{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T10:12:29Z","timestamp":1784110349004,"version":"3.55.0"},"reference-count":0,"publisher":"African Journal of Reproductive Health (AJRH)","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJRH"],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:p>Iron and folic acid supplementation is a maternal and fetal health imperative. This study introduced an examination of antenatal tolerance to the adverse effects of the supplements, defined as persisting with supplementation for a longer duration than the group mean. Multiple logistic regression modeled tolerance against maternal and supplement-related factors. The number of adverse effects experienced was not associated with tolerance [p=0.14, adjusted odds ratio (aOR): 0.8 (0.6\u20133.4)], but counseling on adverse effects was associated with it [p=0.01, aOR: 3.0 (1.3\u20137.1)]. Nausea (an important side effect as identified by previous compliance analyses), constipation, and black stool (newly identified) were the only distresses significantly associated with the tolerance ([p=0.02, aOR: 4.4 (1.3\u201314.9)]; [p=0.03, aOR: 2.1 (1.1\u20134.3)]; and [p=0.047, OR: 4.2 (0.9\u201319.2)], respectively). Tolerance analysis presented can identify additional pertinent context-specific adverse effects. Intensified counseling on the effects to improve the tolerance and compliance to antenatal iron and folic acid supplementation should be encouraged and supported.<\/jats:p>","DOI":"10.29063\/ajrh2026\/v30i13.6","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T10:01:30Z","timestamp":1784109690000},"page":"55-62","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Kenyan pregnant women\u2019s tolerance to adverse effects of iron and folic acid supplementation: A retrospective study"],"prefix":"10.29063","volume":"30","author":[{"given":"Shadrack O.","family":"Oiye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Juma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert O.","family":"Dachi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11599","published-online":{"date-parts":[[2026,7,31]]},"container-title":["African Journal of Reproductive Health"],"original-title":[],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T10:01:33Z","timestamp":1784109693000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajrh.org\/index.php\/ajrh\/article\/view\/7174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":0,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7,31]]},"published-print":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.29063\/ajrh2026\/v30i13.6","relation":{},"ISSN":["1118-4841","1118-4841"],"issn-type":[{"value":"1118-4841","type":"print"},{"value":"1118-4841","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}