Prevalence of Anaemia Among Pregnant Adolescents in Kakamega County, Kenya
Abstract
Anaemia in pregnancy remains a major public health challenge, with pregnant adolescents at increased risk due to their dual nutritional needs. This study assessed the intake of iron and folic acid supplements (IFAS) and anaemia prevalence among pregnant adolescents in Kakamega County, Kenya. A descriptive cross-sectional study was conducted among 120 pregnant adolescents attending antenatal care at Malava County Hospital. Data were collected using pre-tested questionnaires and analysed using SPSS version 29.0. Results showed that 95.8% (n=115) of participants adhered to IFAS, while 4.2% (n=5) reported intake less than five days a week. Despite high adherence, anaemia prevalence remained notable, with 51% having normal haemoglobin levels, 44% mild anaemia, and 5% moderate anaemia. Education level, timing of first ANC visit, distance to health facilities, and nutrition counselling were significant determinants of adherence. The findings highlight the importance of strengthening adolescent-friendly antenatal services, improving access to supplements, and addressing barriers such as myths, side effects, and limited social support. Tailored interventions integrating community awareness, health worker training, and peer support may enhance IFAS adherence and reduce anaemia among pregnant adolescents
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Copyright (c) 2025 Apwacho Rosemary Muholo, Aswani Ann Musotsi, PhD, Jane Naliaka Situma, PhD
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