Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study
Objective To assess the acceptance of multiple micronutrient supplements and current iron and folic acid supplement utilisation among pregnant and lactating women in rural Ethiopia.Design Community-based cross-sectional study using a mixed method.Setting This study was carried out in five regions (O...
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BMJ Publishing Group
2025-01-01
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| author | Zewdie Birhanu Menen Tsegaw Stanley Chitekwe Ramadhani Noor Rachana Sharma Finina Abebe Yordanos Tadesse Kidanemariam Ahmednasir Abdi Hiwot Getachew Asli Hassan Aden Tesfaye Chuko Tariku Dejene Ahmed Mohammed Dawd |
| author_facet | Zewdie Birhanu Menen Tsegaw Stanley Chitekwe Ramadhani Noor Rachana Sharma Finina Abebe Yordanos Tadesse Kidanemariam Ahmednasir Abdi Hiwot Getachew Asli Hassan Aden Tesfaye Chuko Tariku Dejene Ahmed Mohammed Dawd |
| author_sort | Zewdie Birhanu |
| collection | DOAJ |
| description | Objective To assess the acceptance of multiple micronutrient supplements and current iron and folic acid supplement utilisation among pregnant and lactating women in rural Ethiopia.Design Community-based cross-sectional study using a mixed method.Setting This study was carried out in five regions (Oromia, Gambela, Sidama, SNNPR (Southern Nations, Nationalities and Peoples Region) and Somali) of Ethiopia, 2022. A multistage random sampling technique was employed. A structured questionnaire was used to collect data from 410 pregnant and lactating women. A purposive sampling technique was used to select participants for the five Focused Group Discussions and fifteen Key Informant Interviews. Both bivariable and multivariable logistic regression analysis was conducted with a p value<0.05, and a 95% CI was considered statistically significant. Qualitative data were coded and analysed thematically.Participants A total of 410 pregnant and lactating women.Results The overall level of iron-folic acid utilisation was 59.3%. The odds of using iron-folic acid among pregnant and lactating women in the Sidama region are significantly lower compared with Oromia (adjusted OR (AOR)=0.12, 95% CI: 0.04, 0.38). Lactating women have significantly lower odds of using iron-folic acid compared with pregnant women (AOR=0.09, 95% CI: 0.05, 0.17). Taking medication or supplements significantly increases the odds of iron-folic acid use (AOR=2.41, 95% CI: 1.16, 4.95). Recommending a new nutrition supplement significantly increases the odds of iron-folic acid use (AOR=2.38, 95% CI: 1.21, 4.68).Conclusions The consumption of iron-folic acid supplements among pregnant and lactating women in Ethiopia is lower than in other studies. Factors associated with iron-folic acid utilisation include region, taking medication/supplements, recommending nutrition and being a lactating mother. To ensure accessibility, the product should be sold in all town shops, pharmacies and through home delivery. Additionally, a strategy should be developed to provide access to the product in each adjacent community centre. Awareness creation should be a priority for community members to avoid misconceptions about pregnancy-related supplements. |
| format | Article |
| id | doaj-art-a824c2723929473092a1d7ca98b0add9 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-a824c2723929473092a1d7ca98b0add92025-01-23T10:30:08ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2023-081359Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional studyZewdie Birhanu0Menen Tsegaw1Stanley Chitekwe2Ramadhani Noor3Rachana Sharma4Finina Abebe5Yordanos Tadesse Kidanemariam6Ahmednasir Abdi7Hiwot Getachew8Asli Hassan Aden9Tesfaye Chuko10Tariku Dejene11Ahmed Mohammed Dawd124 Health, Behavior and Society, Jimma University, Jimma, Ethiopia3 Department of Public Health, Ambo University, Ambo, Ethiopia6 United Nations Childrens Fund Nepal, Kathmandu, Nepal7 UNICEF Ethiopia, Addis Ababa, Ethiopia7 UNICEF Ethiopia, Addis Ababa, Ethiopia1 Ethiopian Health Education and Promotion Professionals Association, Addis Ababa, Ethiopia2 Addis Ababa University, School of Public Health, Addis Ababa, Ethiopia5 Department of Health Science, Jijiga University, Jijiga, Ethiopia7 UNICEF Ethiopia, Addis Ababa, Ethiopia8 UNICEF, Jijiga, Ethiopia7 UNICEF Ethiopia, Addis Ababa, Ethiopia9 Center for Population Studies, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia10 Jigjiga University, Jigjiga, EthiopiaObjective To assess the acceptance of multiple micronutrient supplements and current iron and folic acid supplement utilisation among pregnant and lactating women in rural Ethiopia.Design Community-based cross-sectional study using a mixed method.Setting This study was carried out in five regions (Oromia, Gambela, Sidama, SNNPR (Southern Nations, Nationalities and Peoples Region) and Somali) of Ethiopia, 2022. A multistage random sampling technique was employed. A structured questionnaire was used to collect data from 410 pregnant and lactating women. A purposive sampling technique was used to select participants for the five Focused Group Discussions and fifteen Key Informant Interviews. Both bivariable and multivariable logistic regression analysis was conducted with a p value<0.05, and a 95% CI was considered statistically significant. Qualitative data were coded and analysed thematically.Participants A total of 410 pregnant and lactating women.Results The overall level of iron-folic acid utilisation was 59.3%. The odds of using iron-folic acid among pregnant and lactating women in the Sidama region are significantly lower compared with Oromia (adjusted OR (AOR)=0.12, 95% CI: 0.04, 0.38). Lactating women have significantly lower odds of using iron-folic acid compared with pregnant women (AOR=0.09, 95% CI: 0.05, 0.17). Taking medication or supplements significantly increases the odds of iron-folic acid use (AOR=2.41, 95% CI: 1.16, 4.95). Recommending a new nutrition supplement significantly increases the odds of iron-folic acid use (AOR=2.38, 95% CI: 1.21, 4.68).Conclusions The consumption of iron-folic acid supplements among pregnant and lactating women in Ethiopia is lower than in other studies. Factors associated with iron-folic acid utilisation include region, taking medication/supplements, recommending nutrition and being a lactating mother. To ensure accessibility, the product should be sold in all town shops, pharmacies and through home delivery. Additionally, a strategy should be developed to provide access to the product in each adjacent community centre. Awareness creation should be a priority for community members to avoid misconceptions about pregnancy-related supplements.https://bmjopen.bmj.com/content/15/1/e081359.full |
| spellingShingle | Zewdie Birhanu Menen Tsegaw Stanley Chitekwe Ramadhani Noor Rachana Sharma Finina Abebe Yordanos Tadesse Kidanemariam Ahmednasir Abdi Hiwot Getachew Asli Hassan Aden Tesfaye Chuko Tariku Dejene Ahmed Mohammed Dawd Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study BMJ Open |
| title | Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study |
| title_full | Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study |
| title_fullStr | Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study |
| title_full_unstemmed | Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study |
| title_short | Acceptance of multiple micronutrient supplementations (MMS) and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of Ethiopia, 2022: a cross-sectional study |
| title_sort | acceptance of multiple micronutrient supplementations mms and iron and folic acid supplement utilisation among pregnant and lactating women in the rural part of ethiopia 2022 a cross sectional study |
| url | https://bmjopen.bmj.com/content/15/1/e081359.full |
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