Strategies to address anaemia among pregnant and lactating women in India: a formative research study.
Public Health Nutr
; 23(5): 795-805, 2020 04.
Article
de En
| MEDLINE
| ID: mdl-32090721
ABSTRACT
OBJECTIVE:
Over half of pregnant women in India are affected by anaemia, which can lead to premature birth, low birth weight and maternal and child mortality. Using formative research, we aimed to understand social and cultural factors around iron and folic acid (IFA) supplement provision and adherence to identify potential strategies for improving adherence and behaviours to prevent and treat anaemia among pregnant and lactating Indian women.DESIGN:
In-depth interviews and focus group discussions with women and key informant interviews with health officials and workers.SETTING:
Four districts in two Indian states Allahabad and Bara Banki districts in Uttar Pradesh and Chikkballapura and Mandya districts in Karnataka.PARTICIPANTS:
Pregnant and lactating women (n 65) and district officials and community health workers (n 14).RESULTS:
Most women were aware of anaemia but did not understand its seriousness and consequences. All women received IFA supplements (predominantly for free), but many were not adherent because of side effects; lack of information from healthcare providers on the causes of anaemia, its seriousness and solutions and low social support. To address anaemia, women were most confident in their ability to prepare and eat healthier foods but lacked control over resources such as appropriate food availability.CONCLUSIONS:
Based on the findings, we recommend multicomponent interventions to train healthcare providers, address systemic barriers and involve family members to support IFA supplement adherence and dietary changes. Future research will determine which strategies are most effective to reduce the burden of anaemia in India among pregnant and lactating women.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Complications de la grossesse
/
Observance par le patient
/
Acide folique
/
Anémie
/
Fer
Type d'étude:
Prognostic_studies
/
Qualitative_research
Limites:
Adult
/
Female
/
Humans
/
Pregnancy
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
Public Health Nutr
Sujet du journal:
CIENCIAS DA NUTRICAO
/
SAUDE PUBLICA
Année:
2020
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique