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Journal of Pregnancy
Volume 2012, Article ID 454601, 7 pages
http://dx.doi.org/10.1155/2012/454601
Review Article

Preventive Treatments of Iron Deficiency Anaemia in Pregnancy: A Review of Their Effectiveness and Implications for Health System Strengthening

1Department of Health Policy and Management, Faculty of Public Health, College of Medicine and University College Hospital, University of Ibadan, P.M.B. 5017 General Post Office, Ibadan, Nigeria
2Department of Community Medicine, University College Hospital, P.M.B. 5116 General Post Office, Ibadan, Nigeria

Received 2 February 2012; Revised 1 May 2012; Accepted 21 May 2012

Academic Editor: Laura Murray-Kolb

Copyright © 2012 Kayode O. Osungbade and Adeolu O. Oladunjoye. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. We conducted a review of effectiveness of preventive treatments of iron deficiency anaemia in pregnancy in developing countries and highlighted their constraints as well as interventions required to strengthen the health services. Methods. Literature from Pubmed (MEDLINE), AJOL, Google Scholar, and Cochrane database was reviewed. Results. Evidence-based preventive treatment options for iron deficiency anaemia in pregnancy include prophylaxis iron supplements and food fortification with iron. Evidence abounds on their effectiveness in reducing the prevalence of iron deficiency anaemia in pregnancy. However, these prospects are threatened by side effects of iron supplements, low utilization of maternal health service in developing countries, partial implementation of preventive treatments, and weak infrastructure and political commitment to implement mass fortification of local staple foods by national governments. Conclusion. Sustainability of effectiveness of preventive treatments of iron deficiency anaemia in pregnancy could be achieved if the identified threats are adequately addressed.