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conferenceseries
.com
February 20-21, 2017 Berlin, Germany
9
th
International Congress on
Nutrition & Health
Volume 7 Issue 1 (Suppl)
J Nutr Food Sci
ISSN:2155-9600 JNFS, an open access journal
Nutrition & Health 2017
February 20-21, 2017 Berlin, Germany
Improved interpersonal counseling (IC) by health workers and supply chain enhances the utilization of
iron folic acid supplements (IFAS) among pregnant mothers in selected districts of Bangladesh: A case
study
Rahman A
1
, Rahman S M M
2
, Raut, MK
3
and
Chaudhery D N
3
1
PSU-Global Affairs Canada, Bangladesh
2
Micronutrient Initiative, Bangladesh
3
Micronutrient Initiative- Regional Office, New Delhi, India
Objectives:
Anemia is found in 49.6% of pregnant women in Bangladesh, BDHS 2011. Micronutrient Initiative and the Government
implemented an improved IC program to increase IFA consumption among pregnant women in two intervention areas (Satkhira,
Narsingdi).
Methods:
Interventions included strengthening IFAS supply chain through accurate forecasting IFA needs, tracking stock and
coverage, streamlining monitoring, building functionary capacities, and promoting behavior change by improving health workers' IC
skills with pregnant women during home and other contacts. IFA consumption and women's receiving IC exposure were measured
through cross sectional surveys at baseline (200 women/district) and ~two years of intervention (300 women/district, 1200 total) in
both intervention and comparison districts (Mymensingh and Jessore).
Results:
At end line, 587 of 600 women in intervention districts consumed any IFAS in most recent pregnancy; 94% of consumers
(555/ 587) received IC. Women’s consumption of 90+ IFA increased from 36% to 84%, an increase of 48 percentage points; logistic
regression analysis found that those exposed to improved IC by health workers were 5 times more likely to consume 90+ IFAS
(p<0.001). In comparison districts, 560 of 600 women consumed IFA; 85% of consumers (476/ 560) received IC; consumption of 90+
IFAS increased from 46% to 52%, an increase of 6 percentage points; regression analysis found no significant effect of standard IC on
IFAS consumption.
Conclusions:
Improved IC played a significant role in increasing adequate utilization of IFAS among pregnant women in the
intervention areas. Findings suggest that Bangladesh's IFAS scale-up could focus more on training to improve IC skills to increase
IFAS consumption.
ataur.rahman@cidapsudhaka.orgJ Nutr Food Sci 2017, 7:1 (Suppl)
http://dx.doi.org/10.4172/2155-9600.C1.039