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Health Promotion Presentation

Folic Acid

André Almeida

on 19 April 2013

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Transcript of Health Promotion Presentation

Health Promotion Presentation André Cardoso Almeida
Samiya Chaudhry KUMEC - King's Undergraduate Medical Education in the Community
Phase 4 - King's College London School of Medicine
2012/2013 What Do Postpartum Women Know About Folic Acid? Health Promotion Intervention Aim and Description of Intervention "Raise awareness of the importance of taking additional folic acid before and until the twelfth week of pregnancy in postpartum women registered at Torridon Road Medical Practice" DESCRIPTION STRATEGIES AND POLICIES 1. Phone Interview to 45 postpartum women Sample Population Characteristics 1. Women's age ranged from 21-42

2. 33% of women were primips May 2007, UK Food Standards Agency (FSA) recommended that folic acid should be added to flour and bread. Other countries i.e. US, Canada and Chile have already adopted this measure. Since the 90s, the National Institute for Health and Clinical Excellence has been raising awareness to the importance of taking folic acid. The most important campaign was between 1995 and 1998, the Health Education Authority Folic Acid Campaign. Theoretical Approach Guiding The Intervention Beattie's Model (1991) of health promotion

Personal counseling approach is the one mostly used by clinicians

Guided our intervention because of time and resource constraints

Aware of limitations of this approach i.e. not all individuals will accept or take on board the intervention Research Background Demographic data
Use of folic acid in current pregnancy
General information about folic acid
Intervention 2. Obtained 15 completed questionnaires regarding folic acid and respectively informed 15 women Scientific Intervention Effectiveness Source of Guidelines 1968 - Neural tube defects are linked to folate deficiency in pregnancy by Hibbard and Smithells 1991 - The results from a randomised controlled trial (RCT) funded by the MRC, showed that supplementation with folic acid protected women with previous pregnancies affected by spina bifida or anencephaly 1998-2000 - In Chile and Canada, certain foods are fortified with folic acid which causes a decrease between 23-78% in the cases of neural tube defects 1992 - In Hungary, an RCT showed that folic acid supplements for all women in a general population prevents neural tube defects. NTD rates dropped by 50%. Daily supplementation with 400 micrograms before conception and up to the twelfth week of pregnancy.

If at higher risk, increase dose to 5 milligrams. High risk patients are recommended 4 milligrams of folic acid supplementation for 3 months preconceptionally and up to the end of the first trimester Study 2: HEA, 1998 - Evaluated the Folic Acid Campaign Used a range of materials including magazine advertisements, leaflets, television and a free phone advice service.

Awareness of folic acid importance increase amongst woman increase from 51% to 89% between 1995 and 1998

Study 1: Pearson, 1996 - UK Cross-sectional survey Based on data gathered from 3 large clinics in Sheffield.

Twelve percent of clients and 69% of staff were informed on the important of folic acid in pregnancy Results and Conclusions of Health Intervention 87% of women took folic acid supplementation at any point during pregnancy regardless of guidelines 67% of women planned their most recent pregnancy 30% of the planned pregnancies, folic acid was started preconceptionally as recommended by guidelines In 87% had heard about folic acid 77% of these women were informed by a health professional e.g. midwife, GP and/or hospital doctor 38% of these women were aware of why folic acid is important in pregnancy 73% of women felt they were better informed after the intervention 100% of women would take folic acid in future pregnancies Limitations
Low sample size

Time and resource consuming, if done in a larger scale

Questionable value in terms of future compliance Conclusion Gained an understanding of current level of awareness regarding folic supplementation
Assessed use of folic in most recent pregnancy
Successfully intervened by increasing knowledge on the importance and guidelines of folic acid supplements
THANK YOU!! Questions? Mother #5 "...prevents anaemia." Mother #3 "...thickens blood" Mother #8 "Good to have someone explain why folic acid is important" Mother #5 "...I can now explain to family and friends who are trying for a pregnancy" Aim and Description of Intervention

Results and Conclusions of Health Intervention Research Background
Theoretical Approach Guiding the Intervention
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