Factors associated with compliance to recommended micronutrients uptake for prevention of anemia during pregnancy in urban, peri-urban, and rural communities in Southeast Nigeria

摘要

Background The study investigated the factors associated with compliance to the recommended ≥90-day uptake of micronutrients for prevention of iron-deficiency anemia during pregnancy in Nigeria. Methods A cross-sectional study of 1500 women who had babies within 6?months prior to the survey, drawn from six urban, peri-urban, and rural local government areas in Enugu and Imo States of Nigeria, was conducted, using a structured questionnaire. A focus group discussion was held with grandmothers and fathers of the new baby. In-depth interviews were held with health workers. Results There were six demographic factors in the bivariate analysis: living in an urban center and close to health facility, and being wealthy, with post-secondary education as well as older and engaged in civil service showed significant association with compliance. The urban residents complied more than the peri-urban and rural residents ( χ 2?=?12.749; p =?0.002). Those living close to the health facilities complied more than those living far away ( χ 2?=?24.638; p 2?=?13.216; p 2?=?6.324; p =?0.010) and the more frequent the use of ANC services the more the compliance ( χ 2?=?14.771; p