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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1007/s11538-007-9237-6

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1573-6628

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Utilization of Folic Acid and Iron Supplementation

Authors: L MainaGathigi J Omolo P Wanzala C Lindan A Makokha
Publish Date: 2012/08/21
Volume: 17, Issue: 7, Pages: 1236-1242
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Abstract

To determine utilization of iron and folic acid supplementation services among pregnant women in Kenya A cross sectional study was conducted at Nyeri Hospital a regional referral hospital in central Kenya Women attending the antenatal clinic were selected through systematic sampling A semistructured questionnaire was administered to collect information on utilization of folic acid and iron supplementation services Women who ingested folic acid or iron supplements for 4 days in a week were considered “highly compliant” The health worker incharge of the antenatal clinic was interviewed about the frequency of supplement stockouts during the past year Haemoglobin concentration was measured directly from one drop of capillary blood and measured using portable HEMOCUE BHb photometer Of the 381 women interviewed only 236  obtained antenatal care in the first trimester 693 and 512  received folic acid and iron supplements respectively However only half 45–58  received any information about supplementation Most women were initiated on folic acid 807  or iron 677  after 12 and 16 weeks of gestation respectively well after the recommended time period However more than 80  of those who received folic acid and iron were highly compliant Stockouts were common at the facility Of 361 women tested for Hb level the prevalence of anaemia Hb levels  11 g/dl was 78  Health workers need to better explain the importance of supplements to pregnant women Women who come late to antenatal clinic miss opportunities to start supplementation early in pregnancy Problems with supply chain management exacerbate the problemWe would like to thank the following for their support and contributions the management of Nyeri Provincial General Hospital the clients who sought antenatal care at the hospital during the study period Jomo Kenyatta University of Agriculture and Technology and finally the Kenya Field Epidemiology and Laboratory Training Program in the Ministry of Public Health and Sanitation Kenya for financial support

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  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
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  16. Preconception and the Young Cancer Survivor
  17. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  18. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  19. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  20. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  21. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
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