Antenatal care is associated with adherence to iron supplementation among pregnant women in selected low-middle-income-countries of Asia, Africa, and Latin America & the Caribbean regions: Insights from Demographic and Health Surveys

  • Authors: Karyadi E Reddy JC Dearden KA Purwanti T Mardewi Asri E Roquero LB Juguan JA Sapitula-Evidente A Anand B Warvadekar K Bhardwaj A Alam MK Das S Nair GK Srivastava A Raut MK.
  • Tags: anaemia antenatal care Cambodia DHS Ethiopia Haiti Honduras India Indonesia iron deficiency anaemia iron supplementation Kenya LMIC Nigeria Pakistan Philippines Senegal Tanzania
  • Category: Maternal, Newborn and Child Health

Abstract

Anaemia is a global public health problem affecting 800 million women and children globally. Anaemia is associated with perinatal mortality, child morbidity and mortality, mental development, immune competence, susceptibility to lead poisoning and performance at work. The objective of this article is to identify whether antenatal care-seeking was associated with the uptake of iron supplementation among pregnant women, adjusting for a range of covariates. This article used data from the cross-sectional recent Demographic and Health Surveys (DHS) of 12 countries in Asia, Africa and Latin America & the Caribbean regions. The individual-level data from 273,144 women of reproductive age (15-49 years) were analysed from multi-country DHS. Multiple Logistic regression analyses were conducted using Predictive Analytics Software for Windows (PASW), Release 18.0. Receiving at least four antenatal care visits was significantly associated with the consumption of 90 or more iron-containing supplements in 12 low and middle income countries across three regions after adjusting for different household and respondent characteristics, while mass media exposure was found to be a significant predictor in India and Indonesia. Antenatal care seems to be the most important predictor of adherence to iron intake in the selected countries across Africa, Asia, Latin America and Caribbean regions.