Accessibility and compliance to iron folic supplementation among the pregnant women in two sub districts of Bhutan
5
Issued Date
2004
Copyright Date
2004
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
xii, 85 leaves : ill.
ISBN
9740453821
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thesis (M.Sc. (Food and Nutrition for Development))--Mahidol University, 2004
Suggested Citation
Sithey, Gyambo, 1972- Accessibility and compliance to iron folic supplementation among the pregnant women in two sub districts of Bhutan. Thesis (M.Sc. (Food and Nutrition for Development))--Mahidol University, 2004. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/105808
Title
Accessibility and compliance to iron folic supplementation among the pregnant women in two sub districts of Bhutan
Author(s)
Advisor(s)
Abstract
Considerable progress has been made in the control of micronutrient deficiency namely, iodine and vitamin A deficiency in Bhutan in the last two decades. However, iron deficiency anemia among pregnant women remains a major public health problem, despite the existence of universal iron supplementation program. This project studied the factors affecting pregnant women's compliance with iron supplementation regimen. Supply and availability of iron tablets, the distribution system, accessibility to service, and compliance with iron supplementation were investigated. A qualitative study using interview guides, and a semi-coded questionnaire, was conducted in one urban and two rural settings in Bhutan. The study found that pregnant women did not have adequate access to the antenatal service and hence did not get iron tablets, despite abundant iron supply available at the health centres. Major determinants affecting accessibility to antenatal services are physical barriers posed by the geographical terrain, and the inadequate counseling the mothers. The casual perception of pregnancy, late booking visit and feeling shy were determinants on the women's side. Iron tablets were received by women attending antenatal services and they were aware that iron tablets are good for blood and health. However women did not comply strictly with the regularity of iron ingestion as advised by the health personnel. Pregnant women have a casual perception of iron supplements because everyone received iron tablets. Thus, they developed an attitude that iron supplement is not a necessity. This relaxes their attention and care to ingest iron tablets. Forgetfulness was speculated to be an important barrier. Other reasons included the metallic smell of the tablets, nausea, stomach irritation and social taboos against medication. Based on these findings, improving the accessibility of the pregnant women to antenatal clinics should be the most important imperative for addressing the issue of compliance. Other barriers could be overcome thro
Description
Food and Nutrition for Development (Mahidol University 2004)
Degree Name
Master of Science
Degree Level
Master's degree
Degree Department
Institute of Nutrition
Degree Discipline
Food and Nutrition for Development
Degree Grantor(s)
Mahidol University