The acceptability of weekly iron-folic acid supplementation and its influencing factors among adolescent school girls in Yogyakarta city: a mixmethods study

Kusmayanti Nuraini, . and Kandarina B J. Istiti, . and Destriyani, . and Masfufah, . and Ansari Muhammad Ridwan, . and Fikrinnisa Rizka, . The acceptability of weekly iron-folic acid supplementation and its influencing factors among adolescent school girls in Yogyakarta city: a mixmethods study. pp. 53-66. ISSN 1394–035X

Introduction: Indonesia has initiated the weekly iron-folic acid supplementation programme (WIFS) among adolescent school girls since 2016. However its acceptability needs to be investigated. This study aimed to assess the acceptability of WIFS and its influencing factors. Methods: A mixed-methods study was conducted in six schools in Yogyakarta from January-April 2018. Totally 211 participants aged 12-18 years were involved in the cross-sectional survey followed by four focus group discussions (FGDs) and in-depth interviews (IDIs). Body mass index-for-age haemoglobin serum ferritin habitual intake and acceptability (defined as selfreported iron folic acid tablet consumption) were assessed. Results: This study reported that 22.3 and 12.4 of the participants were categorised as iron deficient and anaemic respectively. Almost 90 of participants had received the tablet but only 62.0 of them reported consuming it. Logistic regression test indicated that the participants were more likely to take the tablet if it tasted good OR (95CI): 4.66 (1.90-11.43). Meanwhile motivation for tablet consumption declined when respondents perceived the odour of tablet was unpleasant reported forgetfulness lacked peer support and experienced side effects with OR (95CI) of 0.23 (0.07- 0.77) 0.35 (0.13-0.95) 0.30 (0.08-0.58) and 0.04 (0.04-0.39) respectively. The results from FGD and IDIs strengthened the findings that the experience of nausea organoleptic properties of iron-folic acid tablet forgetfulness and mothers support play important roles in students acceptability. Conclusion: This study found moderate acceptability towards the WIFS programme. The inhibiting and reinforcing factors of WIFS acceptability in this study could be considered as inputs for programme improvements in the future.

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Abstract

Introduction: Indonesia has initiated the weekly iron-folic acid supplementation programme (WIFS) among adolescent school girls since 2016. However its acceptability needs to be investigated. This study aimed to assess the acceptability of WIFS and its influencing factors. Methods: A mixed-methods study was conducted in six schools in Yogyakarta from January-April 2018. Totally 211 participants aged 12-18 years were involved in the cross-sectional survey followed by four focus group discussions (FGDs) and in-depth interviews (IDIs). Body mass index-for-age haemoglobin serum ferritin habitual intake and acceptability (defined as selfreported iron folic acid tablet consumption) were assessed. Results: This study reported that 22.3 and 12.4 of the participants were categorised as iron deficient and anaemic respectively. Almost 90 of participants had received the tablet but only 62.0 of them reported consuming it. Logistic regression test indicated that the participants were more likely to take the tablet if it tasted good OR (95CI): 4.66 (1.90-11.43). Meanwhile motivation for tablet consumption declined when respondents perceived the odour of tablet was unpleasant reported forgetfulness lacked peer support and experienced side effects with OR (95CI) of 0.23 (0.07- 0.77) 0.35 (0.13-0.95) 0.30 (0.08-0.58) and 0.04 (0.04-0.39) respectively. The results from FGD and IDIs strengthened the findings that the experience of nausea organoleptic properties of iron-folic acid tablet forgetfulness and mothers support play important roles in students acceptability. Conclusion: This study found moderate acceptability towards the WIFS programme. The inhibiting and reinforcing factors of WIFS acceptability in this study could be considered as inputs for programme improvements in the future.

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Item Type:	Article
AGROVOC Term:	Iron
AGROVOC Term:	Folic acid
AGROVOC Term:	Adolescents (people)
AGROVOC Term:	Females
AGROVOC Term:	Surveys
AGROVOC Term:	Data analysis
AGROVOC Term:	Data collection
AGROVOC Term:	Laboratory experimentation
AGROVOC Term:	Interviews
AGROVOC Term:	Nutrient intake
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:55
URI:	http://webagris.upm.edu.my/id/eprint/9855

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