Browsing by Author "Oloyede, J."

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Effect of counselling and text message reminder on the uptake and adherence of iron and folic acid supplements among pregnant women attending antenatal clinic in Gwagwalada, Abuja
    (Nutrition Society of Nigeria, 2023) Uwatt, E.; Ariyo, O.; Oloyede, J.; Ezekannagha, O.; Owolabi, A. J.; Brai, B. I. C.; Abubakar, S. M.
    Background and Objectives: Innovative strategies are required to mitigate poor compliance to iron-folic acid supplementation and associated high burden of anaemia in Nigeria. Objectives: This study was designed to assess how counselling and text message reminders could improve the uptake and adherence to iron-folic acid supplements among Nigerian pregnant women. Methods: The study used a quasi-experimental design with a simple random sampling of 153 respondents equally allocated into three groups; counselling ( A), counselling and text message reminders (B), and control (C). Adherence to the supplements was assessed using pill count and the 8-item Morisky adherence questionnaire. Parametric and nonparametric analyses were utilized to evaluate survey results across the two interventions. Results: Age of respondents (years) was 31.23±5.05, 31.97±5.63 and 26.63±6.25 for Groups A, B and C, respectively. Self-report adherence was 71.96±13.62, 68.02±11.56, and 65.19±11.84 in group B, A and C, respectively. Folic acid adherence was 91.62±7.98, 89.61±8.62, and 88.57±14.10; while iron adherence was 91.29±8.03, 89.36±8.86 and 88.55±14.00 in group B, C and A, respectively. Group A was 2.6 times more likely to have poor folic acid adherence, 4.0 times more likely to have poor iron adherence and 1.6 times more likely to have poor self-report adherence compared to group B. Conclusion: Counselling and text message reminders are more effective than antenatal counselling alone in improving uptake and adherence to iron-folic acid supplements among Nigerian pregnant women. Efforts to prevent iron deciency anaemia among Nigeria women should incorporate counselling and text message reminders to enhance adherence to uptake and adherence to iron-folic acid supplements.
  • No Thumbnail Available
    Item
    Large scale food fortication in Nigeria: Opportunities and challenges: A position of the Nutrition Society of Nigeria
    (Nutrition Society of Nigeria, 2022) Brai, B. I.; Afolabi, W. A.; Ariyo, O.; Oloyede, J.; Anjorin, F.; Owolabi, A.
    Food fortification is widely identified as a cost-effective strategy for addressing micronutrient malnutrition at scale. In Nigeria, food fortification with a focus on vitamin A, iron, zinc, iodine, and other micronutrient remains a major thrust of the effort to eliminate micronutrient malnutrition. Though the step is laudable, the persisting high burden of micronutrient malnutrition suggests the need to re-think the design and implementation of the fortification programmes. This re-thinking and revision of strategy are premised on various conditions including irregular food consumption data and changing dietary patterns, poor awareness of the benefits of fortified foods, poor compliance to fortification standards, and lack of functional information system on food fortification, among others.Based on the current understanding of the nutrition and food fortification landscape in Nigeria, the Nutrition Society of Nigeria affirms that large-scale food fortification remains a cost-effective strategy to promote a healthy diet and adequate micronutrient intakes and commends the efforts of the various stakeholders especially the development partners and the government's promotion of enabling environment. However, re-thinking the implementation strategy and overhauling the fortification programme to ensure quality, transparency, and possibly digital transformation that can meet real-time data needs to guide decision-making is essential. Thus, it is necessary to ascertain the commonly consumed foods, the usually consumed portion sizes, and the current coverage of the various national micronutrient deficiencies interventions; strengthen social marketing programmes on proper handling and use of fortified foods; improve enforcement of compliance to fortifications standards; strengthen National Nutrition Information Management System to include food fortification information; explore strategies to increase the affordability of the premixes, and develop and implement a Monitoring and Evaluation framework of food fortification programmes.