Student Dissertation

Agency : Pregnant Women; Anemia during Pregnancy; Public Health Problem

Objective : • To measure the prevalence of anemia during the 3rd trimester of pregnancy. • To measure the compliances of IFA tablets, calcium tablets and factor related to the non-compliances of both the tablets and its availability as per the women. • To assess the gap duration between calcium and iron intake by pregnant women • To assess albendazole consumption. • To assess the needed dose of iron sucrose provided to pregnant women.

Background : Anaemia in pregnancy is an important public health problem worldwide. Women often become anaemic during pregnancy. The inability to meet the required nutrition in pregnancy has a significant impact on the health of the mother as well as of the fetus. This is particularly in developing countries like in India the prevalence of anaemia is 51%. In Madhya Pradesh, the anaemia prevalence among women is 56% and anaemia among pregnant women is more than 80% in Bhopal. Due to which Madhya Pradesh is having high MMR of 221/1 lac. Postpartum hemorrhage is one of the major causes of it and Anaemia during pregnancy is the cause of preterm delivery.

Methodology : A CROSS-SECTIONAL DESCRIPTIVE research was conducted in BHOPAL district of Madhya Pradesh. Convenience sampling was done with the inclusion of women of the third trimester who had her ANC from J.P. Hospital and also who came for the delivery purpose to the same are included in the sample. Semi self-administered structured questionnaire was filled via collecting data from ANC, MCP, cards and patient case file in hospital.

Findings : On the basis of collected data from J.P. Hospital Bhopal it is observed that before delivery 6.92% of women were majorly anaemic and having 3 to 7.9 gram % HB status. The women’s account for 23.58% are moderately anaemic and having 8 to 9.9 gram % HB status. It was also found that 60% of women are mild anaemic with HB level of 10 to 11.9 gram %. 9.23% of pregnant women are having normal HB status. This study represents that 78.46% of women consumed and 14.6% did not consume albendazole during their 2nd trimester. It was observed on the basis of personal interview and MCP card data that 24.62% of women consumed 0-30 tablets and 26.92% of women consumed 31-60 tablets and 18.46% of women consumed 61-90 tablets. It was also found that only 4.62% of women consumed 151-180 tablets and 8.46% of women consumed 121-150 tablets and 16.92% of women consumed 91-120 tablets. It was also found an interview that availability of calcium tablets was good by 66.15% women’s, average by 22.31% women’s and poor by around 34% non-consumption was due to the less availability of calcium tablets. From the data filled based on an interview, it can be interpreted that 21.54% of women consumed 0-30 IFA tablets and 3.85% of women consumed 31-59 IFA tablets and 32.31%Women’s consumed 60-79 tablets. It was also observed that 30.77% of women consumed 80-90 tablets and only 11.54% of women consumed 91-100 IFA tablets

Recommendations : MCP card can be filled with proper information. the information was given by women sometimes did not match with the entries found on MCP card, in this condition the data provided by women was considered. It will be better if filled completely and correctly. Women’s too, ANC k medicine from 1st line workers but did not consume because of above-mentioned reasons. It can be corrected via counseling and treatment if needed.