Social factors influencing the utilization of folic acid by pregnant mothers attending antenatal care at Apac General Hospital, Apac district. A cross-sectional study.

Authors

  • Harriet Akello Florence Nightingale School of Nursing and Midwifery.
  • Ronald Awoi
  • Denis Obong Florence Nightingale School of Nursing and Midwifery
  • Tonny Mike Omara Florence Nightingale School of Nursing and Midwifery
  • Lamex Ogwal Florence Nightingale School of Nursing and Midwifery

DOI:

https://doi.org/10.70572/agp.v3i5.130

Keywords:

Folic acid utilization, pregnant mothers, social factors, medication fatigue, forgetfulness, health education, anemia awareness, Apac General Hospital

Abstract

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.

Author Biographies

Harriet Akello, Florence Nightingale School of Nursing and Midwifery.

is a student at Florence Nightingale School of Nursing and Midwifery.

Ronald Awoi

is a research supervisor at Florence Nightingale School of Nursing and Midwifery.

Denis Obong, Florence Nightingale School of Nursing and Midwifery

is a research supervisor at the Florence Nightingale School of Nursing and Midwifery.

Tonny Mike Omara, Florence Nightingale School of Nursing and Midwifery

 is a research supervisor at Florence Nightingale School of Nursing and Midwifery.

Lamex Ogwal, Florence Nightingale School of Nursing and Midwifery

 is a research supervisor at Florence Nightingale School of Nursing and Midwifery

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.

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Published

2026-05-30

How to Cite

Akello, H., Awoi , R., Obong, D., Omara, T. M., & Ogwal, L. (2026). Social factors influencing the utilization of folic acid by pregnant mothers attending antenatal care at Apac General Hospital, Apac district. A cross-sectional study. AfroGlobal Perspectives, 3(5), 10. https://doi.org/10.70572/agp.v3i5.130

Issue

Section

Section of Health Sciences

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