The effect of information, education and communication on knowledge and practice regarding prevention/treatment of iron deficiency anaemia among the antenatal women attending primary health centre in Puducherry, India: a randomised control study

Authors

  • Athul Chandran Department of Obstetrics and Gynecology, Rajiv Gandhi Government Women and Children Hospital, Puducherry, India
  • Subashini M. Department of Obstetrics and Gynecology, Rajiv Gandhi Government Women and Children Hospital, Puducherry, India
  • Nina Kate Department of Obstetrics and Gynecology, Rajiv Gandhi Government Women and Children Hospital, Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20192423

Keywords:

Anaemia, Antenatal mothers, IEC, Knowledge, Practice

Abstract

Background: IEC (Information, Education, and Communication) strategies may help pregnant women to prevent disease and to improve and maintain health. The present study was carried out with an aim to evaluate the effectiveness of IEC in improving the knowledge and practice regarding prevention/treatment of iron deficiency anaemia among the antenatal women attending Primary Health Centre in Puducherry.

Methods: The present study was carried out in Puducherry, as a randomised control trial among antenatal mothers attending antenatal clinics in Primary Health Centre from February 2016 to August 2017. Block randomization technique was used to designate study participants into intervention and non-intervention groups. The minimum required sample size was calculated to be 84 in each group. Then intervention (Information, Education and Communication) was given to these antenatal women by using interpersonal communication methods, PowerPoint presentation and audio visual aids.

Results: Correct responses to the questions were compared among the intervention and non intervention group in pre test and post test. It was noted that the proportion of correct responses were significantly higher among intervention group than that of non-intervention groups.

Conclusions: Well planned and tailor made IEC material, acceptable by the regional population, by using various modes of interpersonal communication, improves the knowledge and practice of the antenatal mothers. It was also found that the haemoglobin levels of mothers in the intervention group were higher than the antenatal mothers who did not receive any IEC intervention.

References

Stoltzfus RJ, Dreyfuss ML, Organization WH. Guidelines for the use of iron supplements to prevent and treat iron deficiency anemia: Ilsi Press Washington eDC DC; 1998.

Organization WH. Iron deficiency anaemia: assessment, prevention and control: a guide for programme managers. 2001.

Micronutrient Deficiencies. Available at: http://www.who.int/nutrition/topics/ida/en/. Accessed on 25 May 2016.

Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360:1347-60.

National Family Health Survey (NFHS-3). Mumbai, 2007. Available at: http://rchiips.org/nfhs/NFHS-3%20Data/VOL-1/India_volume_I_ corrected_17 oct08.pdf. Accessed on 25 May 2017.

State Fact Sheet- Puducherry. 2012-13. Available at: http://rchiips.org/pdf/dlhs4/report/PU.pdf. Accessed 25 May 2017.

Curtis V, Kanki B, Cousens S, Diallo I, Kpozehouen A, Sangare M. Evidence of behaviour change following a hygiene promotion programme in Burkina Faso. Bulletin of the World Health Organization. 2001;79:518-27.

Glasgow RE, Klesges LM, Dzewaltowski DA, Bull SS, Estabrooks P. The future of health behavior change research: what is needed to improve translation of research into health promotion practice?. An Behavioral Med. 2004;27:3.

Panter-Brick C, Clarke SE, Lomas H, Pinder M, Lindsay SW. Culturally compelling strategies for behaviour change: a social ecology model and case study in malaria prevention. Social Science Med. 2006;62:2810-25.

Baby A, Venugopal J, D'silva R, Chacko S, Vineesha P, Kumary TV. Knowledge on management of anemia during pregnancy: a descriptive study. Arch Med Health Sci. 2014;2:140.

Nivedita K. Knowledge, attitude and practices of pregnant women regarding anemia, iron rich diet and iron supplement. Int J Reprod Contra Obstet Gynecol. 2016;5:425-31.

Balasubramanian T, Aravazhi M, Sampath SD. Awareness of anemia among pregnant women and impact of demographic factors on their hemoglobin status. Int J Sci Stud. 2016;3:303-5.

Ayesha Mohannad FR, Irfan G. Impact of maternal education, and socioeconomic status on maternal nutritional knowledge and practices regarding iron rich foods and iron supplements. Ann Pak Inst Med Sci. 2012;8:101-5.

Kulkarni KK. KAP Studies among Indian antenatal women: can we reduce the incidence of anemia? J Obstet Gynaecol India. 2015;65:320-2.

George M, George N, Ramesh N. Awareness regarding anemia, gestational diabetes and pregnancy induced hypertension among antenatal women attending outpatient department in a rural hospital. Hindu. 2016;142:94-7.

Bhardwaj A, Ahluwalia S, Vaidya N. Preventing anaemia in pregnancy-need for intensive IEC activities. Indian J Com Health. 1995;8:31-3.

Yadav RK, Swamy M, Banjade B. Knowledge and practice of anemia among pregnant women attending antenatal clinic in Dr. Prabhakar Kore hospital, Karnataka-a cross sectional study. Literacy. 2014;30:18.

Shivalli S, Srivastava RK, Singh GP. Trials of improved practices (TIPs) to enhance the dietary anf iron-folate intake during pregnancy- a quasi experimental study among rural pregnant women of Varanasi, India. PLoS One. 2015;10(9):e0137735.

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Published

2019-05-28

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Original Research Articles