Evidence map›Paper›PMID 26022914›Full record

ArticlePublic health nutrition2016

Iron+folic acid distribution and consumption through antenatal care: identifying barriers across countries.

Celeste Sununtnasuk, Alexis D'Agostino, John L Fiedler

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 6 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 6 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Celeste Sununtnasuk1USAID/SPRING Project (Strengthening Partnerships, Results, and Innovations in Nutrition Globally),Poverty,Health and Nutrition Division,International Food Policy Research Institute,2033 K St. NW,Washington,DC 20006,USA.
Alexis D'Agostino2USAID/SPRING Project,JSI Research & Training Institute,Inc.,Rosslyn,VA,USA.
John L Fiedler1USAID/SPRING Project (Strengthening Partnerships, Results, and Innovations in Nutrition Globally),Poverty,Health and Nutrition Division,International Food Policy Research Institute,2033 K St. NW,Washington,DC 20006,USA.
International Food Policy Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe prevalence of maternal anaemia remains unacceptably high in developing countries. At the same time, the percentage of women who consume one or more Fe+folic acid (IFA) tablets during pregnancy remains persistently low. The objective of the present study was to identify where, within antenatal care (ANC) programmes, pregnant women falter in obtaining and consuming an ideal minimum of 180 IFA tablets.

designData from Demographic and Health Surveys were used to develop a schematic which identifies four sequential 'falter points' to consuming 180 IFA tablets: ANC attendance, IFA receipt or purchase, IFA consumption and the number of tablets consumed.

settingTwenty-two countries with high burdens of undernutrition. SUBJECTS: A sample of 162 958 women, 15 to 49 years of age, with a live birth in the past 5 years.

resultsAcross all countries, 83 % of all pregnant women had at least one ANC visit, 81 % of whom received IFA tablets. Of those receiving IFA tablets, 95 % consumed at least one. Overall adherence to the ideal supplementation regimen, however, was extremely low: only 8 % consumed 180 or more IFA tablets. There were only two countries in which the percentage of pregnant women consuming 180 or more tablets exceeded 30 %.

conclusionsWhile most women receive and take some IFA tablets, few receive or take enough. The analysis identifies where ANC-based distribution of IFA falters in each country. It enables policy makers to design and prioritize follow-up activities to more precisely identify barriers, an essential next step to improving IFA distribution through ANC.

Indexed as

Dietary SupplementsPatient CompliancePrenatal CareAdolescentAdultAnemiaDeveloping CountriesFemaleFolic AcidHealth SurveysHumansIronMalnutritionMicronutrientsMiddle AgedPregnancyFolic AcidIronMicronutrientsAnaemiaAntenatal careIron+folic acidMaternal anaemiaSupplementation

Identifiers

PMID26022914
PMCPMC10270815
OpenAlexW2267098028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.