Could Self-report A Valid Method To Measure Adherence To Iron Folic Acid Supplementation Among Pregnant Women Attending Antenatal Care Service In Addis Ababa Ethiopia

Background: Iron folic acid supplementation during pregnancy is one of the majorrnintervention given for pregnant women to alleviate the risk of anemia. According to WHOrn2012 report anemia prevalence among pregnant women is highest in Africa includingrnEthiopia. The major problem with increased prevalence of anemia during pregnancy isrnnoncompliance as the women fails to take their pills properly. rnObjective: Aimed to validate self report to measure adherence to iron folic acidrnsupplementation among ante-natal care attending pregnant women in Addis Ababa Ethiopia. rnMethods: Longitudinal was employed among 361 pregnant women in Addis Ababa fromrnMarch to July 2019. A multi-stage random sampling procedure was employed. The studyrnparticipants was prospectively observed over three months using pill count and self reportrnmethods. Data were entered using Epi-Info version 7 and analyzed using STATA SE Versionrn14.1. Estimation of the prevalence of adherence was done using both methods. Sensitivity,rnspecificity and positive predictive value was computed to check the validity on the rnperformance of self report in estimating Adherence. McNemar test was done to assess ifrnthere was significant difference in adherence rate between the methods. P-value of

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