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Factors associated with compliance with weekly iron and folic acid supplementation among school adolescent girls in Debub Achefer district, northwest Ethiopia: school-based cross-sectional study

التفاصيل البيبلوغرافية
العنوان: Factors associated with compliance with weekly iron and folic acid supplementation among school adolescent girls in Debub Achefer district, northwest Ethiopia: school-based cross-sectional study
المؤلفون: Bisrat Haile, Abdu Oumer, Tarkegn Negese, Mesfin Temesgen, Aweke Kebede, Dureti Abdurahman, Aboma Motuma, Kedir Teji Roba
المصدر: Scientific Reports, Vol 14, Iss 1, Pp 1-9 (2024)
بيانات النشر: Nature Portfolio, 2024.
سنة النشر: 2024
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Adolescent girls, Compliance, Northern Ethiopia, Supplementation, Weekly IFAS, Medicine, Science
الوصف: Abstract Iron deficiency anemia is a public health problem among adolescents that could be addressed by weekly Iron Folic Acid Supplementation (IFAS). The Ethiopian government piloted weekly IFAS in schools, where its effectiveness depends on compliance. We assessed the determinants of compliance with the weekly IFAS in Ethiopia. A school-based survey was conducted in 506 adolescent girls on weekly IFAS. Compliance was considered when girls reported WIFAS for at least three months without discontinuation. Bivariable and multivariable logistic regression models were modeled, with odds ratios reported. Out of 506, 25.8% had limited access to educational resources, and 79.4% had no information on IFAS. Among these, 47.9% (95% CI: 45.5–49.9%) had poor compliance with weekly IFAS. Non-compliance was mainly due to school absenteeism (55.9%). Important predictors of poor compliance were adolescent girls’ marital status (AOR = 5.21; 1.55–17.6), academic standing (AOR = 4.37; 2.20–8.70), family income (AOR = 1.85; 1.09–3.15), access to health education materials (AOR = 1.57; 1.02–2.40), problems with IFAS (AOR = 2.44; 1.26–4.74), a discouraging home environment for the program (AOR = 2.27; 1.54–3.34), and a lack of knowledge of the IFAS program (AOR = 1.40; 0.97–2.03). Compliance with weekly IFAS is optimal, which could be improved via strong adherence support and feasible supplementation schedules.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2045-2322
العلاقة: https://doaj.org/toc/2045-2322Test
DOI: 10.1038/s41598-024-60800-5
الوصول الحر: https://doaj.org/article/6e7f1bbba83147f3b70b6e39228aa430Test
رقم الانضمام: edsdoj.6e7f1bbba83147f3b70b6e39228aa430
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20452322
DOI:10.1038/s41598-024-60800-5