{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:11:15Z","timestamp":1784308275823,"version":"3.55.0"},"reference-count":48,"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":[{"name":"Nutrition International (formerly Micronutrient Initiative) through a grant from Global Affairs Canada"}],"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>The World Health Organization recommends iron and folic acid (IFA) supplementation for pregnant women. The high prevalence of anaemia among pregnant women in Niger warrants better understanding of the utilization of antenatal care (ANC) and IFA. We aimed to assess the prevalence of and factors associated with ANC coverage and adherence to IFA recommendation among pregnant women. Pregnant women (<jats:italic>n<\/jats:italic>\u00a0=\u00a0923) from 64 randomly selected villages within the catchment area of 12 health centres were interviewed during a baseline household survey in Zinder, Niger. ANC and IFA coverage were 60.1% and 43.6%, respectively. Only 71.7% of women who attended ANC received IFA. Of the 401 women who reportedly received any IFA supplements, 99.3% had attended any ANC during their current pregnancy and 68.6% reported adherence to recommended IFA supplementation (i.e., consumed IFA every day in the previous week). Women with gestational age \u226527\u00a0weeks were more likely to have attended ANC than women with gestational age &lt;27\u00a0weeks (85.9% vs. 27.5%, odds ratio [OR]: 21.81, 95% confidence interval [CI]: 13.81, 34.45). Women who reportedly received husbands' advice about attending ANC were more likely to attend ANC (OR: 1.48, 95% CI [1.03, 2.11]) and adhere to IFA recommendations (OR: 1.80, 95% CI [1.04, 3.13]) compared to those who did not receive any advice. ANC attendance is crucial to ensure distribution of IFA supplementation among pregnant women in Zinder. Interventions to improve ANC and IFA adherence will require promotion of early ANC, ensure availability of IFA at ANC, and involve husbands in ANC.<\/jats:p>","DOI":"10.1111\/mcn.12466","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T11:00:22Z","timestamp":1519902022000},"source":"Crossref","is-referenced-by-count":27,"title":["Prevalence of and factors associated with antenatal care seeking and adherence to recommended iron\u2010folic acid supplementation among pregnant women in Zinder, Niger"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7333-8596","authenticated-orcid":false,"given":"Khadija","family":"Begum","sequence":"first","affiliation":[{"name":"Program in International and Community Nutrition, Department of Nutrition University of California  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9saire T.","family":"Ou\u00e9draogo","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition, Department of Nutrition University of California  Davis California USA"},{"name":"Helen Keller International  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Ryan","family":"Wessells","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition, Department of Nutrition University of California  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca R.","family":"Young","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition, Department of Nutrition University of California  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Thierno","family":"Faye","sequence":"additional","affiliation":[{"name":"Helen Keller International  Niamey Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E.","family":"Wuehler","sequence":"additional","affiliation":[{"name":"The Micronutrient Initiative  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja Y.","family":"Hess","sequence":"additional","affiliation":[{"name":"Program in International and Community Nutrition, Department of Nutrition University of California  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980011002424"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62304-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4314\/ejhs.v24i0.9S","article-title":"Antenatal care as a means of increasing birth in the health facility and reducing maternal mortality: A systematic review","volume":"24","author":"Berhan Y.","year":"2014","journal-title":"Ethiopian Journal Health Science"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61690-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-072X-11-24"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/131.2.604S"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminhematol.2015.07.003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3016.2001.0150s1001.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04723-1"},{"key":"e_1_2_8_11_1","volume-title":"The world fact book: Niger","author":"Central Intelligence Agency","year":"2015"},{"key":"e_1_2_8_12_1","doi-asserted-by":"crossref","unstructured":"Coates J. Swindale A. &Bilinsky P.(2007).Household Food Insecurity Access Scale (HFIAS) for Measurement of Household Food Access: Indicator Guide (v.3). Washington D.C.: FHI 360\/FANTA.","DOI":"10.1037\/e576842013-001"},{"issue":"2","key":"e_1_2_8_13_1","first-page":"47","article-title":"Reasons given by pregnant women for late initiation of antenatal care in the niger delta, Nigeria","volume":"44","author":"Ebeigbe P. N.","year":"2010","journal-title":"Ghana Medical Journal"},{"key":"e_1_2_8_14_1","unstructured":"FAO(2003)Compendium of Agricultural\u2010Environmental Indicators 1989\u201091 to 2000. Statistics Analysis Service Statistics Division Food and Agriculture Organization of the United Nations Rome."},{"key":"e_1_2_8_15_1","volume-title":"Minimum dietary diversity for women: A guide for measurement","author":"FAO and FHI 360","year":"2016"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2008.02193.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-009044","article-title":"Models of antenatal care to reduce and prevent preterm birth: A systematic review and meta\u2010analysis","volume":"6","author":"Fernandez Turienzo C.","year":"2016","journal-title":"BMJ Open"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2011.10.010"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-16"},{"key":"e_1_2_8_20_1","volume-title":"Essential nutrition action frame work. Training guide for health workers","author":"Guyon A. B.","year":"2011"},{"key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1186\/1471-2393-14-207","article-title":"Understanding delayed access to antenatal care: A qualitative interview study","volume":"14","author":"Haddrill R.","year":"2014","journal-title":"BMC Pregnancy and Childbirth"},{"key":"e_1_2_8_22_1","unstructured":"Hess S. Y. &Ou\u00e9draogo C. T.(2016).NiMaNu project. Open Science Framework. osf.io\/4cenf."},{"key":"e_1_2_8_23_1","volume-title":"Enqu\u00eate D\u00e9mographique et de Sant\u00e9 et \u00e0 Indicateurs Multiples du Niger 2012","author":"Institut National de la Statistique (INS) et ICF International","year":"2013"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/27.5.878"},{"key":"e_1_2_8_25_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/s12939-015-0181-z","article-title":"Synthesizing qualitative and quantitative evidence on non\u2010financial access barriers: Implications for assessment at the district level","volume":"14","author":"O'Connell T. S.","year":"2015","journal-title":"International Journal for Equity in Health"},{"key":"e_1_2_8_26_1","article-title":"Daily oral iron supplementation during pregnancy","volume":"7","author":"Pena\u2010Rosas J. P.","year":"2015","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/134.10.2586"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04532.x"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(13)70001-9"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(83)90298-8"},{"key":"e_1_2_8_31_1","unstructured":"The World Bank(2015)World development indicators: Reproductive health."},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.18356\/f7348051-en"},{"key":"e_1_2_8_33_1","unstructured":"USAID(2014)SPRING nutrition technical brief: A rapid assessment of the distribution and consumption of iron\u2010folic acid tablets through antenatal care in Niger Accessed on July 05 2016. Retrieved fromhttps:\/\/www.spring\u2010nutrition.org\/sites\/default\/files\/publications\/briefs\/spring_ifa_brief_niger.pdf"},{"key":"e_1_2_8_34_1","unstructured":"USAID & FEWS Net(2011)Livelihoods zoning plus activity in Niger. A special report by the Famine Early Warning Systems Network (FEWS Net). Niamey Niger."},{"key":"e_1_2_8_35_1","doi-asserted-by":"crossref","DOI":"10.1371\/currents.dis.54a8b618c1bc031ea140e3f2934599c8","article-title":"Which anthropometric indicators identify a pregnant woman as acutely malnourished and predict adverse birth outcomes in the humanitarian context?","author":"Ververs M. T.","year":"2013","journal-title":"PLoS Currents Disasters"},{"key":"e_1_2_8_36_1","article-title":"Are husbands involving in their spouses' utilization of maternal care services?: A cross\u2010sectional study in Yangon, Myanmar","volume":"10","author":"Wai K. M.","year":"2015","journal-title":"PloS One"},{"key":"e_1_2_8_37_1","volume-title":"WHO antenatal care randomized trial: Manual for the implementation of the new model","author":"WHO","year":"2002"},{"key":"e_1_2_8_38_1","volume-title":"Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity, vitamin and mineral nutrition information system","author":"WHO","year":"2011"},{"key":"e_1_2_8_39_1","volume-title":"Guideline: Daily iron and folic acid supplementation in pregnant women","author":"WHO","year":"2012"},{"key":"e_1_2_8_40_1","volume-title":"Comprehensive implementation plan on maternal, infant and young child nutrition","author":"WHO","year":"2014"},{"key":"e_1_2_8_41_1","volume-title":"The global prevalence of anemia in 2011","author":"WHO","year":"2015"},{"key":"e_1_2_8_42_1","volume-title":"Health in 2015: From MDGs, Millenium development goals to SDGs","author":"WHO","year":"2015"},{"key":"e_1_2_8_43_1","unstructured":"WHO(2016a)Global Health Observatory Data Repository: Antenatal Care Coverage Data by Country Accessed Retrieved fromhttp:\/\/apps.who.int\/gho\/data\/view.main.321"},{"key":"e_1_2_8_44_1","volume-title":"Guideline: Daily iron suplementation in adult women and adolescent girls","author":"WHO","year":"2016"},{"key":"e_1_2_8_45_1","unstructured":"WHO(2016c)Maternal newborn child and adolescent health: Country profiles on maternal and perinatal health Accessed Retrieved fromhttp:\/\/www.who.int\/maternal_child_adolescent\/epidemiology\/profiles\/maternal\/ner.pdf?ua=1"},{"key":"e_1_2_8_46_1","volume-title":"Antenatal care in developing countries: Promises, achievements and missed opportunities","author":"WHO & UNICEF","year":"2003"},{"key":"e_1_2_8_47_1","volume-title":"Tracking universal health coverage: First global monitoring report","author":"WHO & World Bank","year":"2015"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2010.00307.x"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-204784"}],"container-title":["Maternal &amp; Child Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fmcn.12466","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/mcn.12466","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T16:51:03Z","timestamp":1695660663000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/mcn.12466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":48,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/mcn.12466"],"URL":"https:\/\/doi.org\/10.1111\/mcn.12466","archive":["Portico"],"relation":{},"ISSN":["1740-8695","1740-8709"],"issn-type":[{"value":"1740-8695","type":"print"},{"value":"1740-8709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2]]},"article-number":"e12466"}}