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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

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