{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:32:32Z","timestamp":1787761952900,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Antenatal Iron and Folic Acid (IFA) supplementation prevents anaemia and improves maternal and child outcomes. We conducted a hospital based cross sectional study in Ramanagara district to assess antenatal IFA adherence and its determinants in rural Karnataka. 200 pregnant women \u226516 weeks of gestation were recruited by consecutive sampling and administered a face validated, structured questionnaire. It included a ten item tool to assess anaemia awareness, Patient Health Questionnaire 2, Generalized Anxiety Disorder 2 item and Multidimensional Scale of Perceived Social Support. Women consuming more than 60% of IFA in a week were considered adherent. Binary logistic regression was done to identify its determinants. We found antenatal IFA adherence to be 89%. Poor anaemia awareness was found among 46.5%, probable depression among 11.0%, probable anxiety among 13.5% and high perceived social support among 78.5% of the women. Adherence counselling by a healthcare worker [aOR 4.32 (95% CI: 1.01\u201318.37)] and reminder by family member [aOR 10.57 (95% CI: 2.35\u201347.51)] were found to be significant facilitators to IFA adherence. Significantly higher adherence was found among women not experiencing side effects [aOR 4.01 (95% CI: 1.10\u201314.64)] or forgetfulness [aOR 7.0 (95% CI: 1.73\u201328.43)] and in those consuming a single tablet [aOR 3.46 (95% CI: 1.07\u201311.19)] as compared to two or more. We concluded that antenatal IFA adherence in rural Karnataka was high. Significant facilitators were the adherence counselling by a healthcare worker and reminder by a family member. Significant barriers were experiencing side effects, forgetfulness and consumption of two or more tablets.<\/jats:p>","DOI":"10.4103\/ijcm.ijcm_848_22","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T06:00:43Z","timestamp":1760335243000},"page":"S272-S276","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Adherence to Iron and Folic Acid (IFA) among Women Availing Antenatal Services at a Rural Maternity Hospital in Karnataka"],"prefix":"10.4103","volume":"50","author":[{"given":"Kadambari","family":"Nanmaran","sequence":"first","affiliation":[{"name":"Department of Community Medicine, M.S. Ramaiah Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avita R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Community Health, St. John\u2019s Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhea","family":"James","sequence":"additional","affiliation":[{"name":"Department of Community Health, St. John\u2019s Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Nadig","sequence":"additional","affiliation":[{"name":"Department of Community Health, St. John\u2019s Medical College, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavanya","family":"Varier","sequence":"additional","affiliation":[{"name":"Department of Community Health, St. John\u2019s Medical College, Bengaluru, Karnataka, 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