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Table 3 Participant responsiveness and quality of delivery

From: Implementation fidelity of nutritional counselling, iron and folic acid supplementation guidelines and associated challenges in rural Uasin Gishu County Kenya

  Characteristics of women Distribution (n) Percentage (%) Mean
Coverage of interventions Did not access any ANC 2 1  
Accessed health ANC 186 99  
Initial access to interventions Gestational age at first ANC visit (weeks) (n = 186)
< 13 weeks 18 10  
13–19.9 27 14  
20–26.9 95 51  
≥27 46 25  
Average    23.4 weeks
Frequency of access to ANC services (based on RDM)
Number of times (n = 86)
Number of times (n> = 86)
1 4 5  
2 14 16  
3 30 35  
4 22 26  
≥5 16 19  
Adherence to the supplements issued in prior ANC visits Finished iron supplements 94 68  
Finished folic acid 56 64  
Reasons for non-adherence to supplements Iron (n = 44)
Side effects 25 57  
Delivered before finishing 8 18  
Drugs were too many 6 14  
Haemoglobin was okay 3 7  
Confusing dose 1 2  
Was using traditional herbs 1 2  
Folic Acid (n = 32)
Side effects 19 59  
Delivered before finishing 5 16  
Haemoglobin was good 3 10  
Drugs were too many 2 6  
Made her sleep a lot 1 3  
Forgetful 1 3  
She stopped vomiting 1 3  
Motivations for adherence to supplements Iron (n = 94)
Its usefulness 43 46  
Obeyed doctor’s instructions 30 32  
Was sick 12 13  
Did not experience side effects 9 9  
Folic Acid (n = 56)
Its usefulness 24 43  
Obeyed doctor’s instructions 20 36  
Was sick 8 14  
Did not experience side effects 4 7  
Knowledge on Iron supplementation (uses) (n = 138) Increases amount of blood of the mother 110 80  
I don’t know 19 13  
Eliminates the urge of eating soil 5 4  
Development of the baby 4 3  
Knowledge on Folic Acid supplementation (uses) (n = 88) I don’t know 36 40  
Development of the baby 19 22  
Bone formation and strengthening 6 7  
Increases mother’s amount of blood 5 6  
Improves mother’s appetite 4 5  
Prevents the baby from developing deformities 4 5  
Multivitamins 3 3  
Gives energy to mother 3 3  
Anti-malaria 2 2  
Immunity booster 2 2  
Reduces heartburns 2 2  
Spine formation of the baby 2 2  
Prevents vomiting and nausea feelings 1 1  
Sources of general nutrition knowledge (n = 188) own knowledge 69 37  
Other women 31 16.5  
Health officer 30 16  
Learned in school 21 11  
Experiences from previous pregnancy 13 7  
Self and hospital 11 6  
School and hospital 7 4  
Other women and hospital 5 2  
Radio 1 0.5  
Dosage prescribed Ferrous Iron (n = 138) one pill daily 83 60  
one pill three times a day 28 20  
one pill twice a day 17 12  
two pills once a day 6 4  
two pills three times a day 4 3  
Dosage prescription Folic acid (n = 88) one pill daily 57 65  
one pill twice a day 15 17  
one pill three times a day 12 14  
two pills three times a day 4 4