Increasing the Adherence Towards Oral Iron Intake among Pregnant Women at Kota Bharu District Health Clinic

  • Yen Yie Foo Kubang Kerian Health Clinic, Kelantan State Health Department, Ministry of Health Malaysia
  • Shahirah Saipoddin Badang Health Clinic, Kelantan State Health Department, Ministry of Health Malaysia
  • Nur Thaqifah Md Adnani Ketereh Health Clinic, Kelantan State Health Department, Ministry of Health Malaysia
  • Muhammad Solleh bin Rahim Urban Transformation Centre Health Clinic, Kelantan State Health Department, Ministry of Health Malaysia

Abstract

Poor adherence to antenatal oral iron intake among pregnant women remains a major concern, despite various research efforts and treatment interventions. This issue may lead to the development of anaemia, which carries severe complications for both mother and fetus, including the risk of premature birth and spontaneous abortion. In Kota Bharu district, a notable 5.75% of antenatal patients were diagnosed with anaemia at 36 weeks out of a total of 4648 mothers in the year 2017. A verification study done in 2018 at three health clinics under the Kota Bharu District Health Office (KBDHO), namely Badang, Kubang Kerian, and Ketereh Health Clinics, revealed that adherence towards antenatal oral iron intake was only 34%. Thus, a quality improvement project was initiated, aiming to increase adherence to a target of 80%. The adherence to oral iron intake was measured among the antenatal mothers using MyMAAT, a tool adapted from a local study. On the other hand, two additional questionnaires were administered to both antenatal mothers and pharmacists to identify factors contributing to the problem. This study unveiled contributing factors, including poor understanding of the importance of iron during pregnancy, poor nutritional knowledge, fear of potential iron’s side effects, poor attitudes towards taking the medication, and less effective communication techniques by pharmacists. Nine strategies were then implemented, namely antenatal class talks, use of poster wheels, application of daily chart labels, introduction of All-In-One bookmarks, deployment of iron replicas, establishment of Mommy Hotline, the use of IRON Scan-ME, adoption of iron counselling checklists, and distribution of infographics. The Achievable Benefit Not Achieved (ABNA) gap was 46% in the pre-remedial phase, improved to 12% and 9% in the post-remedial phases. The percentage of antenatal mothers with haemoglobin levels ≥11g/dl at the 36-week increased from 57% to 64% following these interventions.

Published
2023-11-20
How to Cite
FOO, Yen Yie et al. Increasing the Adherence Towards Oral Iron Intake among Pregnant Women at Kota Bharu District Health Clinic. Q Bulletin, [S.l.], v. 1, n. 32, p. 34-45, nov. 2023. ISSN 2716-6554. Available at: <https://myjms.mohe.gov.my/index.php/qbulletin/article/view/10664>. Date accessed: 16 july 2024.
Section
Articles

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