Introduction
Methods
Search strategy
Reporting items
Inclusion and exclusion criteria
Data extraction and quality assessment
Outcome of measurement
Adherent to IFAS
Publication bias and heterogeneity
Data analysis
Results
Characteristics of the included studies
Study characteristics
Authors | Year of study | Region | Study setting | Sample size | Prevalence of IFAS (%) |
---|---|---|---|---|---|
Abel et al. [13] | 2015 | Addis Ababa | Facility-based | 557 | 60.1 (56.03,64.17) |
Gashaw et al. [14] | 2017 | Amhara | Facility-based | 418 | 28.7 (24.36, 33.04) |
Gebremichael et al. [15] | 2018 | Tigray | Facility-based | 222 | 10.5 (6.47, 14.53) |
Habtamu et al. [16] | 2018 | Amhara | Facility-based | 412 | 47.6 (42.78, 52.42) |
Tsegaye et al. [17] | 2018 | Amhara | Facility-based | 348 | 52.9 (47.66, 58.14) |
Tarekegn et al. [18] | 2016 | Amhara | Facility-based | 395 | 28.01 (23.58, 32.44) |
Alemayehu et al. [19] | 2017 | Amhara | Facility-based | 262 | 44 (37.99, 50.01) |
Mekdemariam et al. [20] | 2015 | Tigray | Facility-based | 320 | 64.7 (59.46, 69.94) |
Tesfaye et al. [21] | 2017 | Amhara | Facility-based | 418 | 55.3 (50.53, 60.07) |
Zemenu et al. [22] | 2015 | SNNPR | Community-based | 422 | 38.3 (33.66, 42.94) |
Bekele et al. [23] | 2013 | Amhara | Community-based | 634 | 20.4 (17.26, 23.54) |
Abinet et al. [24] | 2015 | SNNPR | Community-based | 303 | 39.2 (33.70, 44.82) |
Asmamaw et al. [25] | 2018 | Amhara | Facility-based | 422 | 43.1 (38.38, 47.82) |
Negussie et al. [26] | 2017 | SNNPR | Community-based | 317 | 51.4 (45.90, 58.90) |
Afework et al. [27] | 2014 | Tigray | Facility-based | 358 | 37.2 (32.09, 42.21) |
Iron-folic acid supplementation among pregnant women in Ethiopia
Publication bias
Sensitivity analysis
Subgroup analysis
Variables | subgroup | No. of studies | Model | Prevalence (95%CI) | I2 (%) | P value |
---|---|---|---|---|---|---|
Study setting | Institution based | 11 | random | 47.3 (36.25–58.36) | 98 | < 0.001 |
community based | 4 | random | 37.2 (23.21–51.22) | 97.4 | < 0.001 | |
Study area | AA+SNNPR | 4 | random | 47.3 (36.25–58.36) | 95.2 | < 0.001 |
Amhara | 8 | random | 39.9 (30.23–49.65) | 97.3 | < 0.001 | |
Tigray | 3 | random | 37.4 (6.09–68.78) | 99.2 | < 0.001 |
Risk factors for adherence to iron-folic acid supplementation among pregnant women in Ethiopia
Variables | Model | Egger test (P-value) | Status of heterogeneity | AOR (95%CI) | I2 (%) | P value |
---|---|---|---|---|---|---|
Secondary & above maternal educational status | Random | 0.034 | moderate heterogeneity | 2.68 (1.25, 5.74) | 73.8 | 0.009 |
current pregnancy complication with anemia | Random | 0.253 | moderate heterogeneity | 3.01 (1.88, 4.81) | 70.8 | 0.004 |
Early registration of ANC (< 16 weeks) | Fixed | 0.76 | No heterogeneity | 2.54 (1.99, 3.24) | 0 | 0.596 |
Good knowledge on IFAS | Random | 0.001 | Marked heterogeneity | 2.96 (1.76, 4.99) | 90.4 | ≤0.001 |
Having four times or more than ANC | Fixed | 0.787 | No heterogeneity | 3.66 (2.81, 4.77) | 0 | 0.726 |
Good knowledge of anemia | Fixed | 0.377 | No heterogeneity | 2.99 (2.32, 3.85) | 0 | 0.525 |
Getting health education about IFAS | Random | 0.0001 | Marked heterogeneity | 2.62 (1.46, 4.72) | 84.7 | ≤0.001 |