{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T02:36:35Z","timestamp":1794710195611,"version":"4.9.1"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2008,6,1]],"date-time":"2008-06-01T00:00:00Z","timestamp":1212278400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980007000924_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>Community iron supplementation programmes for pregnant women have lacked effectiveness, partly because of low compliance.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007000924_abs2\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To determine factors that influence compliance among pregnant women in Senegal.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007000924_abs3\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Two hundred and twenty-one pregnant women, recruited from six health centres in Dakar during their first prenatal visit, were randomly assigned to receive either a prescription to purchase iron\/folic acid tablets (control, <jats:italic>n<\/jats:italic> = 112) to be taken daily, according to official policy, or to receive free tablets (treatment, <jats:italic>n<\/jats:italic> = 109). Compliance was assessed 20 weeks after enrolment through interviews and pill count. Women with low or high compliance (&lt;70% or \u226570%) were asked to explain what influenced their adherence to supplementation.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007000924_abs4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Overall compliance was 69%; it was significantly higher in the treatment than in the control group (86% vs. 48%; <jats:italic>P<\/jats:italic> &lt; 0.0001). Women with high compliance (58%) were motivated by: (1) the perception of improved health upon taking the tablets (treatment = 24%, control = 10%); (2) the insistence by midwives that they take the tablets; and (3) the mention that the tablets would improve health. Women with low compliance (42%) reported: (1) the experience of side-effects that they associated with the tablets (treatment = 13%, control = 14%); (2) misunderstanding that they needed to continue taking the tablets throughout pregnancy (treatment = 0%, control = 18%); and (3) forgetfulness.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980007000924_abs5\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Compliance with iron\/folic acid supplementation in Senegal can be increased by providing women with clear instructions about tablet intake and educating them on the health benefits of the tablets.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980007000924","type":"journal-article","created":{"date-parts":[[2007,9,3]],"date-time":"2007-09-03T05:23:28Z","timestamp":1188797008000},"page":"596-605","source":"Crossref","is-referenced-by-count":108,"title":["Determinants of compliance with iron supplementation among pregnant women in Senegal"],"prefix":"10.1017","volume":"11","author":[{"given":"Binetou C","family":"Seck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert T","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2008,6,1]]},"reference":[{"key":"S1368980007000924_ref19","volume-title":"Iron Deficiency Anaemia: Assessment, Prevention, and Control \u2013 A Guide for Program Managers","year":"2001"},{"key":"S1368980007000924_ref5","unstructured":"5 Seck B. Prevalence and determinants of anemia in pregnant women in Dakar, Senegal. Masters thesis, University of Maryland, College Park, MD, 2002."},{"key":"S1368980007000924_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/004947550003000210"},{"key":"S1368980007000924_ref26","first-page":"175","article-title":"Do side-effects reduce compliance to iron supplementation? 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Plan National de D\u00e9veloppement Sanitaire et Social du Senegal (1998\u20132007) [online], 2007. Available at http:\/\/www.sante.gouv.sn\/politiquesanitaire.php. 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MICAH Phase 1 Results: 1995\u201301 [online]. Available at http:\/\/www.worldvision.ca\/home\/articles\/International_Programs\/MicahReportEnglish.pdf. Accessed July 2004."},{"key":"S1368980007000924_ref15","volume-title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 au S\u00e9n\u00e9gal (EDS-VI)","year":"2005"},{"key":"S1368980007000924_ref14","first-page":"585","article-title":"Biological and behavioral contributors to anemia during pregnancy in Liberia, West Africa","volume":"59","author":"Jackson","year":"1987","journal-title":"Human Biology"},{"key":"S1368980007000924_ref2","volume-title":"Prevention and Control of Iron Deficiency Anemia in Women and Children","year":"1999"},{"key":"S1368980007000924_ref22","first-page":"31","article-title":"Iron supplementation associated with malaria prevention among pregnant women in Abidjan","volume":"51","author":"Carre","year":"2003","journal-title":"Revue d\u2019\u00c9pidemiologie et de Sant\u00e9 Publique"},{"key":"S1368980007000924_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90135-X"},{"key":"S1368980007000924_ref1","volume-title":"The Prevalence of Anemia in Women: A Tabulation of Available Information","year":"1992"},{"key":"S1368980007000924_ref10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.2.288"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980007000924","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T17:34:26Z","timestamp":1554399266000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980007000924\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,6]]}},"alternative-id":["S1368980007000924"],"URL":"https:\/\/doi.org\/10.1017\/s1368980007000924","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6]]}}}