregnant women to mitigate anemia and its adverse effects. This study aimed to examine compliance with the recommendation of IFA supplementation and its underlying factors using the 2017 Philippine National Demographic and Health Survey data. The variables assessed included age, highest level of education, occupation, wealth index, ethnicity, religion, residence, number of pregnancies, time of first antenatal care (ANC) visit and number of ANC visits. Compliance with the recommendation of at least 180 days of IFA supplementation was the outcome variable. The study assessed 7983 women aged 15–49 years with a history of pregnancy. Of these participants, 25.8% complied with the IFA supplementation recommendation. Multiple logistic regression analysis showed that pregnant women of Islamic faith and non-Indigenous Muslim ethnicity were less likely to comply with the IFA supplementation recommendation. Being aged between 25 and 34 years, having better education and higher wealth status, rural residency, initiating ANC visits during the first trimester of pregnancy and having at least four ANC visits positively influenced compliance with IFA supplementation. The effect of residence on IFA adherence differed across the wealth classes. Strategies targeted at specific groups, such as religious minorities, poor urban residents, the less educated and young women, should be strengthened to encourage early and regular antenatal care visits for improving compliance. View Full-Text
Keywords: compliance; iron and folic acid; pregnant; micronutrient supplement; Philippine compliance; iron and folic acid; pregnant; micronutrient supplement; Philippine
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MDPI and ACS Style

Felipe-Dimog, E.B.; Yu, C.-H.; Ho, C.-H.; Liang, F.-W. Factors Influencing the Compliance of Pregnant Women with Iron and Folic Acid Supplementation in the Philippines: 2017 Philippine Demographic and Health Survey Analysis. Nutrients 2021, 13, 3060. https://doi.org/10.3390/nu13093060

AMA Style

Felipe-Dimog EB, Yu C-H, Ho C-H, Liang F-W. Factors Influencing the Compliance of Pregnant Women with Iron and Folic Acid Supplementation in the Philippines: 2017 Philippine Demographic and Health Survey Analysis. Nutrients. 2021; 13(9):3060. https://doi.org/10.3390/nu13093060

Chicago/Turabian Style

Felipe-Dimog, Eva B., Chia-Hung Yu, Chung-Han Ho, and Fu-Wen Liang. 2021. "Factors Influencing the Compliance of Pregnant Women with Iron and Folic Acid Supplementation in the Philippines: 2017 Philippine Demographic and Health Survey Analysis" Nutrients 13, no. 9: 3060. https://doi.org/10.3390/nu13093060

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