Study of adherence and effect of iron and folic acid supplement on haemoglobin level among adolescent girls in rural area

Authors

  • Bina M. Kuril Department of Community Medicine, Govt. Medical College, Aurangabad, Maharashtra
  • Chetan Janbade Shri Vasantrao Naik, Government Medical College, Yeotmal, Maharashtra
  • Deepak K. Lone Health Services, Leprosy, Jalna, Maharashtra
  • Salma Hirani Department of Community Medicine, Govt. Medical College, Aurangabad, Maharashtra
  • Ankushe R. T. Department of Community Medicine, Govt. Medical College, Aurangabad, Maharashtra
  • Mohan K. Doibale Department of Community Medicine, Govt. Medical College, Aurangabad, Maharashtra

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20160927

Keywords:

Adolescent girls, Anaemia, IFA supplementation

Abstract

Background: The NFHS-3 data suggests that anaemia among adolescent Indian girls (15–19 years) is 56%. The control of anaemia in adolescent girls can be more easily achieved if a satisfactory iron status can be ensured in this important phase of life. This study estimated the prevalence of anaemia among adolescent girls, their adherence and compliance to IFA and studied effect of IFA supplementation on haemoglobin level of adolescent girls.

Methods: Community based cross-sectional study was carried out among 378 adolescent girls during June 2012 to May 2013 by house to house survey. All the relevant information was collected in predesigned proforma. The clinical examination, anthropometric examination and by Sahli’s haemoglobin meter, estimation of haemoglobin were done. Participants were given iron and folic supplementation for 45 days at the time of home visit and subsequently for another 45 days. Adherence to IFA was assessed through pill count.

Results: Prevalence of anaemia in the adolescent girls was found to be 68.5%. Majority of girls were having mild anaemia. Before intervention the mean haemoglobin was 10.61±1.32 and after intervention it was 11.02±1.06 (p=0.001). Adherence to treatment was found in 85.19% of study participants.

Conclusion: Prevalence of anaemia among adolescent females was high in rural study area. The declining trend was observed in grades of anaemia, there was conversion of moderate anaemia to mild anaemia and non-anaemia which was significant. The mean haemoglobin levels were increased after supplementation of IFA in study participants.

References

Gupta, Anuradha MS, Kumar R, Salhotra VS, Mohan A DSR. Guidelines for Control of Iron Deficiency Anaemia. New Delhi. 2013;54.

Agarwal KN, Agarwal DK, Sharma A, Sharma K, Prasad K, Kalita MC et al. Prevalence of anaemia in pregnant & lactating women in India. Indian J Med. Res. 2006;124(2):173-84.

The FC, Mumbai W. CHAPTER 7. In: Kulkarni S, Mishra V,Parasuraman S, Mulay S, Talwalkar M, Chitanand R, editors. Natl. Fam.Heal. Surv.INDIA 1998n99 Maharashtra. Calverton, Maryland, USA. 2002;24.

Lwanga SK LS. Sample size determination in health studies. Lwanga SK, Lemshaw S. 1991;30.

The Adolescent Girls Anaemia Control Programme New Delhi. 2011; Available from: http://www.unicef.org/india/14._Adolescent_Anaemia_Control_Programme.pdf Accessed 12 Jan 2016.

Kaur S, Deshmukh PR, Garg BS. Epidemiological Correlates of Nutritional Anemia in adolescent girls of Rural Wardha. Indian J of Community Medicine. 2006;31(4):255-7.

Sharda S, Kanta K, Uppal M. Prevalence of anaemia among adolescent girls of scheduled caste community of Punjab. Anthropologist. 2005;7(4), 265-7.

Baral KP, Onta SR. Prevalence of anemia amongst adolescents in Nepal, a community based study in rural and urban areas of Morang District. Nepal Med. Coll J. 2009;11(3):179-82. Available from:http://www.ncbi.nlm.nih.gov/pubmed/20334065.Assessed 12 Jan 2016.

Dutt R, Patil S, Joshi S, Mhatre R. Prevalence of anaemia among adolescent girls in rural area of Raigaddistrict , Maharashtra. 2009;40(3):3-6.

Chandra Sekhar K, Jyothi VN, Kumar KJK, Kumar DSS, Krishna CB, Tondare D. Prevalence of anaemia among adolescent girls in urban areas of Kadapa, A.P. Indian J Public Heal Res Dev. 2011;2(1).

Jayasree P, Sushamabai AS, Mathew A, Kadam RM, Varghese BA. Epidemiological factors affecting anaemia prevalence in rural adolescents in South India. Pushpagiri Med J. 2012;(3)4.

Basu S, Hazarika R. and Parmar V., Prevalence of anaemia among school going adolescents of Chandigarh. Indian Paediatr. 2005;597(42):17.

Goel S, Gupta B. Low anemia prevalence among adolescents of an urban hilly community. Indian J. Community Med. Medknow Publications and Media Pvt. Ltd. 2007 Jan 1;32(1):67.

Chaudhary SM, Dhage VR. A study of anemia among adolescent females in the urban area of Nagpur. Indian J. Community Med. 2008 Oct;33(4):243-5

Rajaratham J, Rajaratham A. et al. Prevalence of anaemia among girls of Tamil Nadu. Indian Paediatrics. 2000;37:532-6.

Gupta A, Parashar A, Thakur A, Sharma D. Anemia among adolescent girls in Shimla hills of north India: Does BMI and onset of menarche have a role? Indian J Med Sci. 2012;66:126-30.

Rawat CMS, Garg SK, Singh JV. Socio demographic correlates of anaemia among adolescent girls in rural area of Meerut. IJCM. 2001;26(4):173-5.

Joshi M, Gumashta R. Weekly Iron Folate Supplementation in Adolescent Girls-An Effective Nutritional Measure for the Management of Iron Deficiency Anaemia. 2013;5(3):188-94.

Aggarwal, KN. Assessment of prevalence of anaemia and iron in response to daily/weakly iron folate supplement in adolescent girls (10-18) from urban slums of North Delhi. UNICEF Contract No. 95/0075/1998;1-9.

Deshmukh, Garg PR, Bharambe MS. Effectiveness of Weekly Supplementation of Iron to Control Anaemia among Adolescent Girls of Nashik, Maharashtra, India. J Health Popul Nutr. 2008;26(1):74-8.

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Published

2017-02-02

How to Cite

Kuril, B. M., Janbade, C., Lone, D. K., Hirani, S., T., A. R., & Doibale, M. K. (2017). Study of adherence and effect of iron and folic acid supplement on haemoglobin level among adolescent girls in rural area. International Journal Of Community Medicine And Public Health, 3(4), 906–911. https://doi.org/10.18203/2394-6040.ijcmph20160927

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Original Research Articles