The use of folic acid in the prevention of spinal bifida Knowledge, attitude, and practice of women of childbearing age in low income rural communities

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Eghosa Morgan
Nosa Akpede
Emmanuel Friday Osagiede
Vivian Ajekweneh
Francis Erah
Victoria Aishetu Momoh
Mohammed Irumhekhai Momoh
Ezemwenghian Aikomien Morgan
Ese Tracy Osagiede

Abstract

Background. Spinal Bifida is a congenital malformation of the spine that typified defect of the neural tube with devastating neurological, psychosocial and developmental burden to the growing child with associated huge financial burden to the parents, community and the country. Past and present studies have shown strong evidence to indicate that folic acid supplementation during the periconceptional period reduces the occurrence of spinal bifida in children.
Aim. To assess the knowledge, attitude, and practice of use of folic acid during the periconceptional period among women of childbearing age in two rural communities in Edo State, Nigeria.
Materials and methods. A prospective cross-sectional study of 170 women between the ages of 15 and 49 years recruited through a multi-stage sampling technique. The survey instrument was a structured interviewer-administered questionnaire. The data was analysed using Statistical Package for Social Sciences (SPSS) version 21 and presented as charts, tables, and associations tested with Chi-square at a statistical level of significance set at p<0.05.
Results. One hundred and twenty-two (71.8%) of the respondents showed good knowledge, 147(86.5%) had a positive attitude, and 106 (62.4%) had a good practice of use of folic acid. There was a statistically significant association between respondents’ age, marital status, level of education, occupation, and their knowledge of the use of folic acid as well as with their attitude towards the use of folic acid. However, the practice was mainly associated with the socio-demographic variable of each household.
Conclusion. The use of folic acid during the perinatal period for the prevention of spinal bifida is found to be absent in about two-fifths of the study population, a number found to be alarming despite the high level of good knowledge and attitude towards the use of folic acid. There is, therefore, an urgent need to step up more advocacy and health education to women of childbearing age to increase the uptake of folic acid for effective reduction of the incidence of spinal bifida.

Article Details

How to Cite
Morgan, E., Akpede, N., Osagiede, E., Ajekweneh, V., Erah, F., Momoh, V., Momoh, M., Morgan, E., & Osagiede, E. (2019). The use of folic acid in the prevention of spinal bifida. Romanian Neurosurgery, 33(2), 200-214. https://doi.org/10.33962/roneuro-2019-037
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Articles
Author Biographies

Eghosa Morgan

Department of Surgery, Ambrose Alli University, Ekpoma, NIGERIA

Nosa Akpede

Department of Community Medicine, Irrua Specialist Teaching Hospital, Irrua, NIGERIA

Emmanuel Friday Osagiede

Department of Community Medicine, Irrua Specialist Teaching Hospital, Irrua, NIGERIA

Vivian Ajekweneh

Department of Community Medicine, Irrua Specialist Teaching Hospital, Irrua, NIGERIA

Francis Erah

Department of Community Medicine, Irrua Specialist Teaching Hospital, Irrua, NIGERIA

Victoria Aishetu Momoh

Department of Community Medicine, Ambrose Alli University, Ekpoma, NIGERIA

Mohammed Irumhekhai Momoh

Department of Community Medicine, Ambrose Alli University, Ekpoma, NIGERIA

Ezemwenghian Aikomien Morgan

Department of Surgery, Ambrose Alli University, Ekpoma, NIGERIA

Ese Tracy Osagiede

Accident and Emergency Unit, Irrua Specialist Teaching Hospital, Irrua, NIGERIA