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Improving iron and folic acid supplementation among pregnant women: an implementation science approach in east-central Uganda
FHI 360, Kampala, Uganda.
University Research Co., LLC, MD, Chevy Chase, United States.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. School of Pharmacy, University of Waterloo, Kitchener, Canada; Makerere University, Kampala, Uganda.ORCID iD: 0000-0001-6833-7601
Makerere University, Kampala, Uganda.
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2022 (English)In: Global Health: Science and Practice (GHSP), ISSN 2169-575X , Vol. 10, no 6, article id e2100426Article in journal (Refereed) Published
Abstract [en]

Introduction: To address maternal iron-deficiency anemia and low uptake of iron and folic acid supplementation (IFAS) among antenatal care (ANC) clinic attendees in East-Central Uganda, the Anemia Implementation Science Initiative embedded enhanced quality improvement (QI) activities into an integrated health project utilizing QI methodologies.

Methods: To address 2 bottlenecks of stock-outs and inadequate health education for pregnant women during ANC, an enhanced QI intervention was implemented from July 2019 to September 2020 in 2 districts. We conducted a mixed-methods effectiveness quasi-experimental study to assess whether the intervention increased the availability of IFAS in the intervention districts. We used longitudinal facility-level data from 2 treatment districts and 1 comparison district for the quantitative results. Difference-in-difference estimation was used to measure the impact of the intervention on IFAS health education and IFA availability at the health facility. We used logistic regression modeling to control for factors associated with IFAS uptake and potential differences in baseline values. Researchers conducted exit interviews with ANC clients and in-depth interviews with providers and district managers for greater insights into the implementation process.

Results: The intervention increased the probability, at a statistically significant level, of pregnant women both receiving IFAS and receiving health education on IFAS during ANC. According to interviewees, the intervention approach improved stakeholder engagement and buy-in, which brought about change at all levels of the health system.

Discussion: The intervention successfully addressed the 2 main bottlenecks to availability of IFAS for pregnant women attending ANC-inadequate provision of IFAS education and a weak drug quantification process. Even without additional funds to purchase commodities, this approach improved district capacity to advocate for and manage IFAS commodities. It could also be used to strengthen overall ANC quality.

Place, publisher, year, edition, pages
2022. Vol. 10, no 6, article id e2100426
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-205012DOI: 10.9745/GHSP-D-21-00426ISI: 000924183000008Scopus ID: 2-s2.0-85147765622OAI: oai:DiVA.org:umu-205012DiVA, id: diva2:1738625
Funder
Bill and Melinda Gates FoundationAvailable from: 2023-02-22 Created: 2023-02-22 Last updated: 2023-09-05Bibliographically approved

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Tetui, Moses

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