{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:56:11Z","timestamp":1791248171960,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008627","name":"Global Affairs Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008627","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>After decades of global response to iron\u2010deficiency anemia, lessons learned from antenatal iron\u2010folic acid (IFA) supplementation can inform new micronutrient supplementation efforts. The World Health Organization recommends calcium supplementation for the prevention of preeclampsia; however, little is documented on how to design programs to integrate calcium into the standard of care. Twenty interviews with pregnant women and 22 interviews with health providers and volunteers in two districts in Ethiopia were conducted to examine how barriers and facilitators to antenatal care, IFA supplementation, and initial reactions to calcium supplements and regimen might influence adherence and inform future programs. Women viewed supplementation positively but cited lack of information on benefits and risks, forgetfulness, and inconsistent IFA supply as challenges. Though knowledge and awareness of anemia and IFA supplements were widespread, preeclampsia was mostly unknown. Some symptoms of preeclampsia were viewed as normal in pregnancy, making it difficult to convey risk to motivate supplement use. Some women viewed co\u2010consumption of IFA and calcium as potentially harmful and were confused regarding the simultaneous risks of anemia and hypertension, understood as \u201clow\u201d and \u201chigh\u201d blood levels in pregnancy. However, most said they would take both IFA and calcium supplements if provided with supplements and counseling on purpose and benefits. Strategies such as social support from families, stronger community\u2010based counseling, and increased health care provider and community awareness of preeclampsia are critical for women to understand the benefits of supplementation and resolve confusion caused by current descriptors used for anemia and hypertension.<\/jats:p>","DOI":"10.1111\/mcn.12424","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T11:00:22Z","timestamp":1519902022000},"source":"Crossref","is-referenced-by-count":24,"title":["Ethiopian women's perspectives on antenatal care and iron\u2010folic acid supplementation: Insights for translating global antenatal calcium guidelines into practice"],"prefix":"10.1111","volume":"14","author":[{"given":"Zewdie","family":"Birhanu","sequence":"first","affiliation":[{"name":"College of Health Sciences, Department of Health Education and Behavioral Sciences, Ginjo Guduru Jimma University  Jimma, Oromia Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina M.","family":"Chapleau","sequence":"additional","affiliation":[{"name":"Program in International Nutrition, Division of Nutritional Sciences Cornell University Ithaca  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie E.","family":"Ortolano","sequence":"additional","affiliation":[{"name":"Program in International Nutrition, Division of Nutritional Sciences Cornell University Ithaca  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girma","family":"Mamo","sequence":"additional","affiliation":[{"name":"Ethiopia\u2013Canada Cooperation Office (CIDA\u2010ECCO) Micronutrient Initiative  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie L.","family":"Martin","sequence":"additional","affiliation":[{"name":"Program in International Nutrition, Division of Nutritional Sciences Cornell University Ithaca  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Dickin","sequence":"additional","affiliation":[{"name":"Program in International Nutrition, Division of Nutritional Sciences Cornell University Ithaca  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1697-2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3945\/jn.113.188524"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.12290"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0575"},{"key":"e_1_2_10_6_1","volume-title":"Ethiopia Mini Demographic and Health Survey 2014","author":"Central Statistical Agency","year":"2014"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.10.012"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-014-1443-x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00988593"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2009.02.010"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-443"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00185-X"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-607"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-4887.2012.00491.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12613"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01389.x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"crossref","first-page":"188","DOI":"10.5539\/gjhs.v5n3p188","article-title":"Weekly iron folate supplementation in adolescent girls\u2014An effective nutritional measure for the management of iron deficiency anaemia","volume":"5","author":"Joshi M.","year":"2013","journal-title":"Global Journal of Health Science"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-16-00003"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-015-0077-4"},{"key":"e_1_2_10_21_1","first-page":"1","article-title":"Translating formative research findings into a behaviour change strategy to promote antenatal calcium and iron and folic acid supplementation in Western Kenya","volume":"13","author":"Martin S. 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