Economic 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 Florence Nightingale School of Nursing and Midwifery.
  • 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.v3i5.38

Keywords:

Folic acid utilization, pregnant mothers, antenatal care, economic factors, supplement accessibility, Apac General Hospital

Abstract

Background:

Utilization of folic acid among pregnant mothers is essential in preventing maternal anemia, neural tube defects, and other pregnancy complications. This study assessed economic 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. Analysis was done using SPSS version 27, and findings were presented using tables, graphs, and percentages.

 

Results:

Most respondents were aged 26–35 years (56%), married (69%), and had primary-level education (46.8%). The majority were self-employed (62.5%) and had 3–4 children (43.7%). Regarding economic factors, 66% reported that folic acid supplements were not accessible in their area of residence. More than half (56.3%) indicated they were only sometimes financially able to purchase supplements, while 18.7% were never able to afford them. Poverty was reported by 65.6% as always influencing utilization, and 59.4% indicated unemployment as a major barrier to consistent use.

 

Conclusion:

Economic factors such as poverty, unemployment, and limited financial capacity significantly influence the utilization of folic acid among pregnant mothers attending antenatal care at Apac General Hospital.

 

Recommendation:

The Ministry of Health and health facility managers should ensure a consistent free supply of folic acid supplements at antenatal clinics.

Author Biographies

Harriet Akello, FLORENCE NIGHTINGALE SCHOOL OF NURSING AND MIDWIFERY

is a student at Florence Nightingale School of Nursing and Midwifery

Ronald Awoi, Florence Nightingale School of Nursing and Midwifery.

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 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

Abeje, Y., Yirgalem, M., & Fikadu, A. (2023). Iron–folate adherence and associated factors among pregnant women attending public health facilities in Durame Town, Southern Ethiopia. BMC Pregnancy and Childbirth, 23(1), 1–10. https://doi.org/10.1177/23779608231189964

Akibu, M., Tsegaye, W., Megersa, T., & Nurgi, S. (2018). Prevalence of undernutrition and associated factors among pregnant women in Ethiopia. BMC Nutrition, 4(1), 1–8. https://doi.org/10.1155/2018/8625437

Begum, M., Dewey, K., & Arimond, M. (2018). Factors affecting adherence to iron and folic acid supplementation in pregnancy. Public Health Nutrition, 21(9), 1701–1710.

Cui, Y., et al. (2021). Haematinics and their role in the management of anemia. Journal of Hematology, 15(2), 45–52.

Gebremichael, H., & Welesamuel, T. (2020). Adherence to iron-folic acid supplementation among pregnant women attending antenatal care in Adwa Town, Ethiopia. Journal of Pregnancy and Child Health, 7(3), 1–7.

Getachew, M., et al. (2018). Micronutrient deficiencies and maternal health in Africa. African Journal of Reproductive Health, 22(4), 12–20.

Nimwesiga, R., Murezi, C., & Taremwa, I. (2021). Factors influencing utilization of iron and folic acid supplements among pregnant women in Uganda. Uganda Journal of Health Sciences, 9(2), 55–63. https://doi.org/10.1155/2021/6632463

Nuwahereza, J. (2023). Factors influencing folic acid and iron supplement use among pregnant women at Hoima Regional Referral Hospital, Uganda. East African Health Research Journal, 7(1), 33–40.

Passarelli, S., et al. (2022). Global burden of iron deficiency anemia among pregnant women. The Lancet Global Health, 10(5), e650–e658.

Ridwan, A., & Shafi, S. (2021). Adherence to haematinics during pregnancy: A global perspective. International Journal of Gynecology & Obstetrics, 155(2), 201–207.

Stephen, B., et al. (2018). Iron deficiency anemia among pregnant women in East Africa: A systematic review. African Medical Journal, 11(3), 89–97.

Uganda Bureau of Statistics (UBOS) & ICF. (2016). Uganda Demographic and Health Survey 2016. Kampala, Uganda.

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.

Yadav, K., et al. (2019). Barriers to iron and folic acid supplementation among pregnant women. Maternal and Child Nutrition, 15(4), e12832.

Yang, L., et al. (2023). Nutritional demands during pregnancy and maternal outcomes. Nutrients, 15(2), 1–15. https://doi.org/10.3390/nu15092234

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Published

2026-05-30

How to Cite

Akello, H., Awoi, R., Obong, D., Omara, T. M., & Ogwal, L. (2026). Economic 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), 8. https://doi.org/10.70572/agp.v3i5.38

Issue

Section

Section of Health Sciences

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