Knowledge, Attitude and Practice of Pregnant Mothers towards Preventions of Iron Deficiency Anemia in Ethiopia: Institutional Based Cross Sectional Study

A. Abdu, Arif H. Hussein
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引用次数: 9

Abstract

Background: low maternal risk perception, poor dietary practice and low adherence to iron tablets among pregnant women are major contributors for higher burden of anemia. Thus the level of maternal awareness and attitude towards dietary and other prevention practices of anemia are not well established in the study area. Objectives: to assess the knowledge, attitude and practice of pregnant mother towards the prevention of iron deficiency anemia in Ethiopia, 2018. Methods: this is institutional based cross sectionals study conducted on randomly selected, 128 pregnant mothers attending antenatal care service in Harar town.  Data was collected by health professionals using pre tested questionnaire containing socio demographic, knowledge, attitude and practice related questions. Good and poor knowledge was scored by coding the correct answers as one. Attitude questions were organized in five likert scale from strongly disagree to strongly agree using positive statements. Similarly practices were assessed in yes/no (appropriate practices were scored as yes or no otherwise). The three indicators were transformed in to categories using the mea score as cut off point. Data was analyzed using SPSS version 20 using frequency, tables, graphs and means. Pearson correlation with r was used to assess the relationship between knowledge, attitude and practice. ANOVA was used to compare the mean practice by different factors. Results: total of 128 mothers were interviewed with mean age of 26.3 (SD = 5.8 years). Overall, 61% (95% CI: 52.6% to 69.5%) of pregnant women had a good knowledge on prevention methods of IDA. More than half, 52.3% (95% CI: 43.7% to 61.0%) had favorable attitude towards prevention of IDA. While majority of pregnant women, 58.6% (95% CI: 50.1% to 67.1%) had poor adherence to prevention practice of IDA. Conclusion and Recommendations: Knowledge, attitude and practice of pregnant women on preventions of IDA are not satisfactory. Thus poor practice towards prevention of IDA are the main contributing factor for high burden of anemia. Generally there should be focused, simple, easy to understand and customer friendly counseling service at ANC facilities. Key words: Iron Deficiency anemia (IDA), Prevention, Knowledge, attitude and Practices
埃塞俄比亚孕妇预防缺铁性贫血的知识、态度和实践:基于机构的横断面研究
背景:孕妇风险认知低、饮食习惯不良和铁片依从性低是贫血负担加重的主要原因。因此,在研究地区,产妇对饮食和其他预防贫血做法的认识和态度水平尚未得到很好的确定。目的:了解2018年埃塞俄比亚孕妇预防缺铁性贫血的知识、态度和行为。方法:这是一项基于机构的横断面研究,对随机选择的128名在哈拉尔镇接受产前保健服务的孕妇进行研究。数据由卫生专业人员使用预先测试的问卷收集,其中包含社会人口、知识、态度和实践相关问题。好的和不好的知识是通过将正确的答案编码为一个来打分的。态度问题被分为五个李克特量表,从非常不同意到非常同意,使用积极的陈述。类似的实践也被评估为是/否(适当的实践被评分为是或否)。以平均分作为分界点,将三个指标进行分类。数据分析采用SPSS version 20,采用频率、表、图、均值等方法。运用Pearson与r的相关来评估知识、态度与实践之间的关系。采用方差分析比较不同因素的平均实践。结果:共访谈128位母亲,平均年龄26.3岁(SD = 5.8岁)。总体而言,61% (95% CI: 52.6% ~ 69.5%)的孕妇对IDA的预防方法有良好的了解。超过一半(52.3%)的人(95% CI: 43.7% ~ 61.0%)对IDA的预防持积极态度。而大多数孕妇,58.6% (95% CI: 50.1%至67.1%)对IDA预防实践的依从性较差。结论与建议:孕妇对IDA的预防知识、态度和行为不尽如人意。因此,预防IDA的不良做法是造成贫血高负担的主要因素。一般来说,ANC设施应该有重点,简单,易于理解和客户友好的咨询服务。关键词:缺铁性贫血;预防;知识、态度与实践
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