 | Adéla"ide Compaoré, Sabine Gies, Bernard Brabin, Halidou Tinto, Loretta Brabin Community approval required for periconceptional adolescent adherence to weekly iron and/or folic acid supplementation: a qualitative study in rural Burkina Faso (Journal Article) In: Reprod. Health, vol. 15, no. 1, pp. 48, 2018, ISSN: 1742-4755. @article{Compaore2018-ji,
title = {Community approval required for periconceptional adolescent adherence to weekly iron and/or folic acid supplementation: a qualitative study in rural Burkina Faso},
author = {Ad\'{e}la"ide Compaor\'{e} and Sabine Gies and Bernard Brabin and Halidou Tinto and Loretta Brabin},
doi = {10.1186/s12978-018-0490-y},
issn = {1742-4755},
year = {2018},
date = {2018-03-01},
urldate = {2018-03-01},
journal = {Reprod. Health},
volume = {15},
number = {1},
pages = {48},
abstract = {BACKGROUND: Iron deficiency remains a prevalent adolescent health
problem in low income countries. Iron supplementation is
recommended but improvement of iron status requires good
adherence. OBJECTIVES: We explored factors affecting adolescent
adherence to weekly iron and/or folic acid supplements in a
setting of low secondary school attendance. METHODS: Taped
in-depth interviews were conducted with participants in a
randomised, controlled, periconceptional iron supplementation
trial for young nulliparous women living in a rural, malaria
endemic region of Burkina Faso. Participants with good, medium or
poor adherence were selected. Interviews were transcribed and
analysed thematically. RESULTS: Thirty-nine interviews were
conducted. The community initially thought supplements were
contraceptives. The potential benefits of giving iron
supplementation to unmarried ``girls'' ahead of pregnancy were
not recognised. Trial participation, which required parental
consent, remained high but was not openly admitted because iron
supplements were thought to be contraceptives. Unmarried
non-school attenders, being mobile, were often sent to provide
domestic labour in varied locations. This interrupted adherence -
as did movement of school girls during vacations and at marriage.
Field workers tracked participants and trial provision of free
treatment encouraged adherence. Most interviewees did not
identify health benefits from taking supplements. CONCLUSIONS:
For success, communities must be convinced of the value of an
adolescent intervention. During this safety trial, benefits not
routinely available in iron supplementation programmes were
important to this low income community, ensuring adolescent
participation. Nevertheless, adolescents were obliged to fulfil
cultural duties and roles that interfered with regular adherence
to the iron supplementation regime. TRIAL REGISTRATION: Trial
Registration at clinicaltrials.gov : NCT01210040.},
keywords = {Adherence; Adolescents; Burkina Faso; Iron supplementation; Non-pregnant; Pregnant; Qualitative},
pubstate = {published},
tppubtype = {article}
}
BACKGROUND: Iron deficiency remains a prevalent adolescent health
problem in low income countries. Iron supplementation is
recommended but improvement of iron status requires good
adherence. OBJECTIVES: We explored factors affecting adolescent
adherence to weekly iron and/or folic acid supplements in a
setting of low secondary school attendance. METHODS: Taped
in-depth interviews were conducted with participants in a
randomised, controlled, periconceptional iron supplementation
trial for young nulliparous women living in a rural, malaria
endemic region of Burkina Faso. Participants with good, medium or
poor adherence were selected. Interviews were transcribed and
analysed thematically. RESULTS: Thirty-nine interviews were
conducted. The community initially thought supplements were
contraceptives. The potential benefits of giving iron
supplementation to unmarried “girls” ahead of pregnancy were
not recognised. Trial participation, which required parental
consent, remained high but was not openly admitted because iron
supplements were thought to be contraceptives. Unmarried
non-school attenders, being mobile, were often sent to provide
domestic labour in varied locations. This interrupted adherence –
as did movement of school girls during vacations and at marriage.
Field workers tracked participants and trial provision of free
treatment encouraged adherence. Most interviewees did not
identify health benefits from taking supplements. CONCLUSIONS:
For success, communities must be convinced of the value of an
adolescent intervention. During this safety trial, benefits not
routinely available in iron supplementation programmes were
important to this low income community, ensuring adolescent
participation. Nevertheless, adolescents were obliged to fulfil
cultural duties and roles that interfered with regular adherence
to the iron supplementation regime. TRIAL REGISTRATION: Trial
Registration at clinicaltrials.gov : NCT01210040. |
