Social factors influencing the utilization of folic acid by pregnant mothers attending antenatal care at Apac General Hospital, Apac district. A cross-sectional study.
DOI:
https://doi.org/10.70572/agp.v3i5.130Keywords:
Folic acid utilization, pregnant mothers, social factors, medication fatigue, forgetfulness, health education, anemia awareness, Apac General HospitalAbstract
Abstract
Background:
This study assessed the social factors influencing the utilization of folic acid among pregnant mothers attending antenatal care at Apac General Hospital, Apac District.
Methodology:
A hospital-based cross-sectional descriptive study employing quantitative methods was conducted among 32 pregnant mothers attending antenatal care at Apac General Hospital. Participants were selected using simple random sampling. Data were collected using a semi-structured questionnaire, pre-tested for validity and reliability. Data were analyzed using SPSS version 27 and presented in tables, graphs, and percentages.
Results:
The majority of respondents were self-employed (62.5%) and had 3–4 children (43.7%). All respondents (100%) had ever heard about iron and folic acid supplements, with 56.3% obtaining information from health workers. However, only 62.5% were aware of the benefits of the supplements. All respondents (100%) acknowledged that anemia is dangerous, mainly due to risks of maternal and fetal death (62.5%). Despite this awareness, all respondents (100%) had ever failed to adhere to folic acid supplementation. The main reasons for non-adherence included unavailability of supplements (28.3%), forgetfulness (21.8%), and medication fatigue (21.8%). Additionally, 59% reported experiencing medication fatigue, while 59% indicated that the low social status of the family influenced utilization.
Conclusion:
Social factors such as medication fatigue, forgetfulness, low social status, and inadequate, inconsistent adherence significantly influence the utilization of folic acid among pregnant mothers, despite high awareness levels.
Recommendation:
Health workers should strengthen continuous health education and introduce reminder systems to reduce forgetfulness.
References
Demisse, T., Temesgen, H., Dessie, Y., & Kassa, W. (2021). Adherence status to iron with folic acid supplementation and associated factors among pregnant women receiving antenatal care at public health facilities in northwest Ethiopia. BMC Pregnancy and Childbirth, 21(1), 1-10. https://doi.org/10.1177/20503121211049934
Fite, R., Roba, K., Oljira, L., Tura, G., & Yadeta, T. (2021). Compliance with iron and folic acid supplementation and associated factors among pregnant women in sub-Saharan Africa: A systematic review and meta-analysis. BMC Public Health, 21(1), 1-14. https://doi.org/10.1371/journal.pone.0249789
Felipe-Dimog, E., Yu, C., et al. (2021). Factors influencing compliance of pregnant women with iron and folic acid supplementation in the Philippines: 2017 Philippine Demographic and Health Survey analysis. BMC Pregnancy and Childbirth, 21(1), 1-9. https://doi.org/10.3390/nu13093060
Kamau, M., Mirie, W., Kimani, S., & Mugoya, I. (2019). Effect of community-based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya. African Journal of Reproductive Health, 23(3), 45-54. https://doi.org/10.1371/journal.pone.0224361
Lyoba, N., Mwakatoga, M., & Festo, C. (2020). Adherence to iron-folic acid supplementation and associated factors among pregnant women in Kasulu communities, Northwestern Tanzania. Tropical Medicine and Health, 48(1), 1-8.
https://doi.org/10.1155/2020/3127245
Nimwesiga, R., Murezi, C., & Taremwa, I. (2021). Adherence to iron and folic acid supplementation among pregnant women attending antenatal care at Bwindi Community Hospital, Western Uganda. Uganda Journal of Health Sciences, 8(2), 33-40.
https://doi.org/10.1155/2021/6632463
Tefera, M., Ibrahim, A., & Umer, Y. (2023). Adherence to iron and folate supplementation and associated factors among women attending antenatal care during the COVID-19 pandemic in Ethiopia. Journal of Pregnancy and Child Health, 10(1), 1-7. https://doi.org/10.1371/journal.pgph.0000825
World Health Organization (WHO). (2021). Anaemia in pregnancy: Global health estimates. Geneva: WHO.
World Health Organization (WHO). (2023). Guideline on daily iron and folic acid supplementation in pregnant women. Geneva: WHO.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Harriet Akello, Ronald Awoi , Denis Obong, Tonny Mike Omara, Lamex Ogwal

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license allows for the following terms:
-
Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial: You may not use the material for commercial purposes. Commercial use is any use primarily intended for commercial advantage or monetary compensation.
-
NoDerivatives: If you remix, transform, or build upon the material, you may not distribute the modified material. The work must be shared in its original form.
-
No Additional Restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

