{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T08:32:46Z","timestamp":1793694766411,"version":"4.5.1"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T00:00:00Z","timestamp":1246406400000},"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":[[2009,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980008003418_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To determine the effectiveness of a redesigned Fe supplementation delivery system (ISDS) in improving Hb concentrations and compliance among pregnant women.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003418_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>A controlled before and after study design was used. Interviews and Hb measurements of randomly selected pregnant women in both treatment areas were conducted at baseline and after 6 months. The redesigned ISDS, reached by consensus based on the surveys and focus group discussions, involved the health workers in spot mapping and clustering; Fe tablets\u2019 distribution, monitoring and promotion; and counselling of pregnant women.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003418_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Negros Occidental and Negros Oriental, Philippines.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003418_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>In total, 1180 pregnant women given Fe\/folic acid tablets daily through the redesigned ISDS in the experimental areas and the existing ISDS in the control areas.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003418_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>There were significantly more anaemic pregnant women in the experimental than in the control area at baseline (50\u00b77 <jats:italic>v.<\/jats:italic> 37\u00b73 %; <jats:italic>P<\/jats:italic> = 0\u00b7001). However, at endline, the anaemia prevalence rate in the experimental area was comparable to that of the control (35\u00b76 <jats:italic>v.<\/jats:italic> 33\u00b71 %; <jats:italic>P<\/jats:italic> = 0\u00b7530). Also, the mean Hb concentration increased significantly in the experimental area by 0\u00b75 g\/dl (<jats:italic>P<\/jats:italic> = 0\u00b7002). An increase in the actual number of prenatal visits\/trimester in the experimental area was observed (from 0\u00b799 to 1\u00b766; <jats:italic>P<\/jats:italic> &lt; 0\u00b70001). Pregnant women in the experimental area were four times more likely to take Fe tablets (OR = 3\u00b779; <jats:italic>P<\/jats:italic> &lt; 0\u00b7001) and sixteen times more likely to being monitored for Fe intake (OR = 16\u00b786; <jats:italic>P<\/jats:italic> &lt; 0\u00b7001) compared to the control.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980008003418_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>The redesigned ISDS was effective in improving the Hb concentration and health-related behaviour of pregnant women.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980008003418","type":"journal-article","created":{"date-parts":[[2008,8,27]],"date-time":"2008-08-27T13:01:50Z","timestamp":1219842110000},"page":"932-940","source":"Crossref","is-referenced-by-count":13,"title":["Effectiveness of a redesigned iron supplementation delivery system for pregnant women in Negros Occidental, Philippines"],"prefix":"10.1017","volume":"12","author":[{"given":"Maria Grace D","family":"Risonar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pura","family":"Rayco-Solon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena W","family":"Tengco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Jesus N","family":"Sarol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes S","family":"Paulino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florentino S","family":"Solon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"key":"S1368980008003418_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/71.5.1288s"},{"key":"S1368980008003418_ref14","volume-title":"Preventing and Controlling Iron Deficiency Anemia through Primary Health Care","author":"DeMaeyer","year":"1989"},{"key":"S1368980008003418_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90135-X"},{"key":"S1368980008003418_ref29","volume-title":"The Alleviation of Maternal Anemia in Indramayu Regency, Indonesia: The Result from the MotherCare Project","author":"Utomo","year":"1993"},{"key":"S1368980008003418_ref19","unstructured":"19. 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