Level of knowledge regarding the use of folic acid and iron supplements among pregnant women attending the antenatal clinic at Hoima Regional Referral Hospital. A cross-sectional study.

Authors

  • Joice Katamba Nankinga Mildmay Institute of Health Sciences Author
  • Jimmy Okwany Mildmay Institute of Health Sciences Author
  • Hasifah Nansereko Mildmay Institute of Health Sciences Author
  • Franscisco Ssemuwemba Mildmay Institute of Health Sciences Author
  • Jane Frank Nalubega Mildmay Institute of Health Sciences Author

DOI:

https://doi.org/10.51168/08bsnv27

Keywords:

Iron and folic acid supplementation, antenatal care, pregnant women, knowledge level, anemia prevention, Hoima Regional Referral Hospital

Abstract

Background:

Iron and folic acid supplementation is a key component of antenatal care recommended by the World Health Organization to prevent anemia and neural tube defects in pregnancy. This study aims to assess the level of knowledge regarding the use of folic acid and iron supplements among pregnant women attending the antenatal clinic at Hoima Regional Referral Hospital.

 Methodology:

A descriptive cross-sectional study was conducted among 195 pregnant women selected through systematic sampling. Data were collected using structured questionnaires and analyzed using descriptive statistics, with frequencies and percentages used to summarize findings.

 Results:

The study included 195 respondents, 70.3% of the respondents were aged 26–35 years. 85.6% were married. 55.4% had completed primary education. Regarding occupation, almost three-quarters 73.8% were unemployed. More than half of the respondents 66.7% reported health workers as their source of information regarding iron and folic acid tablets, while a minority 3.1% reported school. 60% knew the correct number of iron and folic acid tablets taken per day, while a sizeable minority 40% did not know. 58.5% reported that the supplements help prevent anaemia, 17.9%, while the smallest proportion associated them with preventing low birth weight, 8.2%. 85.6% knew some natural sources of iron and folic acid, while the smallest proportion 14.4% reported that they did not know. Nearly three-quarters of the respondents 71.8% knew some side effects of the supplements, whereas the least number 28.2% reported that they did not know.

 Conclusion:

Overall, pregnant women demonstrated a fair level of knowledge about iron and folic acid supplements, but notable gaps still exist that could hinder their proper use and effectiveness.

 Recommendation:

Strengthening antenatal health education and expanding community awareness are necessary to improve knowledge and supplement use.

Author Biographies

  • Joice Katamba Nankinga, Mildmay Institute of Health Sciences

    holds a Diploma in Clinical Medicine and Community Health from Mildmay Institute of Health Sciences.

  • Hasifah Nansereko, Mildmay Institute of Health Sciences

    is the chairperson of the Institutional Review Council (IRC).

  • Franscisco Ssemuwemba, Mildmay Institute of Health Sciences

    is the dean of the School of Allied Health.

  • Jane Frank Nalubega, Mildmay Institute of Health Sciences

    is a tutor at Mildmay Institute of Health Sciences.

References

1. Akibu, M., Tesfaye, B., & Debela, T. (2021). Prevalence and determinants of anemia among pregnant women in sub-Saharan Africa: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), 1–12. https://doi.org/10.1186/s12884-021-03735-1

2. Debbarma, A., Choudhury, S., & Debbarma, S. (2022). Maternal nutrition and fetal development: Role of micronutrients. Journal of Clinical and Diagnostic Research, 16(2), LE01–LE05. https://doi.org/10.7860/JCDR/2022/52054.15869

3. Kiwanuka, J., Mbabazi, R., & Nakate, B. (2023). Adherence to iron supplementation among pregnant women attending antenatal care at Mulago National Referral Hospital, Uganda. BMC Pregnancy and Childbirth, 23(1), 56. https://doi.org/10.1186/s12884-023-05421-8

4. Kimiywe, J., Mwangi, M., & Mutua, M. (2023). Factors affecting compliance with iron-folic acid supplementation among pregnant women in East Africa. Nutrition & Health, 29(1), 15–25. https://doi.org/10.1177/02601060231101102

5. Lavanya, P., Sundar, S., & Karthikeyan, K. (2020). Maternal knowledge and adherence to iron-folic acid supplementation: A cross-sectional study. International Journal of Community Medicine and Public Health, 7(4), 1234–1240. https://doi.org/10.18203/2394-6040.ijcmph20201160

6. Nisar, Y. B., Dibley, M. J., & Bhatti, J. A. (2022). Factors influencing adherence to iron-folic acid supplementation among pregnant women: A qualitative study in Pakistan. BMC Pregnancy and Childbirth, 22(1), 412. https://doi.org/10.1186/s12884-022-04866-4

7. Ugwu, E. C., Obi, S. N., & Umeora, O. U. (2023). Global burden of anemia in pregnancy: A review of prevalence, causes, and interventions. International Journal of Gynecology & Obstetrics, 161(2), 308–316. https://doi.org/10.1002/ijgo.15584

8. World Health Organization. (2020). Guideline: Daily iron and folic acid supplementation in pregnant women. Geneva: WHO. https://www.who.int/publications/i/item/9789240003922

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Published

2026-05-04

Issue

Section

Original Research Articles

How to Cite

Nankinga, J. K., Okwany, J., Nansereko, H., Ssemuwemba, F., & Nalubega, J. F. (2026). Level of knowledge regarding the use of folic acid and iron supplements among pregnant women attending the antenatal clinic at Hoima Regional Referral Hospital. A cross-sectional study. SJ Gynecology and Obstetrics Africa, 3(2), 8. https://doi.org/10.51168/08bsnv27

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