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Effect of Maternal Education on Prenatal Adherence of Iron-folic Acid Supplementation in Ethiopia: A Systematic Review and Meta-analysis.

Current reviews in clinical and experimental pharmacology
January 1, 2021
Meresa Berwo Mengesha et al. (4 authors)
Journal ArticleMeta-AnalysisSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine if higher maternal education correlates with better adherence to iron-folic acid supplementation in Ethiopia.

Results Summary

The study found that mothers with secondary education or higher had 2.89 times higher odds of adhering to iron-folic acid supplementation compared to those without formal education. The results suggest that maternal education improves adherence to supplementation.

Population

Pregnant women in Ethiopia

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
iron-folic acid supplementation
decrease
maternal anemia
maternal
-
is a central preventive measure for
#1
increasing maternal education
increase
iron-folic acid supplementation
women across Ethiopia
-
leads to improved adherence of
#2
iron-folic acid supplementation
increase
prenatal adherence
mothers with secondary school education and above
2.89 times
were 2.89 times higher in
#3
Abstract

BACKGROUND: Iron-folic acid supplementation is a central preventive measure for maternal anemia, so considering the factors leading to or deterring from adherence is important. This review aims to establish if there is a correlation between increasing maternal education and adherence to iron-folic acid supplementation in Ethiopia. METHODS: An electronic database search was conducted using PubMed, Google Scholar, Cochrane Library and African Journals Online. Joanna Briggs Institute Meta-Analysis of Statistical Assessment and Review Instrument was used for quality appraisal of the included studies. The extracted data were entered into Microsoft™ Excel sheet and exported to R-software version 3.6.1 for analysis. Maternal education on adherence of iron-folic acid supplementation was analyzed and subgroup analyses of difference between regions and time of study period were conducted. RESULTS: The online search yielded a total of 936 articles, and based on inclusion/exclusion criteria nine were included in this study with a total of 3263 participants. Applying the random effect model, the analysis revealed that the odds of prenatal adherence of iron-folic acid supplementation were 2.89 times higher in mothers with secondary school education and above as compared to those who had not received formal education. CONCLUSION: This review identified that increased maternal education leads to improved adherence of iron-folic acid supplementation amongst women across Ethiopia. This information may inform efforts of government and non-government organizations to encourage maternal education in order to sustained adherence of iron-folic acid supplementation. Further research is required in this critical area at regional, national, and global levels.

Medical Subject Headings (MeSH)
Dietary SupplementsEthiopiaFemaleFolic AcidHumansIronPregnancyPrenatal Care
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations2
Citations/Year0.5
Relative Citation Ratio0.29
NIH Percentile15.2%
Research Impact Scores
APT Score0.50
Weight Score2.18
Normalized Score0.70
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Effect of Maternal Education on Prenatal Adherence of Iron-f... | Panacea Index