Medicine access @ point of care最新文献

{"title":"A structural equation modeling of supply chain strategies for artemisinin-based combination therapies in Uganda.","authors":"Oluka Pross Nagitta,&nbsp;Marcia Mkansi,&nbsp;Sylvia Desire Nyesiga,&nbsp;George William Kajjumba","doi":"10.1177/23992026211064711","DOIUrl":"https://doi.org/10.1177/23992026211064711","url":null,"abstract":"<p><strong>Introduction: </strong>Malaria is a killer disease in the tropical environment; artemisinin-based combination therapies (ACTs) play a central role in treating malaria. Thus, the supply and presence of ACT drugs in hospitals are a key feature in the fight against malaria. Supply chain management literature has focused on the private sector, and less attention has been paid to the public sector, especially hospitals.</p><p><strong>Aim: </strong>This study uses an interdisciplinary lens in investigating how to boost the supply and distribution of ACTs to save lives in low-income countries, specifically in Uganda.</p><p><strong>Methodology: </strong>The study adopted a quantitative research design using a questionnaire as the data collection instrument. Of the 440-population size, 304 of the sample population participated in the study. The model was estimated using structural equation modeling (SEM) to establish the causal relationship among the variables.</p><p><strong>Results: </strong>From the SEM analysis, all the hypotheses were significant at <i>p</i> < 0.05. The availability of ACTs is strongly affected by strategic dimensions (0.612), followed by operation dimensions (0.257); strategic determinants significantly affect operational determinants by a magnitude of 0.599. The indirect influence of the strategic determinants via operational determinants on the availability of ACTs is not significant. Overall, the factors explained 63.9% of the observed variance in the availability of ACTs, and the ACT availability can be predicted as follows: ACT availability = 0.612 × strategic determinants + 0.256 × operation determinants. Top management commitment and organizational responsiveness are among the items that positively affect the availability of ACTs.</p><p><strong>Conclusion: </strong>Strategically, hospital management should invest in cheap technology and software to minimize the unavailability of medicines. Our research suggests that strategic and operational determinants should be integrated into the hospitals' core business and implemented by the top management. The article contributes to theoretical and policy direction in the public sector medicine supply chain, specifically in public hospitals.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211064711"},"PeriodicalIF":0.0,"publicationDate":"2021-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/58/10.1177_23992026211064711.PMC9413604.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotic consumption at community pharmacies: A multicenter repeated prevalence surveillance using WHO methodology.","authors":"Zikria Saleem, Erwin Martinez Faller, Brian Godman, Muhammad Sajeel Ahmed Malik, Aqsa Iftikhar, Sonia Iqbal, Aroosa Akbar, Mahnoor Hashim, Aneeqa Amin, Sidra Javeed, Afreenish Amir, Alia Zafar, Farah Sabih, Furqan Khurshid Hashmi, Mohamed Azmi Hassali","doi":"10.1177/23992026211064714","DOIUrl":"10.1177/23992026211064714","url":null,"abstract":"<p><strong>Background: </strong>Antibiotics are losing their effectiveness because of the rapid emergence of resistant bacteria. Unnecessary antimicrobial use increases antimicrobial resistance (AMR). There are currently no published data on antibiotic consumption in Pakistan at the community level. This is a concern given high levels of self-purchasing of antibiotics in Pakistan and variable knowledge regarding antibiotics and AMR among physicians and pharmacists.</p><p><strong>Objective: </strong>The objective of this repeated prevalence survey was to assess the pattern of antibiotic consumption data among different community pharmacies to provide a baseline for developing future pertinent initiatives.</p><p><strong>Methods: </strong>A multicenter repeated prevalence survey conducted among community pharmacies in Lahore, a metropolitan city with a population of approximately 10 million people, from October to December 2017 using the World Health Organization (WHO) methodology for a global program on surveillance of antimicrobial consumption.</p><p><strong>Results: </strong>The total number of defined daily doses (DDDs) dispensed per patient ranged from 0.1 to 50.0. In most cases, two DDDs per patient were dispensed from pharmacies. Co-amoxiclav was the most commonly dispensed antibiotic with a total number of DDDs at 1018.15. Co-amoxiclav was followed by ciprofloxacin with a total number of 486.6 DDDs and azithromycin with a total number of 472.66 DDDs. The least consumed antibiotics were cefadroxil, cefotaxime, amikacin, and ofloxacin, with overall consumption highest in December.</p><p><strong>Conclusion: </strong>The study indicated high antibiotic usage among community pharmacies in Lahore, Pakistan particularly broad-spectrum antibiotics, which were mostly dispensed inappropriately. The National action plan of Pakistan on AMR should be implemented by policymakers including restrictions on the dispensing of antimicrobials.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211064714"},"PeriodicalIF":0.0,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/43/10.1177_23992026211064714.PMC9413637.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of proton-pump inhibitor use at a tertiary teaching hospital in Nigeria.","authors":"Roland Nnaemeka Okoro,&nbsp;Kasim Abdullahi,&nbsp;Dauda Ayuba Dayar","doi":"10.1177/23992026211062729","DOIUrl":"https://doi.org/10.1177/23992026211062729","url":null,"abstract":"<p><strong>Background: </strong>Proton-pump inhibitor (PPI) is a widely used medication class globally. Because of its good safety profile, there is a huge likelihood of inappropriate use.</p><p><strong>Objectives: </strong>To determine the prevalence of PPI use and indications, describe its pattern of usage, and identify factors associated with inappropriate prescriptions at a federal tertiary teaching hospital in Maiduguri, Nigeria.</p><p><strong>Methods: </strong>PPI prescriptions were retrospectively assessed in the General Outpatients' Department (GOPD) and Gastroenterology Unit (GITU) of a teaching hospital. Relevant data for the study were extracted from the patients' medical records. Chi-square or Fisher's exact tests where appropriate were used to identify factors associated with inappropriate PPI prescriptions. A <i>p</i> < 0.05 was considered to be significant.</p><p><strong>Results: </strong>PPIs were prescribed to 73.3% (220/300) of patients, while inappropriate prescriptions were noted in 91.4% (201/220) of these patients. Epigastric pain (49.5%) was the most common PPI indication, while omeprazole was the highest prescribed (53.4%). Nearly all inpatients (98.2%), those with epigastric pain (95.7%), and patients who were prescribed intravenous PPIs had more inappropriate PPI prescriptions compared to others.</p><p><strong>Conclusion: </strong>This study revealed a high prevalence of PPI use and inappropriate prescriptions at the study hospital. As a result, these findings highlight the importance PPI-based stewardship program at the study hospital.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211062729"},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/29/10.1177_23992026211062729.PMC9413602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33493281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicine quality in high-income countries: The obstacles to comparative prevalence studies.","authors":"Bernard David Naughton,&nbsp;Ebru Akgul","doi":"10.1177/23992026211052272","DOIUrl":"https://doi.org/10.1177/23992026211052272","url":null,"abstract":"<p><p>The entry of falsified and substandard medicines into the legitimate pharmaceutical supply chain has negative impacts on healthcare systems, patient safety, and patient access to medicine. The COVID-19 pandemic has highlighted the importance of access to safe medicine through legitimate pharmaceutical supply chains and the willingness of criminals to target medical products such as PPE (personal protective equipment) and COVID-19 treatments. In this article, we analyse data from the United Kingdom (UK) national medicine alert and recall database to identify and understand recent cases of substandard and falsified medicine in the UK's healthcare systems. Using the UK as a case study, we describe that national drug alert and recall data are useful in their current form to record and understand cases of substandard and falsified medicines in the supply chain. However, if regulatory agencies published further data, these drug recall databases may be useful to support longitudinal and international comparative medicine quality studies. We suggest that regulatory agencies publish the number of affected medicine packs in each recalled batch, as part of the recall process. This will help policy makers, practitioners, and researchers to better understand, monitor and compare the quality of medicines within legitimate supply chains.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211052272"},"PeriodicalIF":0.0,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/80/10.1177_23992026211052272.PMC9413605.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33491213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating physical and mental healthcare: Facilitators and barriers to success.","authors":"Karen Monaghan,&nbsp;Travis Cos","doi":"10.1177/23992026211050615","DOIUrl":"https://doi.org/10.1177/23992026211050615","url":null,"abstract":"<p><strong>Introduction: </strong>Effective and appropriate provision of mental healthcare has long been a struggle globally, resulting in significant disparity between prevalence of mental illness and access to care. One attempt to address such disparity was the Patient Protection and Affordable Care Act (PPACA), 2010, mandate in the United States to integrate physical and mental healthcare in Federally Qualified Health Centers (FQHCs). The notion of integration is attractive, as it has demonstrated the potential to improve both access to mental healthcare and healthcare outcomes. However, while the PPACA mandate set this requirement for FQHCs, no clear process as to how these centers should achieve successful integration was identified.</p><p><strong>Methods: </strong>This research employed case study methods to examine the implementation of this policy in two FQHCs in New England. Data were obtained from in-depth interviews with leadership, management, and frontline staff at two case study sites.</p><p><strong>Results: </strong>Study findings include multiple definitions of and approaches for integrating physical and mental healthcare, mental healthcare being subsumed into, rather than integrated with, the medical model and multiple facilitators of and barriers to integration.</p><p><strong>Conclusion: </strong>This study asked questions about what integration means, how it occurs, and what factors facilitate or pose barriers to integration. Integration is facilitated by co-location of providers within the same department, a warm hand-off, collaborative collegial relationships, strong leadership support, and a shared electronic health record. However, interdisciplinary conflict, power differentials, job insecurity, communication challenges, and the subsumption of mental health into the medical model pose barriers to successful integration.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211050615"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/07/10.1177_23992026211050615.PMC9413608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33491214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to unlicensed medicines, who should pay when they are not provided for free?","authors":"Kieron David Lewis","doi":"10.1177/23992026211040047","DOIUrl":"https://doi.org/10.1177/23992026211040047","url":null,"abstract":"<p><p>The rising cost of clinical development, license submissions, commercial product launches, and affiliate management in all countries around the world, coupled with the ethical obligation to ensure that eligible patients have access to new treatments, has led some pharmaceutical and biopharmaceutical companies to review their approach to access to medicine. The traditional US first launch, followed by European Union approval and then a strategic launch process, can eventually ensure access in the key markets with developed healthcare systems. For many other countries, providing access via the current legislation available for unlicensed medicine supply can provide a solution for increasing access. This option can be considered for broadening access to a greater number of eligible patients in more countries where unlicensed supply may be the only option, for example, if no clinical trials or commercial product supplies are available. This article looks specifically at the key financial and reimbursement considerations for unlicensed medicines and how some companies are adopting a \"charged for\" early access model that can be sustainable and affordable from their perspective. It is also important to consider how sustainable a charged program would be for the patient and the relevant payer, as they may expect an unlicensed treatment is provided free of charge. However, if the sponsor or manufacturer simply cannot afford to run a free supply program, the patient is faced with a more serious problem, that of no access at all, either charged or free. The objective of this article is to raise awareness amongst interested stakeholders from different perspectives, including the patients. Unlicensed medicines are usually only prescribed when there is a serious or life-threatening unmet need, and the implications for the company, physician, patient, and payer should be clear if access to treatment depends on the ability to pay.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211040047"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/ad/10.1177_23992026211040047.PMC9413611.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's a walk of shame\": Experiences of unintended pregnancy and abortion among sexual- and gender-minoritized females in urban India.","authors":"Jessamyn Bowling,&nbsp;Megan Simmons,&nbsp;Donna Blekfeld-Sztraky,&nbsp;Elizabeth Bartelt,&nbsp;Brian Dodge,&nbsp;Vikram Sundarraman,&nbsp;Brindaa Lakshmi,&nbsp;Debby Herbenick","doi":"10.1177/23992026211027698","DOIUrl":"https://doi.org/10.1177/23992026211027698","url":null,"abstract":"<p><strong>Background: </strong>Unintended pregnancy and safe abortion access in India remain critical public health concerns. The health of sexual- and gender-minoritized females (SGMF; those assigned female at birth and identify as other than heterosexual and/or as other than cisgender women) in India is understudied.</p><p><strong>Aim: </strong>We examined experiences of unintended pregnancy and abortion among SGMF individuals in urban India.</p><p><strong>Methods: </strong>We used focus group discussions (<i>n</i> = 8 individuals in two groups) and interviews (<i>n</i> = 20) with SGMF individuals. Data were collected in December 2017. Transcripts were analyzed using a priori thematic analysis and then open thematic analysis in Dedoose online software.</p><p><strong>Results: </strong>Nine participants experienced or suspected they had unintended pregnancies. Pregnancy circumstances were mostly due to sex without using a barrier method. Participants discussed using traditional methods to induce abortion or changing their approach to contraception. Social support was often lacking, though partners were supportive of abortion choices. Participants reported stigma and surveillance from family, friends, providers, and community members.</p><p><strong>Conclusion: </strong>These findings highlight the effects of stigma in relation to abortion and unintended pregnancy on health and relationships.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211027698"},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9413609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33491218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid screening for COVID-19 by applying artificial intelligence to chest computed tomography images: A feasibility study.","authors":"Pedro Galván, José Fusillo, Felipe González, Oraldo Vukujevic, Luciano Recalde, Ronald Rivas, José Ortellado, Juan Portillo, Julio Mazzoleni, Enrique Hilario","doi":"10.1177/23992026211013644","DOIUrl":"10.1177/23992026211013644","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the study was to present the results and impact of the application of artificial intelligence (AI) in the rapid diagnosis of COVID-19 by telemedicine in public health in Paraguay.</p><p><strong>Methods: </strong>This is a descriptive, multi-centered, observational design feasibility study based on an AI tool for the rapid detection of COVID-19 in chest computed tomography (CT) images of patients with respiratory difficulties attending the country's public hospitals. The patients' digital CT images were transmitted to the AI diagnostic platform, and after a few minutes, radiologists and pneumologists specialized in COVID-19 downloaded the images for evaluation, confirmation of diagnosis, and comparison with the genetic diagnosis (reverse transcription polymerase chain reaction (RT-PCR)). It was also determined the percentage of agreement between two similar AI systems applied in parallel to study the viability of using it as an alternative method of screening patients with COVID-19 through telemedicine.</p><p><strong>Results: </strong>Between March and August 2020, 911 rapid diagnostic tests were carried out on patients with respiratory disorders to rule out COVID-19 in 14 hospitals nationwide. The average age of patients was 50.7 years, 62.6% were male and 37.4% female. Most of the diagnosed respiratory conditions corresponded to the age group of 27-59 years (252 studies), the second most frequent corresponded to the group over 60 years, and the third to the group of 19-26 years. The most frequent findings of the radiologists/pneumologists were severe pneumonia, bilateral pneumonia with pleural effusion, bilateral pulmonary emphysema, diffuse ground glass opacity, hemidiaphragmatic paresis, calcified granuloma in the lower right lobe, bilateral pleural effusion, sequelae of tuberculosis, bilateral emphysema, and fibrotic changes, among others. Overall, an average of 86% agreement and 14% diagnostic discordance was determined between the two AI systems. The sensitivity of the AI system was 93% and the specificity 80% compared with RT-PCR.</p><p><strong>Conclusion: </strong>Paraguay has an AI-based telemedicine screening system for the rapid stratified detection of COVID-19 from chest CT images of patients with respiratory conditions. This application strengthens the integrated network of health services, rationalizing the use of specialized human resources, equipment, and inputs for laboratory diagnosis.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211013644"},"PeriodicalIF":0.0,"publicationDate":"2021-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/31/43/10.1177_23992026211013644.PMC9413752.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of integrating mental health services within existing tuberculosis treatment facilities.","authors":"Aneeta Pasha,&nbsp;Hasha Siddiqui,&nbsp;Shiza Ali,&nbsp;Meredith B Brooks,&nbsp;Naveen R Maqbool,&nbsp;Aamir J Khan","doi":"10.1177/23992026211011314","DOIUrl":"https://doi.org/10.1177/23992026211011314","url":null,"abstract":"<p><strong>Introduction: </strong>Depression and anxiety among tuberculosis (TB) patients can adversely affect TB treatment adherence and completion.</p><p><strong>Aim: </strong>We studied whether integrating mental health services into existing TB treatment programs would reduce symptoms of depression and anxiety and improve treatment completion among patients with drug-susceptible TB.</p><p><strong>Methods: </strong>Integrated practice units (IPUs) for TB and mental health were established within six existing TB treatment facilities in Karachi, Pakistan. Patients were screened for depression and anxiety and, if symptomatic, offered a mental health intervention consisting of at least four counseling sessions. We measured changes in reported levels of depression and anxiety symptoms from baseline following completion of counseling sessions, and rates of TB treatment completion.</p><p><strong>Results: </strong>Between February 2017 and June 2018, 3500 TB patients were screened for depression and anxiety. 1057 (30.2%) symptomatic patients received a baseline adherence session. 1012 enrolled for a mental health intervention received at least 1 counseling session. 522 (51.5%) reported no symptoms after four to six sessions. Symptomatic patients who completed at least four counseling sessions had higher rates of TB treatment completion than those who did not (92.9% vs 75.1%; <i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>Mental health interventions integrated within TB programs can help reduce symptoms of depression and anxiety and improve TB treatment completion.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211011314"},"PeriodicalIF":0.0,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/23992026211011314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33492228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to prenatal iron-folic acid supplementation and associated factors among pregnant women attending antenatal care services in Dilla town, South Ethiopia.","authors":"Tizalegn Tesfaye Mamo,&nbsp;Eden Ashenafi,&nbsp;Addisu Alemayehu Gube,&nbsp;Tesfanew Bekele","doi":"10.1177/23992026211008805","DOIUrl":"https://doi.org/10.1177/23992026211008805","url":null,"abstract":"<p><strong>Background: </strong>During pregnancy, due to the physiological and hormonal change, the requirement of iron-folic acid is enhanced. Therefore, the occurrence of iron/folic acid deficiency is relatively high and it is responsible for 95% of anemia during pregnancy.</p><p><strong>Objectives: </strong>The aim of this study was to assess adherence to prenatal iron-folic acid supplementation (IFAS) and associated factors among pregnant women attending antenatal care services at public health facilities of Dilla town.</p><p><strong>Methods: </strong>Facility-based cross-sectional study design was employed selecting 403 pregnant women attending antenatal care services in three public health institutions of Dilla town. The women were included in the study by simple random sampling. Data were collected by interview and document review. Then it was entered into EPI Data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariate binary logistic regression techniques were used to identify independent predictors. A <i>p</i>-value <0.05 was taken as indication of statistical significance.</p><p><strong>Results: </strong>From the total of planned 403 pregnant women, 396 participated in the study, with a response rate of 98.2%. Of these, 172 (43.4%) pregnant women were adhered to IFAS. The study also revealed that history of previous anemia (adjusted odds ratio (AOR) = 1.87; 95% confidence interval (CI): (1.01-3.47); <i>p</i> = 0.04), frequency of antenatal care center (ANC) visits (AOR = 2.51; 95% CI: (1.17-5.37); <i>p</i> = 0.01), knowledge of IFA supplement (AOR = 2.28; 95% CI: (1.36-3.82); <i>p</i> = 0.002), and knowledge of anemia (AOR = 2.30; 95% CI: (1.40-3.77); <i>p</i> = 0.001) were independent predictors of adherence to IFAS.</p><p><strong>Conclusion: </strong>The finding of this study showed that less than half of the pregnant women were adhered to IFAS. History of previous anemia, frequency of ANC visits, knowledge of IFA supplement, and knowledge of anemia were the factors associated with adherence to IFA supplement.</p>","PeriodicalId":74158,"journal":{"name":"Medicine access @ point of care","volume":" ","pages":"23992026211008805"},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/23992026211008805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33493280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}