Iron and folic acid supplementation adherence among pregnant women attending antenatal care in North Wollo Zone northern Ethiopia: Institution based cross-sectional study

Objectives: The main aim of this study was to assess iron and folic acid supplementation adherence among pregnant mothers attending antenatal care in public health facilities of North Wollo Zone northern Ethiopia. An institution based quantitative cross-sectional study design was employed, on 422 pregnant women in North Wollo Zone, northern Ethiopia. Systematic random sampling and purposive sampling methods were used to select study participants for the quantitative and qualitative studies respectively. Results: The overall adherence status of pregnant women attending antenatal clinic was found to be 43.1% (95% CI, 38.6%-48.1%). Obtained counseling about iron and folic acid supplementation (AOR = 2.93, 95% CI 1.43-6.03), having four or more antenatal care visit (AOR = 2.94, 95% CI 1.39-6.21), early registration time (AOR = 3.04, 95% CI 1.85-5.01), good knowledge of anemia (AOR = 2.25, 95% CI 1.32-3.82) and good knowledge of IFAS (AOR = 2.47, 95% CI 1.47-4.16) were statistically and positively associated with pregnant mothers adherence to iron and folic acid supplementation.