Association of Antenatal Depression with Anemia and Adherence to Iron-Folic AcidSupplement among Pregnant Women Attending Antenatal Care Services at Health Centers in Yeka Sub-City, Addis Ababa, Ethiopia, 2019
| dc.contributor.advisor | Dr.Deyessa, Negussie | |
| dc.contributor.advisor | Shibre, Gebretsadik | |
| dc.contributor.author | Mesfin, Miraf | |
| dc.date.accessioned | 2020-02-27T21:21:49Z | |
| dc.date.accessioned | 2023-11-05T14:57:03Z | |
| dc.date.available | 2020-02-27T21:21:49Z | |
| dc.date.available | 2023-11-05T14:57:03Z | |
| dc.date.issued | 2019-10 | |
| dc.description.abstract | Background: Depression affects a large proportion of the global population. It is reported to affect about a quarter of pregnant women in Ethiopia. Some studies indicate that anemia might bea risk factor for depression. This underscores the need for an iron-folic acid supplement (IFAS). IFAS adherence by pregnant women is however not satisfactory. Studies again implicate that depression might affect adherence to IFAS. Nevertheless, thispotential vicious cycleis not a well-explored area of research. The objective of this study is therefore to assess the association of antenatal depression with anemia and adherence to IFAS among pregnant women attending antenatal care (ANC) at selected health centers. Methods: a facility-based cross-sectional study was conducted among pregnant women who attended ANC service in Yeka sub-city, Addis Ababa. A total of 406 pregnant women were recruited in the study. Patient health questionnaire (PHQ-9), a validated tool in Ethiopia, was used to assess antenatal depression. IFAS adherence was assessed using pill count method. Bivariableand subsequent multivariable logistic regression were employed for data analysis. Results: it was found that anemic pregnant mothers had an increased odds of having antenatal depression [AOR=2.63; 95% CI (1.13, 6.14)] compared to non-anemic mothers. Having financial hardship, whether current pregnancy is planned and emotional abuse from an intimate partner also significantly associated with antenatal depression. Antenatal depression at cut-off (PHQ- 9≥5) failed to show statistically significant association with IFAS adherence. Major depression (PHQ-9≥10) was however found to be significantly associated with adherence to IFAS [AOR=1.97; 95% CI (1.09, 3.56)] in pregnant women. Besides, factors significantly associated with IFAS adherence were parity, knowledge of the use of IFAS and current pregnancy complication. Conclusion: the study revealed a significant association that exists between two important public health problems, anemia and antenatal depression; and the association between antenatal depression and IFAS adherence. Further investigation of these associations is a warranted area of future studies. In the meantime, putting these underlying determinants into consideration is beneficial as they might complicate diagnosis and have a negative impact on treatment outcomes. 2 1. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/20771 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Antenatal Deprssion , Anemia , Iron-Folic Acid, Pregnant Women ,Antenatal Care Services , Health Centers | en_US |
| dc.title | Association of Antenatal Depression with Anemia and Adherence to Iron-Folic AcidSupplement among Pregnant Women Attending Antenatal Care Services at Health Centers in Yeka Sub-City, Addis Ababa, Ethiopia, 2019 | en_US |
| dc.type | Thesis | en_US |