Counseling Practice towards Folic Acid use among Health Care Provider’s in Selected Public Hospitals in Addis Ababa, Ethiopia

Background: Periconceptional folic acid supplementation is an effective way to prevent neural tube defects (NTDs) and other congenital anomalies. It is shown that ۹.۷% of healthcare providers practiced periconceptional folic acid supplements in Ethiopia. Fewer than ۵۰% of women receive information on folic acid before or only during pregnancy. This study was conducted to assess folic acid supplementation counseling practices among health care providers. Methods: This institution-based cross-sectional study was conducted on ۴۲۱ healthcare providers in selected public hospitals, Addis Ababa, Ethiopia. The hospitals were selected using a lottery sampling method, and a systematic random method was used to enroll participants. A structured self-administered instrument was used to gather information from participants. Data were checked for completeness and entered into Epi-Data software (version ۳.۱) and exported to SPSS software (version ۲۵) for analysis. Descriptive statistics were used to describe participants' characteristics, and logistic regression, such as bivariate and multivariable analysis, were tested for associations. The level of significance was determined at a p-value of <۰.۰۵ and a ۹۵% CI. Results: In this study,periconceptional folic acid supplementation counseling practice wasfound in ۵۱% of participants. Profession,salary, work load, patient flow, and assisted birth of a neonate with NTD were the factors associated with counseling practice (adjusted odds ratio [AOR]=۳.۲۱۵, ۹۵% CI:۱.۰۸۵-۹.۵۲۳,  AOR=۰.۲۱۳, ۹۵% CI:۰.۹۵-۰.۴۸۷, AOR= ۰.۴۲۷ ۹۵% CI:۰.۲۱۳-۰.۸۵۹, AOR=۰.۲۲۳, ۹۵% CI: ۰.۱-۰.۴۹۸, and AOR=۱۵.۱۰۷ ۹۵% CI:۸.۱۵۷-۲۷.۹۷۹, respectively). Conclusion: Health care providers demonstrated a good level of knowledge and counseling practice about the folic acid supplement in this study. Medical doctor, salary, workload, patient flow, assisted birth of a neonate with NTD were found predictors for counseling practice.    

Keywords:

Folic Acid supplement , Healthcare provider , Practice