Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Distribution problem Iron-Folic Acid supplements in India? An exploration from District Level Household and facility Survey
Rajeshwari Annappa Biradar

Last modified: 2018-08-07


Background: The distribution of Iron-Folic Acid (IFA) supplementation through Antenatal care (ANC) is not working because of low ANC attendance, and more importantly not supplying at least 100 IFA supplementations even those who attend ANC due to stock-outs and ineffective management. Therefore, this study would like throw some light on identifying supply and Demand-side barriers, where the distribution of IFA through ANC is weak, compromising progress in reducing maternal anaemia.

Materials and Methods: This study provided relationships between IFA distribution and IFA consummation by pregnant women to draw information on the strengths and weaknesses of ANC-based IFA distribution and consummation by using population-based fourth round of District Level Household Survey (DLHS-4) data.

Results: In India, performance of ANC is particularly low in Nagaland, Meghalaya and Arunachal Pradesh. It is nearly 63% in Nagaland and in Meghalaya and Arunachal Pradesh is 47% and 44% respectively of all pregnant women did not attend ANC. Around half of the reviewed Indian states how-ever had attendance at least one ANC are above 85% of the pregnant female population.  In 11 state and 2 Union Territories, at least 3 ANC are below 10%. It means once women register for ANC and she tend to Adheres to it and where are as it reverse is true for their counterpart. It shows that relationships between IFA distribution and consumption through ANC. Women with at least three ANC, more than 60% received less than 100 IFA supplementations in four states and 90% of all pregnant women consumed 100 IFA and it is same for the 100+ IFA supplementation.

Conclusions: It appears that it is the distribution seems to cause the problem. Hence, Government should distribute at least the recommended 100 IFA supplements to the women in their 1st ANC attendance to address anemia, and in turn morbidity and mortality among the pregnant women in India

Acknowledgement: We are thankful to the Ministry of Health and Family Welfare, India and to the nodal agency (International Institute for Population sciences, Mumbai) for providing us data of DLHS-4 for writing this research article. 

Keywords: IFA Supplement, ANC, Supply barrier, India