Magnitude of Adherence to Iron Folic Acid Supplementation and Associated Factors among Pregnant Women’s attending Antenatal care at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia

Abstract Background. Pregnant mothers are at high risk of anemia because of significantly increased iron requirements, and adherence to iron folic acid supplementation is one of the main strategies for prevention of anemia. Iron deficiency anemia is the most common nutritional disorder, affecting two billion people worldwide. In Ethiopia, l<1% of pregnant mothers took iron folic acid supplements for the recommended period during their pregnancy. Despite this fact, it often remains unrecognized and unidentified in the study area.Objective. the current study was aimed to assess the magnitude of adherence to iron folic acid supplementation and associated factors among pregnant mothers attending antenatal care at Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia.Methods.An institution based cross-sectional study design was conducted .systematic random sampling were used .Data were collected through face to face interview and analyzed with SPSS version 26. By considering 95% confidence level and P value of < 0.05, binary logistic regression was used to identify factors associated.Result. Adherence to iron folic acid supplementation in the study was 43.7% (95% CI: 40.2%–47%). pregnant mothers knowledge of anemia [AOR = 1.51, 95% CI: (1.26-2.27)], had history of abortion [AOR=0.5, 95% CI: (0.29-0.77)], aged less than 25 years [AOR=0.55, 95% CI: (0.32-1.34)], had still birth [AOR=2.21, 95% CI: (1.13-4.31)], collect greater than 60 Iron tablets per visit [AOR=1.34, 95% CI: (1.01-1.89)], husbands education [AOR=5.32, 95% CI: (1.92-14.74)], had Significant association with Iron and Folic acid Adherence.Conclusion and Recommendation. The magnitude of adherence among pregnant women towards IFA supplementation was 43.7%. Still birth, abortion, knowledge about anemia, aged less than 25 years, husbands’ education and the numbers of tablets collected by pregnant women were factors for adherence to iron folic acid supplementation. Emphasis should be given to those women who have had a bad obstetric history and an adequate supply of IFA tablets to enhance the adherence of pregnant women to IFA supplementation.